Association Between Postponements of Medical Care and Financial Constraints Among Transgender Population

Postponements of Medical Care Among Transgender Population

Authors

  • Asghar Ali Epidemiology & Public Health
  • Saad Ahmed Khan Faculty of Science, Dadabhoy Institute of Higher Education Karachi, Pakistan
  • Shah Zeb Aga Khan University Karachi, Pakistan
  • Fajer Alhamdan Psychiatric Hospital, Kuwait
  • Tazeen Saeed Ali Aga Khan University School of Nursing and Midwifery, Karachi, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i03.611

Keywords:

Financial Constraints, Postponement of Medical Care, Transgender Health, Socioeconomic Status

Abstract

Health is a basic human need and access to healthcare is a basic non-negotiable human right. Objectives: To examine the association between postponements of medical care and financial constraints that might lead to delay in their medical care.    Methods: We conducted a primary, analytical cross-sectional study including transgender individuals (n=250), using a purposive sampling technique who were registered with the Gender Interactive Alliance (G.I.A) a non-governmental organization (NGO) in Karachi, Pakistan. We assessed their demographic data by documenting age, gender, religion, income and province, in relation to access to medical care. Results: Data were obtained from 204 (81.6%) males and 46 (18.4%) females’ transgender. The mean age was 32.34 years (S.D=7.85). A Significant association was found in postponement of medical care and financial constraints, with educational status which showed that more than half (55%) were Non Matriculated (p-Value= 0.001), gross monthly income (before taxes) were between 21000 to 30000 PKR (p = 0.002) per month and half of the population were homeless (p <0.001) and it has significantly decreased their chances of access to medical care. Conclusion: Significant association found between postponements of medical care and to financial constraints in transgender population. Further studies are needed to shed light on the struggles that transgender face in medical care and to find out the solution to help those neglected individuals/section of society.

References

Kushmatova DE and Khakimova HK. Current perspectives on the subject of public health and health care. World Bulletin of Public Health. 2022 Jan; 6: 51-3.

Thirarattanasunthon P, Wongrith P, Dadras O, Kabmuangpak S. The Determinants of Treatment Delay and Quality of Life among the Newly Diagnosed Pulmonary Tuberculosis Patients in Northeastern Thailand: A Cross-Sectional Study. Infectious Disorders Drug Targets. 2022 Aug.

Hanson K, Brikci N, Erlangga D, Alebachew A, De Allegri M, Balabanova D, et al. The Lancet Global Health Commission on financing primary health care: putting people at the centre. The Lancet Global Health. 2022 May; 10(5): e715-72.doi: 10.1016/S2214-109X(22)00005-5

Abbas HS, Xu X, Sun C. The role of state capacity and socio-economic determinants on health quality and its access in Pakistan (1990-2019). Socio-Economic Planning Sciences. 2022 Oct; 83: 101109. doi: 10.1016/j.seps.2021.101109

Bukhari SJ, Cheema AR, Shah SZ. Investigating the Impact of Corruption on Poverty in Pakistan. Journal of Business and Social Review in Emerging Economies. 2022 Jun; 8(2): 521-30. doi: 10.26710/jbsee.v8i2.2354

Safer JD, Coleman E, Feldman J, Garofalo R, Hembree W, Radix A, et al. Barriers to health care for transgender individuals. Current opinion in endocrinology, diabetes, and obesity. 2016 Apr; 23(2): 168-71. doi: 10.1097/MED.0000000000000227

Ali A, Khan SA, Zeb S, Munir Z, Ali TS. Association Between Suicidal Attempts in Connection to Discrimination Among Trans Genders: suicidal attempts in connection to discrimination among trans genders. Pakistan Journal of Health Sciences. 2022 Sep: 159-64. doi: 10.54393/pjhs.v3i04.123

Gavulic KA and Gonzales G. Health care expenditures and financial burden: A comparison of adults in same-sex couples and different-sex couples. Medical Care Research and Review. 2022 Apr; 79(2): 281-9. doi: 10.1177/10775587211004308

Gonzales G and Henning‐Smith CA. Barriers to care among transgender and gender nonconforming adults. The Milbank Quarterly. 2017 Dec; 95(4): 726-48. doi: 10.1111/1468-0009.12297

Poteat T and Simmons A. Intersectional Structural Stigma, Community Priorities, and Opportunities for Transgender Health Equity: Findings from transforming the Carolinas. Journal of Law, Medicine & Ethics. 2022; 50(3): 443-55. doi: 10.1017/jme.2022.86

Lerner JE, Martin JI, Gorsky GS. To go or not to go: factors that influence health care use among trans adults in a non-representative US sample. Archives of Sexual Behavior. 2022 May; 51(4): 1913-25. doi: 10.1007/s10508-022-02302-x

Valdez R, Aarabi G, Spinler K, Walther C, Kofahl C, Buczak-Stec E, et al. Do postponed dental visits for financial reasons reduce quality of life? Evidence from the Survey of Health, Ageing and Retirement in Europe. Aging clinical and experimental research. 2021 Feb; 33(2): 437-42. doi: 10.1007/s40520-020-01536-w

Saleem J, Zakar R, Aadil RM, Butt MS, Mushtaq F, Bukhari GM, et al. Determinants of wasting, stunting, and undernutrition among children under five years: Cross-sectional study in southern Punjab, Pakistan. medRxiv. 2023: 2023-01. doi: 10.1101/2023.01.04.23284177

Khan L, Rafiq M, Shah SZ. The Household Economic Burden Of Head And Neck Cancer Patients In Peshawar, Pakistan. Pakistan Journal of Social Research. 2023 Mar; 5(1): 369-80. doi: 10.52567/pjsr.v5i01.870

Idris S. Youth Development in Pakistan. In Leadership Perspectives on Effective Intergenerational Communication and Management. 2023: 166-86 doi: 10.4018/978-1-6684-6140-2.ch010

Manzoor I, Khan ZH, Tariq R, Shahzad R. Health problems & barriers to healthcare services for the transgender community in Lahore, Pakistan. Pakistan Journal of Medical Sciences. 2022 Jan; 38(1): 138-44. doi: 10.12669/pjms.38.1.4375

Czepielewski LS, Alliende LM, Castañeda CP, Castro M, Guinjoan SM, Massuda R, et al. Effects of socioeconomic status in cognition of people with schizophrenia: results from a Latin American collaboration network with 1175 subjects. Psychological medicine. 2022 Aug; 52(11): 2177-88. doi: 10.1017/S0033291721002403

Chen YS, Zhou ZN, Glynn SM, Frey MK, Balogun OD, Kanis M, et al. Financial toxicity, mental health, and gynecologic cancer treatment: The effect of the COVID‐19 pandemic among low‐income women in New York City. Cancer. 2021 Jul; 127(14): 2399-408. doi: 10.1002/cncr.33537

Zhuang T, Eppler SL, Shapiro LM, Roe AK, Yao J, Kamal RN. Financial Distress Is Associated With Delay in Seeking Care for Hand Conditions. HAND. 2021 Jul; 16(4): 511-8. doi: 10.1177/1558944719866889

Wang N, Cao F, Liu F, Jia Y, Wang J, Bao C, et al. The effect of socioeconomic status on health-care delay and treatment of esophageal cancer. Journal of translational medicine. 2015 Dec; 13(1): 1-5. doi: 10.1186/s12967-015-0579-9

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Published

2023-03-31
CITATION
DOI: 10.54393/pjhs.v4i03.611
Published: 2023-03-31

How to Cite

Ali, A. ., Ahmed Khan, S. ., Zeb, S. ., Alhamdan, F. ., & Saeed Ali, T. . (2023). Association Between Postponements of Medical Care and Financial Constraints Among Transgender Population: Postponements of Medical Care Among Transgender Population. Pakistan Journal of Health Sciences (Lahore), 4(03), 39–43. https://doi.org/10.54393/pjhs.v4i03.611

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