Who are the sexual and gender minorities who frequently interact with children and their association with healthcare

Oliveira, Claudia Rafaella Santos; Sousa, Carolina Campos Vieira de; Torres, Juliana Lustosa

doi:10.1590/1413-81232024294.19222023EN

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

THEMATIC ARTICLE • Ciênc. saúde coletiva 29 (4) • Apr 2024 • https://doi.org/10.1590/1413-81232024294.19222023EN copy

Who are the sexual and gender minorities who frequently interact with children and their association with healthcare

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

This study aimed to examine the sociodemographic profile of sexual and gender minorities who regularly interact with children and investigate whether such frequent interactions are associated with healthcare factors. This cross-sectional study utilized data from the LGBT+ Health Survey in Brazil, conducted online and anonymously from August to November 2020 with 958 participants. Regular interaction with children was defined as living with children or engaging in bi-weekly face-to-face meetings with children residing in different households. Healthcare factors encompass having a professional or reference service, feeling comfortable in discussing personal issues, and receiving worse quality medical or hospital care. The statistical analysis used the Poisson regression with robust variance. The prevalence of interaction with children was 5.3%. We observed a statistically higher prevalence among cisgender women (13.4%) and Black/brown and other non-white people (7.9%) after adjusting for age. The results showed a positive association only between regular interaction with children and worse-quality medical or hospital care received (PR=6.00; 95%CI 1.22-29.67). These findings highlight a persistent stigma and prejudice within healthcare services.

Key words:
Sexual and Gender minorities; Quality of Health Care

		Total (%)	95%CI
Affective orientation
	Gay	75.0	69.7-79.6
	Bisexual person	20.1	15.9-25.1
	Other	4.9	2.8-8.5
Gender identity
	Cisgender women	31.3	26.4-36.8
	Cisgender men	57.2	51.4-62.7
	Transgender, transvestite, non-binary or other gender minorities	11.5	8.1-16.2
Age group
	18-29 years	54.5	48.7-60.1
	30-49 years	36.8	31.5-42.5
	≥50 years	8.7	5.9-12.6
Schooling
	Secondary school or less	14.6	10.8-19.4
	Incomplete or complete Higher Education	46.5	40.8-52.4
	Incomplete or complete Postgraduation	38.9	33.3-44.8
Ethnicity/skin color
	White	54.8	49.1-60.5
	Black/brown/other	45.2	39.5-50.9
With companion
	No	68.8	63.1-74.1
	Yes	31.2	26.0-37.0
Health plan
	No	45.2	39.7-50.8
	Yes	54.8	49.2-60.3
Frequent interaction with children
	No	94.7	91.2-96.9
	Yes	5.3	3.1-8.8
Having a reference health professional or health service
	Yes	53.3	47.5-59.1
	No	46.7	40.9-52.5
Feeling comfortable telling health professionals about personal issues
	Yes	59.4	53.5-65.0
	No	40.6	35.0-46.5
Receiving poorer quality medical or hospital treatment
	No	96.4	93.5-98.0
	Yes	3.6	2.0-6.5
N total		958

		Crude prevalence	Crude models	Age-adjusted prevalence		Age-adjusted model
		%	PR	95%CI	%	PR	95%CI
Affective orientation
	Gay	5.7	1.00		5.1	1.00
	Bisexual person	3.7	0.64	0.24-1.71	5.8	1.14	0.33-3.90
	Other	2.6	0.45	0.14-1.43	3.3	0.63	0.16-2.45
Gender identity
	Cisgender women	8.1	1.00		13.4	1.00
	Cisgender men	3.7	0.47	0.15-1.44	3.2	0.22	0.06-0.77
	Transgender, transvestite, non-binary or other gender minorities	3.6	0.43	0.10-1.95	2.7	0.18	0.04-0.82
Age group
	18-29 years	1.9	1.00
	30-49 years	10.1	5.48	1.32-22.66
	≥50 years	3.8	1.99	0.48-8.25
Schooling
	Secondary school or less	4.0	1.00
	Incomplete or complete Higher Education	4.9	1.23	0.24-6.20
	Incomplete or complete Postgraduation	5.9	1.48	0.29-7.52
Ethnicity/skin color
	White	2.3	1.00		2.4	1.00
	Black/brown/other	8.6	3.90	1.21-12.53	7.9	3.46	1.07-11.20
With companion
	No	2.5	1.00		2.8	1.00
	Yes	10.8	4.48	1.52-13.14	8.7	3.26	0.94-11.35
Health plan
	No	6.0	1.00
	Yes	4.5	0.75	0.26-2.16

	Not having a reference health professional or health service		Not feeling comfortable telling health professionals about personal issues		Receiving poorer quality medical or hospital treatment
	PR	CI95%	PR	CI95%	PR	CI95%
Gender identity
Cisgender women	1.00		1.00		1.00
Cisgender men	0.98	0.90-1.06	0.90	0.65-1.24	5.63	1.82-17.41
Transgender, transvestite, non-binary or other gender minorities	1.04	0.92-1.19	1.18	0.75-1.86	5.25	1.44-19.20
Age group
18-29 years	1.00		1.00		1.00
30-49 years	0.85	0.78-0.93	0.87	0.63-1.21	1.49	0.39-5.70
≥50 years	0.79	0.69-0.91	0.55	0.28-1.06	0.07	0.01-0.17
Ethnicity/skin color
White	1.00		1.00		1.00
Black/brown/other	0.99	0.92-1.08	1.07	0.80-1.43	0.58	0.18-1.82
Frequent interaction with children
No	1.00		1.00		1.00
Yes	0.91	0.75-1.12	1.05	0.50-2.18	6.00	1.22-29.57

ABRASCO - Associação Brasileira de Saúde Coletiva Av. Brasil, 4036 - sala 700 Manguinhos, 21040-361 Rio de Janeiro RJ - Brazil, Tel.: +55 21 3882-9153 / 3882-9151 - Rio de Janeiro - RJ - Brazil
E-mail: cienciasaudecoletiva@fiocruz.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Chief editors:

Romeu Gomes, Antônio Augusto Moura da Silva