Gender-Diverse Patients' Awareness and Utilization of Gender-Affirming Laryngological Services.

Autor:	Madzia JL; Department of Sociology, University of Cincinnati, Cincinnati, OH, USA., Stryker SD; Department of Family and Community Medicine, University of Cincinnati, Cincinnati, OH, USA., Bamford LM; Department of Electrical and Computer Engineering, University of Cincinnati, Cincinnati, OH, USA., Pickle S; Department of Family and Community Medicine, University of Cincinnati, Cincinnati, OH, USA., McKenna VS; Department of Communication Sciences and Disorders, University of Cincinnati, Cincinnati, OH, USA.; Department of Biomedical Engineering, University of Cincinnati, Cincinnati, OH, USA.; Department of Otolaryngology-Head & Neck Surgery, University of Cincinnati, Cincinnati, OH, USA.
Jazyk:	angličtina
Zdroj:	The Annals of otology, rhinology, and laryngology [Ann Otol Rhinol Laryngol] 2024 May; Vol. 133 (5), pp. 503-511. Date of Electronic Publication: 2024 Feb 20.
DOI:	10.1177/00034894241232488
Abstrakt:	Objective: Despite gender-affirming laryngological services (GALS; eg, voice therapy or surgery) being available nationwide, there is a discrepancy between the number of transgender and gender diverse (TGD) people with vocal incongruence and those who pursue services. Primary care is an important setting for accessing gender-affirming care, including learning about GALS. The purpose of this study was to understand the relationship between access to primary care and utilization of GALS. Methods: An anonymous cross-sectional online survey was developed in REDCap. Between June-November 2022, 187 TGD respondents answered all questions related to this analysis. We assessed the relationship between having a primary care provider (PCP) and use of GALS via logistic regression. Results: Of the 167 individuals who reported having a PCP, 54% reported familiarity with GALS, compared to 45% of individuals without a PCP. Compared to the group without a PCP, a greater proportion of individuals with a PCP had received professional voice therapy (21% vs 5%) and voice surgery (3% vs 0%). Logistic regression models did not demonstrate a significant effect of primary care access on either familiarity with, or use of, GALS. Conclusion: Most respondents (89%) were linked to the medical community through a PCP. A greater proportion of respondents with a PCP had accessed professional voice therapy and voice surgery compared with respondents without a PCP, though this difference was not statistically significant. Increased communication between GALS providers and PCPs would raise awareness of available services and may strengthen the referral pipeline to increase access to vocal care. Level of Evidence: Level III. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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