Wellbeing and healthcare access for sexuality and gender minority secondary school students with long-term health conditions

Aravinda Guntupalli; Mathijs  Lucassen"; J. Fenaughty; Terry  Fleming; Roshini  Peiris-John; Bridget  Farrant; Terryann Clark

doi:10.1016/j.childyouth.2023.107281

Wellbeing and healthcare access for sexuality and gender minority secondary school students with long-term health conditions

Aravinda Guntupalli^* (Corresponding Author), Mathijs Lucassen"^* (Corresponding Author), J. Fenaughty, Terry Fleming, Roshini Peiris-John, Bridget Farrant, Terryann Clark

^*Corresponding author for this work

Applied Health Sciences

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Abstract

Objective: To explore the prevalence of long-term health conditions (which includes disorders such as asthma and diabetes, lasting six months or more) among sexuality and gender minority youth (SGMY) within Aotearoa New Zealand, and report on SGMY access to health care services.
Method: We used data from a population-based survey (Youth’19) of 7,059 secondary school students in Aotearoa New Zealand. Multivariable logistic regression models were used to investigate the associations of five sex, gender and sexuality groups: heterosexual cisgender females (n=3,127, 44.30%); heterosexual cisgender males (n=2,934, 41.64%); sexuality minority cisgender females (n=659, 9.34%); sexuality minority cisgender males (n=216, 3.06%); and gender minority adolescents (n=123, 1.74%), and the selected outcome variables (i.e., general health, long-term health conditions, difficulties accessing healthcare and talked to a health provider privately).
Results: Gender minority adolescents reported the highest odds of having a long-term health condition (adjusted Odds Ratio/aOR=6.69, 95% Confidence Intervals/CI 3.89-11.42) compared to heterosexual cisgender males. Sexuality minority cisgender females and males also had significantly higher odds of having a long-term health condition compared to heterosexual cisgender males. Gender minority youth also reported the highest odds of experiencing difficulties accessing health care (aOR=3.99, 95% CI 2.50-6.36) compared to heterosexual cisgender males. Sexuality minority cisgender females and males were also significantly more likely to experience difficulties accessing healthcare than heterosexual cisgender males.
Conclusion: SGMY are more likely to report a long-term health condition compared to their peers and access to health care for SGMY is constrained. Health and social care service providers need to ensure their provisions are safe, accessible, inclusive, and appropriate for SGMY.

Original language	English
Article number	107281
Number of pages	8
Journal	Children and Youth Services Review
Volume	155
Early online date	4 Nov 2023
DOIs	https://doi.org/10.1016/j.childyouth.2023.107281
Publication status	Published - 1 Dec 2023

Keywords

Long term health conditions
adolescents
healthcare access
LGTB+
sexually and gender minority

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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© 2023 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0
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Wellbeing and healthcare access for sexuality and gender minority secondary school students with long-term health conditions. / Guntupalli, Aravinda (Corresponding Author); Lucassen", Mathijs (Corresponding Author); Fenaughty, J. et al.
In: Children and Youth Services Review, Vol. 155, 107281, 01.12.2023.

Research output: Contribution to journal › Article › peer-review

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abstract = "Objective: To explore the prevalence of long-term health conditions (which includes disorders such as asthma and diabetes, lasting six months or more) among sexuality and gender minority youth (SGMY) within Aotearoa New Zealand, and report on SGMY access to health care services. Method: We used data from a population-based survey (Youth{\textquoteright}19) of 7,059 secondary school students in Aotearoa New Zealand. Multivariable logistic regression models were used to investigate the associations of five sex, gender and sexuality groups: heterosexual cisgender females (n=3,127, 44.30%); heterosexual cisgender males (n=2,934, 41.64%); sexuality minority cisgender females (n=659, 9.34%); sexuality minority cisgender males (n=216, 3.06%); and gender minority adolescents (n=123, 1.74%), and the selected outcome variables (i.e., general health, long-term health conditions, difficulties accessing healthcare and talked to a health provider privately). Results: Gender minority adolescents reported the highest odds of having a long-term health condition (adjusted Odds Ratio/aOR=6.69, 95% Confidence Intervals/CI 3.89-11.42) compared to heterosexual cisgender males. Sexuality minority cisgender females and males also had significantly higher odds of having a long-term health condition compared to heterosexual cisgender males. Gender minority youth also reported the highest odds of experiencing difficulties accessing health care (aOR=3.99, 95% CI 2.50-6.36) compared to heterosexual cisgender males. Sexuality minority cisgender females and males were also significantly more likely to experience difficulties accessing healthcare than heterosexual cisgender males.Conclusion: SGMY are more likely to report a long-term health condition compared to their peers and access to health care for SGMY is constrained. Health and social care service providers need to ensure their provisions are safe, accessible, inclusive, and appropriate for SGMY.",

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AU - Guntupalli, Aravinda

AU - Lucassen", Mathijs

AU - Fenaughty, J.

AU - Fleming, Terry

AU - Peiris-John, Roshini

AU - Farrant, Bridget

AU - Clark, Terryann

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N2 - Objective: To explore the prevalence of long-term health conditions (which includes disorders such as asthma and diabetes, lasting six months or more) among sexuality and gender minority youth (SGMY) within Aotearoa New Zealand, and report on SGMY access to health care services. Method: We used data from a population-based survey (Youth’19) of 7,059 secondary school students in Aotearoa New Zealand. Multivariable logistic regression models were used to investigate the associations of five sex, gender and sexuality groups: heterosexual cisgender females (n=3,127, 44.30%); heterosexual cisgender males (n=2,934, 41.64%); sexuality minority cisgender females (n=659, 9.34%); sexuality minority cisgender males (n=216, 3.06%); and gender minority adolescents (n=123, 1.74%), and the selected outcome variables (i.e., general health, long-term health conditions, difficulties accessing healthcare and talked to a health provider privately). Results: Gender minority adolescents reported the highest odds of having a long-term health condition (adjusted Odds Ratio/aOR=6.69, 95% Confidence Intervals/CI 3.89-11.42) compared to heterosexual cisgender males. Sexuality minority cisgender females and males also had significantly higher odds of having a long-term health condition compared to heterosexual cisgender males. Gender minority youth also reported the highest odds of experiencing difficulties accessing health care (aOR=3.99, 95% CI 2.50-6.36) compared to heterosexual cisgender males. Sexuality minority cisgender females and males were also significantly more likely to experience difficulties accessing healthcare than heterosexual cisgender males.Conclusion: SGMY are more likely to report a long-term health condition compared to their peers and access to health care for SGMY is constrained. Health and social care service providers need to ensure their provisions are safe, accessible, inclusive, and appropriate for SGMY.

AB - Objective: To explore the prevalence of long-term health conditions (which includes disorders such as asthma and diabetes, lasting six months or more) among sexuality and gender minority youth (SGMY) within Aotearoa New Zealand, and report on SGMY access to health care services. Method: We used data from a population-based survey (Youth’19) of 7,059 secondary school students in Aotearoa New Zealand. Multivariable logistic regression models were used to investigate the associations of five sex, gender and sexuality groups: heterosexual cisgender females (n=3,127, 44.30%); heterosexual cisgender males (n=2,934, 41.64%); sexuality minority cisgender females (n=659, 9.34%); sexuality minority cisgender males (n=216, 3.06%); and gender minority adolescents (n=123, 1.74%), and the selected outcome variables (i.e., general health, long-term health conditions, difficulties accessing healthcare and talked to a health provider privately). Results: Gender minority adolescents reported the highest odds of having a long-term health condition (adjusted Odds Ratio/aOR=6.69, 95% Confidence Intervals/CI 3.89-11.42) compared to heterosexual cisgender males. Sexuality minority cisgender females and males also had significantly higher odds of having a long-term health condition compared to heterosexual cisgender males. Gender minority youth also reported the highest odds of experiencing difficulties accessing health care (aOR=3.99, 95% CI 2.50-6.36) compared to heterosexual cisgender males. Sexuality minority cisgender females and males were also significantly more likely to experience difficulties accessing healthcare than heterosexual cisgender males.Conclusion: SGMY are more likely to report a long-term health condition compared to their peers and access to health care for SGMY is constrained. Health and social care service providers need to ensure their provisions are safe, accessible, inclusive, and appropriate for SGMY.

KW - Long term health conditions

KW - adolescents

KW - healthcare access

KW - LGTB+

KW - sexually and gender minority

U2 - 10.1016/j.childyouth.2023.107281

DO - 10.1016/j.childyouth.2023.107281

M3 - Article

SN - 0190-7409

VL - 155

JO - Children and Youth Services Review

JF - Children and Youth Services Review

M1 - 107281

ER -

Wellbeing and healthcare access for sexuality and gender minority secondary school students with long-term health conditions

Abstract

Keywords

UN SDGs

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