Table 5 Factors associated with a high level of expectation that healthcare worker/staff can fulfill transgender healthcare needs
Variables | High expectation | Univariable analysis | Multivariable analysis | ||
|---|---|---|---|---|---|
Characteristics | n/N (%) | cOR (95% CI) | P | aOR (95% CI) | P |
Age | Â | Â | 0.216 | Â | Â |
  < 25 years | 39/40 (97.5) | 3.71 (0.47 – 29.65) |  |  |  |
  ≥ 25 years (ref.) | 126/138 (91.3) | 1 |  |  |  |
Region of residence | Â | Â | 0.135 | Â | Â |
 Bangkok | 58/60 (96.7) | 3.22 (0.69 – 14.95) |  |  |  |
 Others (ref.) | 108/120 (90.0) | 1 |  |  |  |
Religion | Â | Â | 0.768 | Â | Â |
 Buddhist (ref.) | 153/168 (91.1) | 1 |  |  |  |
 Others | 14/15 (93.3) | 1.37 (0.17 – 11.24) |  |  |  |
Highest educational level | Â | Â | 0.145 | Â | Â |
  < A bachelor's degree (ref.) | 104/117 (88.9) | 1 |  |  |  |
  ≥ A bachelor's degree | 63/66 (95.5) | 2.63 (0.72 – 9.61) |  |  |  |
Employment status | Â | Â | 0.529 | Â | Â |
 Self-employed/business owner | 28/30 (93.3) | 1.96 (0.38 – 10.13) |  |  |  |
 Full-time | 89/96 (92.7) | 1.78 (0.59 – 5.38) |  |  |  |
 Part-time/student/unemployed (ref.) | 50/57 (87.7) | 1 |  |  |  |
Relationship status | Â | Â | 0.949 | Â | Â |
 Single (ref.) | 103/113 (91.2) | 1 |  |  |  |
 Partner | 64/70 (91.4) | 1.04 (0.36 – 3.00) |  |  |  |
Experience of unfair gender discrimination from healthcare providers | Â | Â | 0.261 | Â | Â |
 Yes (ref.) | 87/93 (93.6) | 1 |  |  |  |
 No | 79/89 (88.8) | 0.54 (0.19 – 1.57) |  |  |  |
Monthly income (baht) | Â | Â | 0.119 | Â | 0.139 |
  < 15,001 (ref.) | 63/73 (86.3) | 1 |  | 1 |  |
 15,001 – 30,000 | 63/67 (94.0) | 2.50 (0.74 – 8.42) |  | 2.33 (0.72 – 7.49) |  |
  > 30,000 | 38/39 (97.4) | 6.03 (0.74 – 49.28) |  | 5.29 (0.61 – 46.17) |  |
Sex work experience | Â | Â | 0.033 | Â | 0.023 |
 Yes (ref.) | 19/24 (79.2) | 1 |  | 1 |  |
 No | 148/159 (93.1) | 3.54 (1.11 – 11.33) |  | 4.60 (1.23 – 11.19) |  |
Gender identity | Â | Â | 0.674 | Â | 0.222 |
 Transgender men (ref.) | 44/49 (89.8) | 1 |  | 1 |  |
 Transgender women | 123/134 (91.8) | 1.27 (0.42 – 3.87) |  | 2.30 (0.61 – 8.71) |  |
Gender-affirming healthcare service | |||||
 Perception of whether gender-affirming healthcare services for transgender individuals exist in Thailand |  | 0.535 |  |  | |
  Unknown (ref.) | 31/35 (88.6) | 1 |  |  |  |
  Known | 136/148 (91.9) | 1.46 (0.44 – 4.86) |  |  |  |
Attitudes toward healthcare | |||||
 Buy hormones or medicine without doctor supervision |  |  | 0.497 |  |  |
  Disagree/neutral (ref.) | 79/88 (89.8) | 1 |  |  |  |
  Agree | 88/95 (92.6) | 1.43 (0.51 – 4.04) |  |  |  |
 Transgender health concerns are different from cisgender ones |  |  | 0.148 |  |  |
  Disagree/neutral (ref.) | 78/88 (88.6) | 1 |  |  |  |
  Agree | 89/94 (94.7) | 2.28 (0.75 – 6.99) |  |  |  |
 Seeking healthcare providers who understand transgender concerns is easy |  |  | 0.503 |  |  |
  Disagree/neutral (ref.) | 120/132 (90.9) | 1 |  |  |  |
  Agree | 47/50 (94.0) | 1.57 (0.42 – 5.82) |  |  |  |
 A high chance of gender discrimination by healthcare providers |  |  | 0.155 |  |  |
  Disagree/neutral (ref.) | 83/94 (88.3) | 1 |  |  |  |
  Agree | 84/89 (94.4) | 2.23 (0.74 – 6.71) |  |  |  |
 Avoid visits to healthcare providers |  |  | 0.664 |  |  |
  Disagree/neutral (ref.) | 133/145 (91.7) | 1 |  |  |  |
  Agree | 34/38 (89.5) | 0.77 (0.23 – 2.54) |  |  |  |