j - JOUR AU - Navarro, Jose M AU - Scheim, Ayden I AU - Bauer, Greta R PY - 2022 DA - 2022/10/26 TI - COVID-19大流行后加拿大跨性别和非二元性别人群对虚拟医疗的偏好:横断面研究乔- J地中海互联网Res SP - e40989六世- 24 - 10 KW -虚拟保健KW -远程医疗KW -远程医疗KW -电子健康KW -变性KW -性别认同KW - COVID-19 KW - gender-affirming保健KW -老年人KW -心理健康KW -慢性病KW -社会支持AB -背景:虚拟医疗使用在应对COVID-19流行大幅度增加,提高其潜在作用后大流行的问题。对于跨性别(trans)和非二元性别(TNB)的人来说，虚拟医疗是有希望的，因为它可以扩大获得适当医疗保健提供者的机会。然而，新兴研究表明，与社会人口、健康和社会因素相关的虚拟护理获取存在潜在差异。关于影响患者对虚拟护理和面对面护理偏好的因素的研究很少，特别是在TNB社区。目的:本研究旨在确定与TNB社区大流行后虚拟护理偏好相关的社会人口统计学、健康和社会因素。方法:2020年Trans PULSE Canada COVID调查对820名TNB参与者(n=2783)进行了COVID-19大流行对健康、社会和经济的影响。数据根据2019年样本的人口统计数据进行加权。卡方检验用于比较大流行后在社会人口统计学、健康和社会特征方面对虚拟和面对面护理的偏好。参与者提供了开放文本的回答，解释了他们的偏好，这被用来将定量研究结果置于语境中。 Results: Among 812 participants who indicated whether they would prefer virtual or in-person care after the pandemic, a weighted 32.7% (n=275) would prefer virtual care and 67.3% (n=537) would prefer in-person care. Preference for in-person over virtual care was associated with being in the 14-19 (49/56, weighted 85.0%), 50-64 (51/62, weighted 80.0%), and ≥65 (9/10, weighted 90.7%) age groups (χ25=19.0; P=.002). Preference for virtual over in-person care was associated with having a chronic health condition (125/317, weighted 37.7% versus 150/495, weighted 29.9%; χ21=4.7; P=.03) and having probable anxiety (229/645, weighted 34.7% versus 46/167, weighted 25.7%; χ21=4.3; P=.04). Among participants with romantic partners, preferences varied based on the partner’s level of support for gender identity or expression (χ23=13.3; P=.004). Participants with moderately supportive partners were more likely than participants with very supportive partners to prefer in-person care (36/43, weighted 85.1% versus 275/445, weighted 62.3%). Care preferences did not vary significantly based on the indicators of socioeconomic status. Open-text responses showed that multiple factors often interacted to influence participant preferences, and that some factors, such as having a chronic condition, simultaneously led some participants to prefer virtual care and others to prefer in-person care. Conclusions: TNB people may have differential interest in virtual care based on factors including age, chronic and mental health conditions, and gender-unsupportive home environments. Future research examining virtual care preferences would benefit from mixed methods intersectional approaches across these factors, to explore complexity in the barriers and facilitators of virtual care access and quality. These observed differences support flexibility with options to choose between in-person and virtual health care to meet TNB patients’ specific health needs. SN - 1438-8871 UR - //www.mybigtv.com/2022/10/e40989 UR - https://doi.org/10.2196/40989 UR - http://www.ncbi.nlm.nih.gov/pubmed/36170497 DO - 10.2196/40989 ID - info:doi/10.2196/40989 ER -