Mathieu Gand, Indre Navickaite, Lee-Julia Bartsch, Josephine Grützke, Søren Overballe-Petersen, Astrid Rasmussen, Saria Otani, Valeria Michelacci, Bosco Rodríguez Matamoros, Bruno González-Zorn, Michael S M Brouwer, Lisa Di Marcantonio, Bram Bloemen, Kevin Vanneste, Nancy H C J Roosens, Manal AbuOun, Sigrid C J De Keersmaecker
Towards facilitated interpretation of shotgun metagenomics long-read sequencing data analyzed with KMA for the detection of bacterial pathogens and their antimicrobial resistance genes
Frontiers in microbiology
gender minorities cisgender women face barriers healthcare access prior work suggests cost may represent particular barrier accessing care transgender gender diverse tgd individuals examine odds delaying care reason secondarily 7 specific reasons among tgd individuals cisgender women compared cisgender men us research program calculated odds delayed care gender identity relative cisgender men using multivariableadjusted logistic regression adjustment age race income education charlson comorbidity index examined 117806 us participants completed healthcare access utilization survey primary outcome selfreported delayed care past 12 months 7 potential reasons cost outofpocket cost copayment costs andor high deductible lack childcare lack eldercare nervousness associated visiting healthcare provider rurality inability take time work lack transportation compared cisgender men multivariableadjusted odds ratio delaying care reason 148 95 ci 144153 p 0001 among cisgender women 165 95 ci 124221 p 0001 among tgd individuals assigned male birth 276 95 ci 226339 p 0001 among tgd individuals assigned female birth results consistent across multiple sensitivity analyses tgd individuals substantially likely cite nervousness visiting healthcare provider barrier whereas cisgender women likely delay care due lack childcare coverage cisgender women tgd individuals likely delay seeking heath care compared cisgender men partially different reasons findings highlight need address common distinct barriers care access among marginalized groups