Table 5.

Weighted Adjusted Odds Ratios (AORs) and 95% Confidence Intervals (CIs) for the Relationship of Last Year Healthcare Experiences With Mental Health and Substance Use Outcomes^a

	Severe psychological distress	Suicide ideation	Suicide attempt	Binge drinking	Heavy alcohol	Smoking	Marijuana use	Other illicit drug use
	AOR	AOR	AOR	AOR	AOR	AOR	AOR	AOR
Variable	95% CI	95% CI	95% CI	95% CI	95% CI	95% CI	95% CI	95% CI
Healthcare experiences in the last year (yes)
Doctor knew trans and treated with respect	0.74	0.88	0.71	0.92	0.80	0.85	1.50	0.79
Doctor knew trans and treated with respect	0.58, 0.95	0.72, 1.10	0.45, 1.12	0.68, 1.23	0.46, 1.39	0.61, 1.19	1.14, 1.97	0.52, 1.22
Had to teach doctor about trans care	1.56	1.42	1.43	0.97	1.23	1.05	1.11	1.19
Had to teach doctor about trans care	1.28, 1.91	1.19, 1.71	1.06, 1.91	0.81, 1.16	0.94, 1.61	0.87, 1.28	0.92, 1.33	0.94, 1.51
Doctor refused to give trans-related care	2.33	2.35	1.73	1.10	1.33	1.01	1.22	1.62
Doctor refused to give trans-related care	1.73, 3.13	1.79, 3.07	1.22, 2.45	0.82, 1.48	0.86, 2.05	0.76, 1.35	0.92, 1.62	1.15, 2.28
Doctor refused to give other healthcare	1.71	1.95	1.59	0.82	0.61	1.20	1.35	1.63
Doctor refused to give other healthcare	1.08, 2.71	1.15, 3.32	0.97, 2.62	0.49, 1.38	0.30, 1.25	0.72, 2.00	0.88, 2.07	0.99, 2.66
Doctor asked invasive questions about trans status	1.59	1.64	1.62	1.23	1.58	1.18	1.30	1.48
Doctor asked invasive questions about trans status	1.24, 2.04	1.30, 2.07	1.18, 2.24	0.98, 1.55	1.16, 2.15	0.91, 1.53	1.04, 1.64	1.13, 1.92
Doctor used harsh/abusive language	1.63	1.56	1.87	1.15	1.46	1.86	1.73	2.02
Doctor used harsh/abusive language	1.07, 2.49	1.01, 2.42	1.18, 2.95	0.78, 1.70	0.81, 2.63	1.23, 2.81	1.17, 2.55	1.31, 3.12
Doctor was physically rough/abusive	2.77	1.88	1.75	1.44	1.95	0.93	2.35	2.92
Doctor was physically rough/abusive	1.59, 4.81	1.02, 3.48	0.82, 3.75	0.74, 2.79	0.79, 4.82	0.49, 1.76	1.32, 4.20	1.48, 5.75
Verbally harassed in a healthcare setting	2.69	2.22	2.26	1.70	1.28	1.15	1.60	2.02
Verbally harassed in a healthcare setting	1.56, 4.62	1.31, 3.76	1.51, 3.39	1.10, 2.61	0.79, 2.07	0.76, 1.74	1.05, 2.44	1.39, 2.93
Physically attacked in a healthcare setting	1.60	0.54	2.00	1.11	2.54	2.69	1.27	4.48
Physically attacked in a healthcare setting	0.39, 6.52	0.16, 1.82	0.64, 6.29	0.33, 3.72	0.67, 9.64	0.83, 8.76	0.42, 3.80	1.50, 13.34
Unwanted sexual contact in a healthcare setting	1.73	1.17	3.43	0.99	1.96	0.71	1.26	3.37
Unwanted sexual contact in a healthcare setting	0.75, 3.96	0.50, 2.75	1.62, 7.29	0.41, 2.40	0.65, 5.89	0.31, 1.68	0.59, 2.72	1.51, 7.54

Abbreviations: AOR, adjusted odds ratio; CI, confidence interval.
^aSeparate model for each question and outcome pair. Each model adjusted for age, race, education, family support of gender identity, gender identity, sexual orientation, gender and sexual identity change efforts, current healthcare clinicians know participant is trans.