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Table 3 Factors associated with poor self-rated health (n = 669)

From: Health, disability and quality of life among trans people in Sweden–a web-based survey

Variable

Good health n (%)

Fair health n (%)

Poor health n (%)

Crude odds ratios (95 % CI)

Adjusted odds ratios (95 % CI)

Trans experience

 Trans feminine

75 (50)

44 (30)

30 (20)

1.00 (Reference)

 

 Trans masculine

103 (55)

59 (32)

25 (13)

0.76 (0.50–1.16)

0.99 (0.61–1.63)

 Gender nonbinary

140 (40)

122 (35)

84 (24)

1.42 (0.99–2.05)

2.19** (1.24–3.84)

 Transvestite

88 (79)

19 (17)

5 (4)

0.26 (0.15–0.44)

0.92 (0.37–2.26)

Age categories

 15–19

30 (37)

36 (44)

16 (19)

1.00 (Reference)

 20–29

147 (43)

116 (34)

79 (23)

0.91 (0.58–1.40)

 

 30–44

109 (54)

57 (28)

36 (18)

0.60 (0.37–0.96)

 

 45–64

91 (70)

27 (21)

12 (9)

0.29 (0.17–0.50)

 

 65–94

28 (72)

8 (20)

3 (8)

0.26 (0.12–0.58)

 

Country of birth

 Sweden

371 (51)

222 (30)

136 (19)

1.00 (Reference)

 Other than Sweden

35 (52)

22 (33)

10 (15)

0.90 (0.56–1.44)

 

County

 Large county

257 (51)

153 (30)

94 (19)

1.00 (Reference)

 Small county

136 (50)

85 (32)

48 (18)

0.99 (0.75–1.32)

 

Employment status

 Working/studying

325 (58)

162 (29)

73 (13)

1.00 (Reference)

 

 Unemployed/long-term sick leave

39 (25)

58 (37)

59 (38)

4.07 (2.89–5.72)

2.59*** (1.70–3.97)

 Retired

24 (71)

7 (20)

3 (9)

0.58 (0.27–1.23)

1.16 (0.40–3.34)

 Other

14 (42)

10 (30)

9 (27)

2.09 (1.07–4.06)

1.33 (0.61–2.88)

Education

 No high school education

65 (43)

52 (35)

33 (22)

1.22 (0.86–1.74)

 Upper-secondary education, or some university

195 (49)

129 (32)

76 (19)

1.00 (Reference)

 

 University education ≥ 3 years

139 (60)

59 (26)

32 (14)

0.63 (0.46–0.87)

 

 Other

7 (44)

4 (25)

5 (61)

1.46 (0.56–3.82)

 

Monthly net income (€)

 0–1416

153 (36)

161 (38)

111 (26)

2.71 (1.74–4.22)

1.80* (1.08–2.99)

 1417–2125

61 (62)

22 (23)

15 (15)

1.00 (Reference)

 

 2126–3238

98 (68)

36 (25)

11 (7)

0.72 (0.42–1.22)

0.88 (0.48–1.63)

 >3239

70 (88)

8 (10)

2 (2)

0.21 (0.10–0.47)

0.43 (0.17–1.07)

 Do not want to answer

22 (50)

16 (36)

6 (14)

1.45 (0.73–2.89)

0.89 (0.36–2.16)

History of negative health care experiences

 No

166 (72)

45 (19)

20 (9)

1.00 (Reference)

 

 Yes

214 (42)

176 (34)

121 (24)

3.50 (2.51–4.86)

1.92** (1.26–2.91)

Tobacco use ever

 No

189 (52)

110 (30)

65 (18)

1.00 (Reference)

 Yes

209 (50)

130 (31)

79 (19)

1.22 (0.91–1.62)

 

Alcohol risk consumption

 No

329 (52)

188 (30)

113 (18)

1.00 (Reference)

 Yes

71 (46)

53 (35)

29 (19)

1.20 (0.86–1.67)

 

Illicit drug use past six months

 No

368 (53)

215 (31)

113 (16)

1.00 (Reference)

 

 Yes

20 (31)

23 (35)

22 (34)

2.56 (1.59–4.10)

2.29** (1.33–3.95)

 Do not want to answer

5 (42)

1 (8)

6 (50)

3.03 (0.93–9.82)

6.27* (1.30–30.17)

Religiosity

 No

362 (51)

225 (31)

130 (18)

1.00 (Reference)

 Yes

44 (56)

19 (24)

15 (19)

0.79 (0.36–1.72)

 

Change of legal gender

 No, and do not need to

120 (76)

28 (18)

9 (6)

1.00 (Reference)

 

 Yes

67 (59)

31 (27)

16 (14)

2.32 (1.38–3.89)

2.25* (1.04–4.85)

 No, but would like to

136 (46)

105 (35)

57 (19)

3.80 (2.48–5.81)

2.82** (1.48–5.37)

 No, and cannot change legal gender because the desired gender is not available in Sweden today

73 (35)

73 (35)

61 (30)

6.17 (3.93–9.67)

3.06*** (1.64–5.72)

 Do not want to answer

7 (47)

5 (33)

3 (20)

3.75 (1.35–10.41)

1.72 (0.52–5.60)

Openness with trans identity

 Always open

71 (51)

39 (28)

30 (22)

1.00 (Reference)

 Sometimes open

200 (49)

133 (33)

73 (18)

0.97 (0.67–1.41)

 

 Rarely open

65 (47)

48 (35)

24 (18)

1.02 (0.65–1.59)

 

 Never open

37 (72)

8 (12)

6 (16)

0.38 (0.19–0.77)

 

 Trans identity shows

17 (46)

11 (30)

9 (24)

1.21 (0.61–2.40)

 

Practical support

 Always

215 (67)

66 (21)

39 (12)

1.00 (Reference)

 

 Most of the time

140 (41)

128 (38)

73 (21)

2.70 (1.99–3.66)

2.40*** (1.68–3.43)

 Almost never

25 (29)

38 (44)

34 (27)

4.13 (2.64–6.46)

2.57*** (1.47–4.48)

 Never

14 (50)

6 (21)

8 (29)

2.43 (1.13–5.22)

4.74** (1.80–12.52)

Social support

 Yes

304 (53)

177 (31)

91 (16)

1.00 (Reference)

 

 No

92 (45)

62 (30)

51 (25)

1.49 (1.10–2.02)

1.64* (1.11–2.42)

  1. * p < .05 ** p < .01 *** p < .001