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Table 1 Trends in Structural Determinants, HIV, Substance Use and Mental Health among Trans Women, San Francisco, California, 2010-2016

From: A global cautionary tale: discrimination and violence against trans women worsen despite investments in public resources and improvements in health insurance access and utilization of health care

 

2010

2013

2016

X2 test statistic

P-value

(N=314)

(N=233)

(N=318)

n

%

n

%

n

%

Age

      

23.42

< 0.01

 18-24

21

6.7%

17

7.3%

23

7.2%

  

 25-34

60

19.1%

22

9.4%

65

20.4%

  

 35-39

46

14.6%

26

11.2%

34

10.7%

  

 40-49

107

34.1%

84

36.1%

86

27.0%

  

 50+

80

25.5%

84

36.1%

110

34.6%

  

Race/Ethnicity

      

16.57

0.04

 White

52

16.6%

42

18.0%

58

18.2%

  

 Black

88

28.0%

63

27.0%

64

20.1%

  

 Latina

96

30.6%

77

33.0%

118

37.1%

  

 Asian

21

6.7%

5

2.1%

9

2.8%

  

 Multiple/other

57

18.2%

46

19.7%

69

21.7%

  

Gender Identity

      

15.68

< 0.01

 Trans woman

150

47.8%

102

43.8%

143

45.0%

  

 Female

164

52.2%

123

52.8%

159

50.0%

  

 Other

0

0.0%

8

3.4%

16

5.0%

  

Education

      

4.88

0.56

 Less than High School

84

26.8%

67

28.8%

90

28.3%

  

 High School Diploma / GED

82

26.1%

71

30.5%

102

32.1%

  

 Some College

116

36.9%

72

30.9%

99

31.1%

  

 College Graduate or more

32

10.2%

23

9.9%

27

8.5%

  

Annual Income

      

12.82

< 0.01

 At/above poverty limit

51

16.2%

33

14.2%

23

7.2%

  

 Below poverty limit

263

83.8%

199

85.4%

290

91.2%

  

Housing Status

      

16.90

0.01

 Own/Rent

146

46.5%

101

43.3%

102

32.1%

  

 Live with someone without paying rent

8

2.5%

9

3.9%

13

4.1%

  

 Hotel or SRO

84

26.8%

64

27.5%

95

29.9%

  

 Homeless, shelter, or other

76

24.2%

59

25.3%

108

34.0%

  

Nativity

      

3.94

0.14

 Not born in US

92

29.3%

51

21.9%

80

25.2%

  

 Born in US

222

70.7%

182

78.1%

238

74.8%

  

Insurance Status

      

16.37

< 0.01

 Uninsured

46

14.6%

28

12.0%

16

5.0%

  

 Insured

267

85.0%

204

87.6%

299

94.0%

  

Accessed Primary Health Care (last 6 months)

      

11.84

< 0.01

 Yes

272

86.6%

203

87.1%

300

94.3%

  

 No

42

13.4%

29

12.4%

18

5.7%

  

HIV Serostatus

      

1.50

0.47

 HIV-negative

175

55.7%

149

63.9%

192

60.4%

  

 HIV-positive

123

39.2%

84

36.1%

123

38.7%

  

Recent Substance Use (last 12 months)

 Injection Drug Use

32

10.2%

33

14.2%

38

11.9%

2.01

0.37

 Methamphetamine

42

13.4%

55

23.6%

93

29.2%

7.33

0.03

 Crack

63

20.1%

32

13.7%

29

9.1%

3.74

0.15

 Cocaine

26

8.3%

33

14.2%

31

9.7%

5.2

0.07

 Downers

17

5.4%

14

6.0%

17

5.3%

2.86

0.58

 Painkillers

18

5.7%

21

9.0%

17

5.3%

3.43

0.18

 Heroin

10

3.2%

15

6.4%

20

6.3%

4.07

0.13

 Poppers

19

6.1%

15

6.4%

29

9.1%

2.54

0.28

Lifetime Mental Health Diagnosis

 Depression

143

45.5%

134

57.5%

199

62.6%

20.05

< 0.01

 PTSD

59

18.8%

66

28.3%

137

43.1%

45.03

< 0.01

 Anxiety

100

31.8%

98

42.1%

180

56.6%

40.18

< 0.01