Although Veterans Affairs (VA) directives and initiatives have sought to ensure an affirmative environment for transgender and gender diverse (TGD) veterans, barriers to care persist, including enacted/anticipated stigma as well as providers' lack of knowledge regarding specific health concerns of the TGD community. These barriers are significant in light of prior research, which has demonstrated a relationship between fears of transphobic discrimination and avoiding or delaying health care engagement. The present study seeks to explore the relationship between perceptions of providers' competence with TGD patients, veterans' minority stress, and veterans' treatment engagement in gender-related services. To this end, analyses were performed on data collected from 42 TGD veterans. Results suggest that perceptions of providers' competence are positively correlated with engagement in gender-related services. Global gender minority stress was not related to engagement, but the discrimination subscale was significantly correlated with engagement. When entered into a simultaneous regression, both the discrimination subscale and provider competence significantly predicted engagement. Results require replication in larger, more diverse samples, but suggest improving provider competence may bolster engagement for TGD veterans. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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跨性别和性别多样化的退伍军人获得与性别相关的医疗保健服务：少数民族压力的作用。

尽管退伍军人事务部 (VA) 的指令和倡议旨在确保为跨性别和性别多样化 (TGD) 退伍军人提供一个积极的环境，但护理障碍仍然存在，包括制定/预期的耻辱以及提供者对特定健康问题缺乏了解TGD 社区。鉴于先前的研究，这些障碍是显着的，这表明恐惧跨性别歧视与避免或延迟医疗保健参与之间存在关系。本研究旨在探讨提供者对 TGD 患者能力的看法、退伍军人的少数压力以及退伍军人在性别相关服务中的治疗参与之间的关系。为此，对从 42 名 TGD 退伍军人收集的数据进行了分析。结果表明，对提供者的看法 能力与参与性别相关服务呈正相关。全球性别少数压力与参与度无关，但歧视分量表与参与度显着相关。当进入同时回归时，歧视分量表和提供者能力都显着预测了参与度。结果需要在更大、更多样化的样本中进行复制，但建议提高提供者的能力可能会增强 TGD 退伍军人的参与度。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。歧视分量表和提供者能力都显着预测了参与度。结果需要在更大、更多样化的样本中进行复制，但建议提高提供者的能力可能会增强 TGD 退伍军人的参与度。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。歧视分量表和提供者能力都显着预测了参与度。结果需要在更大、更多样化的样本中进行复制，但建议提高提供者的能力可能会增强 TGD 退伍军人的参与度。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。