Health of Transgender Adults in the US, 2014-2016
Health of Transgender Adults in the US, 2014-2016
复制标题
DOI：
10.1016/j.amepre.2018.04.045
复制
发表时间：
2018-09-01
影响因子：
5.5
通讯作者：
Przedworski, Julia M.
中科院分区：
文献类型：
--
作者：
Downing, Janelle M.;Przedworski, Julia M.
导言：变性人经历了严重的人际和结构性歧视和耻辱。然而，人们对变性人的健康知之甚少，对特定群体的健康更是知之甚少--包括男性到女性、女性到男性和性别不一致的变性人--尽管不同群体的社会和生物学特征不同。方法：数据来自2014-2016年的行为风险因素监测系统，该系统于2017年进行了分析。研究人群包括来自31个州和一个地区的2221名变性人和523,080名顺性受访者。结果：估计0.24%(95%CI=0.21，0.27)为男性对女性；0.14%(95%CI=0.12，0.17)为女性对男性；0.10%(95%CI=0.08，0.12)为性别不符。所有变性人群体都经历了更糟糕的心理健康和残疾；在获得和利用医疗保健方面几乎没有观察到差异。与顺性男性和女性相比，性别不一致的人患多种慢性病、生活质量差和残疾的几率更高。与顺性女性相比，女性到男性人群缺乏运动和心血管疾病的几率更高。结论：鉴于残疾负担沉重，心理健康状况不佳，以及变性人(特别是性别不一致)人群中的多种慢性病，支持性服务和护理协调可能是改善变性人健康的重要杠杆。(C)《2018美国预防医学杂志》。由爱思唯尔公司出版。
Introduction: Transgender people experience significant interpersonal and structural discrimination and stigma. However, little is known about the health of transgender people, and even less about the health of specific groups-including male-to-female, female-to-male, and gender-nonconforming transgender populations-despite the variation in social and biological characteristics across groups.Methods: Data are from the 2014-2016 Behavioral Risk Factor Surveillance System, analyzed in 2017. The study population included 2,221 transgender and 523,080 cisgender respondents from 31 states and one territory. The authors estimated the prevalence and adjusted odds of chronic health conditions, health-related quality of life, disabilities, health behaviors, and health utilization among three transgender groups, when compared separately with cisgender males and cisgender females.Results: An estimated 0.24% (95% CI=0.21, 0.27) identified as male-to-female; 0.14% (95% CI=0.12, 0.17) identified as female-to-male; and 0.10% (95% CI=0.08, 0.12) identified as gender-nonconforming. All transgender groups experience worse mental health and disabilities; few differences in healthcare access and utilization were observed. Gender-nonconforming people had higher odds of multiple chronic conditions, poor quality of life, and disabilities than both cisgender males and females. Female-to-male people had a higher odds of no exercise and cardiovascular disease compared with cisgender females.Conclusions: Given the high burden of disabilities; poor mental health; and multiple chronic conditions among transgender (particularly gender-nonconforming) populations, supportive services and care coordination may be consequential levers for improving transgender health. (C) 2018 American Journal of Preventive Medicine. Published by Elsevier Inc.