Beyond the Binary: Differences in Eating Disorder Prevalence by Gender Identity in a Transgender Sample.
Beyond the Binary: Differences in Eating Disorder Prevalence by Gender Identity in a Transgender Sample.
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超越二进制：跨性别样本中性别认同的饮食失调率差异。
DOI：
10.1089/trgh.2017.0043
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发表时间：
2018
影响因子：
2
通讯作者：
Reisner SL
中科院分区：
文献类型：
--
作者：
Diemer EW;White Hughto JM;Gordon AR;Guss C;Austin SB;Reisner SL
目的：调查跨性别样本中不同性别身份群体的进食障碍（ED）患病率是否存在差异。研究方法：对来自VOICE项目的数据进行二次分析，该项目是一项关于居住在马萨诸塞州的452名变性成年人（年龄18-75岁）的压力和健康的横断面研究。拟合经t检验调整的logistic回归模型，以比较女性对男性（FTM）、男性对女性（MTF）和出生时分配为男性的性别差异参与者（MBGNC）与出生时分配为女性的性别差异参与者（FBGNC;参照）自我报告的终生ED的患病率。结果：MTF参与者自我报告艾德的年龄调整比值是FBGNC参与者自我报告艾德的比值的0.14倍（p=0.022）。在FTM参与者中，自我报告的艾德的年龄调整比值是FBGNC参与者自我报告的艾德的比值的0.46倍，这是一个轻微的显著性发现（p=0.068）。MBGNC个体的艾德患病率无统计学显著差异。结论：出生时被分配为女性的性别差异个体相对于MTF参与者似乎具有更高的ED终身风险。迫切需要进一步研究特定的生物和心理社会艾德风险因素和性别敏感的干预策略。培训临床服务提供者和确保治疗服务的能力超越性别二元制，对于解决这一差距至关重要。
Purpose: To investigate whether the prevalence of eating disorders (EDs) differs across diverse gender identity groups in a transgender sample. Methods: Secondary analysis of data from Project VOICE, a cross-sectional study of stress and health among 452 transgender adults (ages 18–75 years) residing in Massachusetts. Age-adjusted logistic regression models were fit to compare the prevalence of self-reported lifetime EDs in female-to-male (FTM), male-to-female (MTF), and gender-nonconforming participants assigned male at birth (MBGNC) to gender-nonconforming participants assigned female at birth (FBGNC; referent). Results: The age-adjusted odds of self-reported ED in MTF participants were 0.14 times the odds of self-reported ED in FBGNC participants (p=0.022). In FTM participants, the age-adjusted odds of self-reported ED were 0.46 times the odds of self-reported ED in FBGNC participants, a marginally significant finding (p=0.068). No statistically significant differences in ED prevalence were found for MBGNC individuals. Conclusions: Gender nonconforming individuals assigned a female sex at birth appear to have heightened lifetime risk of EDs relative to MTF participants. Further research into specific biologic and psychosocial ED risk factors and gender-responsive intervention strategies are urgently needed. Training clinical providers and ensuring competency of treatment services beyond the gender binary will be vital to addressing this disparity.