Stigma, gender dysphoria, and nonsuicidal self-injury in a community sample of transgender individuals.

Stigma, gender dysphoria, and nonsuicidal self-injury in a community sample of transgender individuals.
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DOI:
10.1016/j.psychres.2018.08.092
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发表时间:
2018-11
影响因子:
11.3
通讯作者:
Bockting WO
Bockting WO
中科院分区:
医学2区
文献类型:
--
作者:
Jackman KB;Dolezal C;Levin B;Honig JC;Bockting WO

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我们调查了跨性别人群中非自杀性自伤(NSSI)的发生率以及过去一年NSSI的相关性,以更好地了解导致这种健康差异的因素。一个基于社区的样本332跨性别的人参加了定量的面对面访谈。参与者的平均年龄为34.56岁(SD = 13.78,范围= 16-87)。样本平均分为跨女性谱(50.3%)和跨男性谱身份(49.7%),并且在种族/民族方面存在差异。我们评估了社会人口学特征,耻辱,假设的弹性因素,和身份变量与过去一年的NSSI之间的关联。53.3%的参与者报告在他们的一生中曾经自我伤害过。22.3%的样本报告了过去一年的NSSI,并且基于性别身份没有显著差异。在逻辑回归模型中,过去一年的NSSI与年龄较小和感到耻辱(感知或预期的拒绝),但不制定耻辱(歧视的实际经验),并与性别焦虑。解决变性人中NSSI高发病率的努力应旨在减少感到的耻辱和性别焦虑,并促进变性人的一致性。未来的研究使用发展的方法来评估整个生命过程中的NSSI的变化,并与跨性别身份的发展可能会照亮影响NSSI在这个人群中的其他过程。
We investigated rates of nonsuicidal self-injury (NSSI) and correlates of past-year NSSI among transgender people to better understand factors contributing to this health disparity. A community-based sample of 332 transgender people participated in quantitative in-person interviews. The mean age of participants was 34.56 years (SD = 13.78, range = 16–87). The sample was evenly divided between transfeminine spectrum (50.3%) and transmasculine spectrum identities (49.7%) and was diverse in race/ethnicity. We evaluated associations between sociodemographic characteristics, stigma, hypothesized resilience factors, and identity variables with past-year NSSI. 53.3% of participants reported ever having self-injured in their lifetime. Past-year NSSI was reported by 22.3% of the sample and did not significantly differ based on gender identity. In logistic regression models, past-year NSSI was associated with younger age and felt stigma (perceived or anticipated rejection), but not enacted stigma (actual experiences of discrimination), and with gender dysphoria. Efforts to address the high rates of NSSI among transgender people should aim to reduce felt stigma and gender dysphoria, and promote transgender congruence. Future research using a developmental approach to assess variations in NSSI across the life course and in relation to transgender identity development may illuminate additional processes that affect NSSI in this population.
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