Sexual and Mental Health Inequalities across Gender Identity and Sex-Assigned-at-Birth among Men-Who-Have-Sex-with-Men in Europe: Findings from EMIS-2017.
Sexual and Mental Health Inequalities across Gender Identity and Sex-Assigned-at-Birth among Men-Who-Have-Sex-with-Men in Europe: Findings from EMIS-2017.
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DOI：
10.3390/ijerph17207379
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发表时间：
2020-10-10
影响因子：
--
通讯作者：
Weatherburn P
中科院分区：
文献类型：
--
作者：
Hickson F;Appenroth M;Koppe U;Schmidt AJ;Reid D;Weatherburn P
一些与男性发生性关系的男性（MSM）在出生时被指定为女性（AFB）和/或被认定为跨性别男性。很少有人知道这些人与其他MSM有什么不同。我们比较了欧洲MSM互联网调查（EMIS-2017）的性和心理健康指标，比较了AFB和/或目前被确定为跨性别男性的男性与出生时被指定为男性的男性（AMB）。EMIS-2017是一项针对欧洲MSM招聘的33种语言在线性健康调查。我们使用回归模型调整年龄，居住国和就业状况，以检查各组之间的差异。研究使用了来自45个国家的125，720名男性的分析样本，其中674名（0.5%）为AFB，871名（0.7%）被确定为跨性别男性。这两个亚组并不相连，形成了三个少数群体：AFB男性，AFB跨性别男性和AMB跨性别男性。少数群体更年轻，更有可能失业。焦虑、抑郁、酒精依赖和性不快乐在性/性别少数男性中更为普遍。相反，艾滋病毒和性传播感染的诊断不太常见。AMB跨性别男性最有可能与稳定的伴侣发生性风险行为，并且有未满足的健康促进需求，并且最不可能通过干预措施达到。出生时的性别分配和跨性别认同与不同的性和心理健康需求相关。为便利服务规划和促进包容，应在健康调查中定期收集出生性别鉴定和当前性别认同。
Some men who have sex with men (MSM) were assigned female at birth (AFB) and/or identify as trans men. Little is known about how these men differ from other MSM. We compared sexual and mental health indicators from the European MSM Internet Survey (EMIS-2017), comparing men AFB and/or currently identifying as trans men with those assigned male at birth (AMB) who identified as men. EMIS-2017 was an opportunistic 33-language online sexual health survey for MSM recruiting throughout Europe. We used regression models adjusting for age, country of residence and employment status to examine differences across groups. An analytic sample of 125,720 men living in 45 countries was used, of which 674 (0.5%) were AFB and 871 (0.7%) identified as trans men. The two sub-groups were not coterminous, forming three minority groups: AFB men, AFB trans men and AMB trans men. Minority groups were younger and more likely unemployed. Anxiety, depression, alcohol dependence and sexual unhappiness were more prevalent in sex/gender minority men. Conversely HIV and STI diagnoses were less common. AMB trans men were most likely to have sexual risk behavior with steady partners and to have unmet health promotion needs, and were least likely to be reached by interventions. Sex assigned at birth and trans identification were associated with different sexual and mental health needs. To facilitate service planning and to foster inclusion, sex-assigned-at-birth and current gender identity should be routinely collected in health surveys.
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影响因子：
0.7
作者：
Pezzutto, Sophie;Comella, Lynn
通讯作者：
Comella, Lynn
影响因子：
4.4
作者：
Bourne, Adam;Davey, Calum;Weatherburn, Peter
通讯作者：
Weatherburn, Peter
影响因子：
4.5
作者：
Marcus, Ulrich;Hickson, Ford;Schmidt, Axel J.
通讯作者：
Schmidt, Axel J.
DOI：
10.1097/qai.0000000000002116
发表时间：
2019-09-01
影响因子：
3.6
作者：
Golub, Sarit A.;Fikslin, Rachel A.;Klein, Augustus
通讯作者：
Klein, Augustus
影响因子：
1.8
作者：
Browne, Kath;Lim, Jason
通讯作者：
Lim, Jason