Homicide Rates of Transgender Individuals in the United States: 2010-2014

Homicide Rates of Transgender Individuals in the United States: 2010-2014
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DOI:
10.2105/ajph.2017.303878
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发表时间:
2017-09-01
影响因子:
12.7
通讯作者:
Dinno, Alexis
Dinno, Alexis
中科院分区:
医学2区
文献类型:
--
作者:
Dinno, Alexis

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目的:估算美国跨性别居民的凶杀率以及相对于顺性别对照人群在年龄、性别和种族/族裔方面的凶杀相对风险(RR)。 方法:我使用“跨性别者纪念日”以及“全国反暴力项目联盟”的跨性别者凶杀数据,估算了2010年至2014年期间跨性别居民以及跨性别女性、黑人、拉丁裔以及年轻(15 - 34岁)亚人群的凶杀率。我使用估算的跨性别流行率以及顺性别对照人群来估算相对风险。我进行了敏感性分析,以便在关于跨性别者凶杀案报告不足的假设以及关于跨性别居民流行率的假设范围内确定所有结果。 结果:跨性别个体的总体凶杀率可能低于顺性别个体,12个相对风险估算值中有8个低于1.0。然而,年轻的跨性别女性黑人以及拉丁裔居民的凶杀率几乎肯定高于顺性别女性对照人群,黑人的所有相对风险估算值均高于1.0,拉丁裔的也均高于1.0。 结论:反暴力公共卫生项目应将年轻的以及黑人或拉丁裔跨性别女性认定为特别脆弱的人群。
Objectives. To estimate homicide rates of transgender US residents and relative risks (RRs) of homicide with respect to cisgender comparators intersected with age, gender, and race/ethnicity.Methods. I estimated homicide rates for transgender residents and transfeminine, Black, Latin@, and young (aged 15-34 years) subpopulations during the period 2010 to 2014 using Transgender Day of Remembrance and National Coalition of Anti-Violence Programs transgender homicide data. I used estimated transgender prevalences to estimate RRs using cisgender comparators. I performed a sensitivity analysis to situate all results within assumptions about underreporting of transgender homicides and assumptions about the prevalence of transgender residents.Results. The overall homicide rate of transgender individuals was likely to be less than that of cisgender individuals, with 8 of 12RR estimates below 1.0. However, the homicide rates of young transfeminine Black and Latina residents were almost certainly higher than were those of cisfeminine comparators, with all RR estimates above 1.0 for Blacks and all above 1.0 for Latinas.Conclusions. Antiviolence public health programs should identify youngandBlack or Latina transfeminine women as an especially vulnerable population.