Mental health among transgender women living with HIV in Canada: findings from a national community-based research study

Mental health among transgender women living with HIV in Canada: findings from a national community-based research study
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DOI:
10.1080/09540121.2020.1737640
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发表时间:
2020-03-13
影响因子:
1.7
通讯作者:
Loutfy, Mona
Loutfy, Mona
中科院分区:
医学4区
文献类型:
--
作者:
Lacombe-Duncan, Ashley;Warren, Laura;Loutfy, Mona

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变性人(WLWH)艾滋病毒携带者(WLWH)的抗逆转录病毒治疗依从性受到抑郁症和创伤后应激障碍(PTSD)的负面影响。然而,对跨性WLWH中与抑郁或创伤后应激障碍相关的因素知之甚少。我们利用一项全国性社区研究的横断面数据,对1422名WLWH(n=53名变性女性)进行了研究,分析了跨性WLWH中抑郁和创伤后应激障碍症状的患病率,并检验了各种因素(例如,跨性别耻辱)与抑郁和创伤后应激障碍症状之间的关系。近一半的参与者报告了临床上显著的创伤后应激障碍(45.3%)和抑郁症状(45.3%)[创伤后应激障碍平民检查表平均C分13.8分(SD=5.8);流行病学研究中心平均分9.4分(SD=8.0)]。一元线性回归分析表明,
Antiretroviral therapy adherence among transgender (trans) women living with HIV (WLWH) is negatively impacted by depression and post-traumatic stress disorder (PTSD). Yet, little is known about factors associated with depression or PTSD among trans WLWH. Using cross-sectional data from a national community-based study of 1422 WLWH (n = 53 trans women), we characterized the prevalence of depressive and PTSD symptoms among trans WLWH and examined associations between factors (e.g., Trans stigma) and depressive and PTSD symptoms. Nearly half of participants reported clinically significant PTSD (45.3%) and depressive symptoms (45.3%) [mean Post-traumatic Stress Disorder Civilian Checklist Version-C score 13.8 (SD = 5.8); mean Center for Epidemiological Studies - Depression score 9.4 (SD = 8.0)]. Univariate linear regression analyses showed that