Effects of Violence on Transgender People
Effects of Violence on Transgender People
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DOI：
10.1037/a0029604
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发表时间：
2012-10-01
影响因子：
1.5
通讯作者：
Bongar, Bruce
中科院分区：
文献类型：
--
作者：
Testa, Rylan J.;Sciacca, Laura M.;Bongar, Bruce
虽然最近对跨性别人群的研究表明经历暴力的比率很高，但很少有研究关注这些经历对心理健康的影响。这项研究利用了弗吉尼亚跨性别者健康倡议调查 (THIS) 2005-2006 年跨性别者（描述自己的性别认同与出生时指定性别不同的个人）收集的数据。目前的研究分析仅限于两个亚组：跨性别女性 (n = 179) 和跨性别男性 (n = 92)。我们假设，与一般人群一样，遭受身体暴力和性暴力可能与自杀意念、自杀企图和药物滥用有关。该样本中的跨性别女性和跨性别男性都面临身体暴力和性暴力以及自杀意念和自杀企图的高风险。逻辑回归分析表明，在跨性别女性和跨性别男性中，那些遭受过身体和/或性暴力的人比那些没有经历过此类经历的人更有可能报告自杀企图和多次自杀企图的历史。此外，在跨性别男性中，身体暴力和性暴力史均与酗酒有关。在跨性别女性中，性暴力史与酗酒和使用非法药物有关。确定并讨论了针对跨性别者的暴力模式，包括频繁的与性别相关的暴力动机、向警方报告暴力行为的比例较低以及暴力实施者的多样性。提供了临床意义和建议。
While recent research on transgender populations has demonstrated high rates of experiencing violence, there has been little research attention to the mental health implications of these experiences. This study utilized data collected from the Virginia Transgender Health Initiative Survey (THIS) of transgender people (individuals who described their gender identity as different from their sex assigned at birth) collected from 2005-2006. Current study analyses were limited to two subgroups: trans women (n = 179) and trans men (n = 92). We hypothesized that, as in the general population, exposure to physical and sexual violence would be related to suicidal ideation, suicide attempts, and substance abuse. Both trans women and trans men in this sample were at high risk for physical and sexual violence, as well as suicidal ideation and suicide attempt. Logistic regression analyses indicated that among both trans women and trans men, those who had endured physical and/or sexual violence were significantly more likely than those who had not had such experiences to report a history of suicide attempt and multiple suicide attempts. In addition, among trans men, history of physical and sexual violence were each related to alcohol abuse. Among trans women, history of sexual violence was related to alcohol abuse and illicit substance use. Patterns of violence against transgender people were identified and are discussed, including frequent gender-related motivation for violence, low prevalence of reporting violence to police, and variety of perpetrators of violence. Clinical implications and recommendations are provided.