Psychiatric disorders in the US transgender population
Psychiatric disorders in the US transgender population
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DOI：
10.1016/j.annepidem.2019.09.009
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发表时间：
2019-11-01
影响因子：
5.6
通讯作者：
Sachdeva, Rajesh
中科院分区：
文献类型：
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作者：
Hanna, Bishoy;Desai, Rupak;Sachdeva, Rajesh
目的：本研究的目的是确定在出院时精神障碍诊断的患病率和几率在美国跨性别医院遭遇与cisgender医院遭遇using national-representative data.Methods：全国住院患者样本被用来确定25,233跨性别和254,437,363 cisgender住院遭遇从2007年至2014年。进行单变量分析，以比较精神障碍的患病率和共病的医疗诊断在出院时。进行控制医学共病诊断的多变量分析，以评估跨性别与顺性别医院就诊中精神障碍诊断的多变量几率。医疗共病诊断的患病率在跨性别的遭遇和没有精神障碍diagnosis.Results：精神障碍诊断的患病率较高，在跨性别的医院遭遇（77%比37.8%，P < .001）。每一个检查精神障碍诊断的患病率显着较高的跨性别医院的遭遇。多变量分析表明，所有精神障碍诊断的几率显著较高，（比值比[OR] = 7.94;置信区间[CI]，7.63-8.26; P < .001），焦虑（OR = 3.44; CI，3.32-3.56; P < .001），抑郁（OR = 1.63; CI，1.57-1.70; P < .001）和精神病（OR = 2.46; CI，2.36-2.56; P < .001）。与精神障碍诊断的跨性别遭遇有较高的患病率的慢性医疗共病的诊断相比，跨性别遭遇没有精神障碍diagnosis.Conclusions：我们的研究结果表明，高患病率和显着更高的几率在跨性别人口的精神障碍诊断相比，使用的数据是全国代表性的美国人口的顺性别人口。(C)2019爱思唯尔公司All rights reserved.
Purpose: The purpose of the study was to determine the prevalence and odds of mental disorder diagnoses at discharge in U.S. transgender hospital encounters as compared with cisgender hospital encounters using nationally representative data.Methods: The National Inpatient Sample was used to identify 25,233 transgender and 254,437,363 cisgender inpatient encounters from 2007 to 2014. Univariate analyses were performed to compare the prevalence of mental disorders and comorbid medical diagnoses at the time of discharge. Multivariable analyses controlling for medical comorbid diagnoses were performed to assess the multivariable odds of mental disorder diagnoses in transgender versus cisgender hospital encounters. The prevalence of medical comorbid diagnoses in transgender encounters with and without mental disorder diagnoses was also compared.Results: The prevalence of mental disorder diagnoses was higher in transgender hospital encounters (77% vs. 37.8%, P < .001). The prevalence of each examined mental disorder diagnosis was significantly higher in transgender hospital encounters. A multivariable analysis demonstrated significantly higher odds of all mental disorder diagnoses (odds ratio [OR] = 7.94; confidence interval [CI], 7.63-8.26; P < .001), anxiety (OR = 3.44; CI, 3.32-3.56; P < .001), depression (OR = 1.63; CI, 1.57-1.70; P < .001), and psychosis (OR = 2.46; CI, 2.36-2.56; P < .001) among transgender versus cisgender inpatient encounters. Transgender encounters with a mental disorder diagnosis had a higher prevalence of chronic medical comorbid diagnoses as compared with transgender encounters without mental disorder diagnoses.Conclusions: Our findings suggest a high prevalence and significantly higher odds of mental disorder diagnoses in the transgender population as compared with the cisgender population using data that are nationally representative of the U.S. population. (C) 2019 Elsevier Inc. All rights reserved.