Experiences of Violence and Mental Health Outcomes among Colombian Men who have Sex with Men (MSM) and Transgender Women.
Experiences of Violence and Mental Health Outcomes among Colombian Men who have Sex with Men (MSM) and Transgender Women.
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哥伦比亚男男性行为者 (MSM) 和跨性别女性的暴力经历和心理健康结果。
DOI：
10.1177/0886260521997445
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发表时间：
2022-07
影响因子：
2.5
通讯作者：
Poppen PJ
中科院分区：
文献类型：
--
作者：
Zea MC;Barnett AP;Río-González AMD;Parchem B;Pinho V;Le HN;Poppen PJ
哥伦比亚经历了 70 年的内部冲突，尽管达成了和平协议，但在冲突后时代暴力仍然严重。暴力会降低受影响人群的健康和福祉，并造成心理困扰。人们对暴力对哥伦比亚性少数群体心理健康的影响知之甚少。本研究旨在调查男男性行为者 (MSM) 和跨性别女性的暴力频率和来源，及其与抑郁症状和药物滥用的关系。我们使用受访者驱动抽样方法对 942 名男男性行为者和 58 名跨性别女性进行了一项调查。我们使用逐步逻辑回归和线性回归估计了心理健康指标与暴力经历之间的关系，并控制了收入、教育、年龄、种族和年轻时因女性化而受到的虐待。受访者驱动的抽样调整后，总样本中任何类型暴力的发生率为 60.9%，男男性行为者为 59.8%，跨性别女性为 75.1%。 MSM 样本中的暴力经历与抑郁症状、酗酒和吸毒显着相关。家庭成员或熟人实施的暴力与更严重的抑郁症状有关，伴侣和陌生人实施的暴力与酗酒和吸毒的增加有关。这些结果提供了重要证据，证明暴力经历与性少数群体（哥伦比亚的弱势群体）的心理健康之间存在负相关关系。本研究解决了拉丁美洲中等收入国家性取向和性别认同的多样性问题。
Colombia endured 70 years of internal conflict, but despite a peace agreement, violence continues to be significant in the post-conflict era. Violence degrades the health and well-being of affected populations and it engenders psychological distress. Little is known about the impact of violence on the mental health of sexual and gender minority populations in Colombia. This study aimed to examine the frequency and sources of violence among cisgender men who have sex with men (MSM) and transgender women and their association with depressive symptoms and substance use. We administered a survey to 942 MSM and 58 transgender women recruited using respondent-driven sampling. We estimated the relationship between mental health indicators and experiences of violence using stepwise logistic and linear regressions, controlling for income, education, age, race, and mistreatment for being effeminate when younger. Respondent-driven sampling adjusted prevalence of any type of violence was 60.9% for the total sample, 59.8% for MSM, and 75.1% for transgender women. Experiences of violence were significantly related to depressive symptoms, binge drinking and drug use for the MSM sample. Violence perpetrated by family members or acquaintances was associated with greater depressive symptoms, and violence perpetrated by partners and strangers was associated with increased binge drinking and drug use. These results provide significant evidence of the negative association of experiences of violence and the mental health of sexual and gender minority people, a vulnerable population in Colombia. This study addresses issues of diversity regarding sexual orientation and gender identity in a Latin American middle-income country.
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影响因子：
16.4
作者：
Barnett, Andrew P.;del Rio-Gonzalez, Ana Maria;Zea, Maria Cecilia
通讯作者：
Zea, Maria Cecilia
影响因子：
3.6
作者：
Bell V;Méndez F;Martínez C;Palma PP;Bosch M
通讯作者：
Bosch M
DOI：
10.1037/1099-9809.10.3.187
发表时间：
2004-08-01
影响因子：
3.3
作者：
Harper, Gary W;Jernewall, Nadine;Zea, Maria Cecilia
通讯作者：
Zea, Maria Cecilia
影响因子：
12.7
作者：
Austin, Anna;Herrick, Harry;Proescholdbell, Scott
通讯作者：
Proescholdbell, Scott
影响因子：
10.5
作者：
Harpham, T;Snoxell, S;Rodriguez, C
通讯作者：
Rodriguez, C