Mental Health and Gender Affirmation of Black and Latine Transgender/Nonbinary Youth Compared to White Peers Prior to Hormone Initiation.
Mental Health and Gender Affirmation of Black and Latine Transgender/Nonbinary Youth Compared to White Peers Prior to Hormone Initiation.
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DOI：
10.1016/j.jadohealth.2023.06.022
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发表时间：
2023-11
影响因子：
7.6
通讯作者：
Sevelius, Jae
中科院分区：
文献类型：
--
作者：
Vance, Stanley R., Jr.;Chen, Diane;Garofalo, Robert;Glidden, David, V;Ehrensaft, Diane;Hidalgo, Marco;Tishelman, Amy;Rosenthal, Stephen M.;Chan, Yee-Ming;Olson-Kennedy, Johanna;Sevelius, Jae
比较黑人/拉丁裔与白人跨性别/非二元性别青少年（BLTY与WTY）之间的基线心理健康症状和性别肯定情况，检验性别肯定与心理健康症状之间的关系，以及这些关联是否因种族/民族亚组而异。
对来自美国跨性别青少年关怀研究的性别肯定激素队列的基线数据进行了分析，这是一项在4个诊所进行的观察性研究。所评估的心理健康症状包括抑郁、自杀倾向和焦虑。性别肯定的衡量标准包括来自《感知到的父母对性别扩展态度量表 - 青少年报告》中的父母接受分量表；来自《性别少数群体压力与韧性量表 - 青少年版》中的不被肯定、内化的恐跨心理和社区联系分量表；以及自我报告的完全以被肯定的性别生活。费舍尔精确检验和独立样本t检验比较了各亚组之间的心理健康症状和性别肯定情况。逻辑回归分析评估了性别肯定与心理健康症状之间的关联。交互作用分析评估了各亚组之间关联的差异。
样本（平均年龄16岁，范围12 - 20岁）包括92名BLTY（35%）和170名WTY（65%）。各亚组的抑郁和焦虑症状患病率相当。WTY一生中有自杀倾向的患病率更高（73%对59%；p = 0.02）。性别肯定方面没有差异。在整个样本中，父母接受程度越高，出现抑郁症状的几率越低。不以被肯定的性别生活，出现抑郁症状的几率增加。不被肯定程度越高以及内化的恐跨心理越强，出现抑郁和焦虑症状以及自杀倾向的几率越高。这些关联在各亚组之间没有差异。
BLTY和WTY的心理健康症状相当。对于这两个亚组，性别肯定都降低了出现这些症状的几率。
To compare baseline mental health symptoms and gender affirmation between Black/Latine versus White transgender/nonbinary youth (BLTY vs. WTY) and examine relationships between gender affirmation and mental health symptoms, and whether associations differed by race/ethnicity subgroup. Baseline data were analyzed from the gender-affirming hormone cohort of the Trans Youth Care United States Study—a 4-clinic site, observational study. Mental health symptoms assessed included depression, suicidality, and anxiety. Gender affirmation measures included the parental acceptance subscale from the perceived Parental Attitudes of Gender Expansiveness Scale-Youth Report; non-affirmation, internalized transphobia, and community connectedness subscales from the Gender Minority Stress and Resilience Measure—Adolescent; and self-reported living full time in affirmed gender. Fisher exact tests and independent sample t tests compared mental health symptoms and gender affirmation between subgroups. Logistic regression analyses evaluated associations between gender affirmation and mental health symptoms. Interaction analyses assessed differences in associations between subgroups. The sample (mean age 16 years, range 12—20 years) included 92 BLTY (35%) and 170 WTY (65%). Subgroups had comparable prevalence of depression and anxiety symptoms. WTY had higher prevalence of lifetime suicidality (73% vs. 59%; p = .02). There were no differences in gender affirmation. Among the whole sample, higher parental acceptance decreased odds of depression symptoms. Not living in affirmed gender increased odds of depression symptoms. Higher non-affirmation and internalized transphobia increased odds of depression and anxiety symptoms and suicidality. Associations did not vary by subgroup. BLTY and WTY had comparable mental health symptoms. For both subgroups, gender affirmation decreased odds of those symptoms.
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