Transgender Adults From Minoritized Ethnoracial Groups in the U.S. Report Greater Subjective Cognitive Decline.
Transgender Adults From Minoritized Ethnoracial Groups in the U.S. Report Greater Subjective Cognitive Decline.
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美国少数族裔群体的跨性别成年人主观认知能力下降幅度更大。
DOI：
10.1093/geronb/gbad012
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Epps,Fayron
中科院分区：
文献类型：
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作者：
Cicero,EthanC;Lett,Elle;Flatt,JasonD;Benson,GPerusi;Epps,Fayron
目的调查4个研究组的主观认知功能下降(SCD)，其中包括来自小化的耳鼻部变性人(即小脑化的耳部变性人、小脑化的耳部变性人)和45岁以上的白人和变性人(即白人变性人、白人顺性人)的顺性和变性人(SCD)，以确定组内SCD的概率，并检验组间差异。每个变性人参与者与2名顺性男性和2名顺性女性在状态、民族认同和年龄上进行匹配。多变量Logistic回归按组对SCD的风险进行建模，并进行后对比，比较每组组合的SCD优势比。结果SCD的患病率在小型化的民族变性人(21.6%)中最高，其次是白人变性人(15.0%)，小型化的民族顺性人(12.0%)和白人顺性人(9.0%)。在考虑了年龄、教育程度和调查年份后，与白人顺性别(调整后的优势比[AOR]=2.51，95%可信区间[CI]：1.59-3.96)和民族顺性别(调整后的优势比=1.89，95%可信区间：1.16-3.09)相比，小型化的民族变性者患SCD的几率更高。白人变性人比白人顺性人患SCD的几率更高(AOR=1.66，95%CI：1.20-2.30)。讨论当考虑到变性人和民族身份的交集时，我们发现，与来自微型民族的变性人报告的SCD的几率相比，来自微型民族的变性人报告的SCD的几率高于来自微型民族的顺性成年人。还需要进行更多的研究，以了解认知障碍中种族主义和性别不平等之间的关系，以及全身性易位恐惧症和种族主义的具体机制如何可能导致这种不平等。
ObjectivesInvestigate subjective cognitive decline (SCD) among 4 study groups consisting of cisgender and transgender adults who are from minoritized ethnoracial groups (i.e., minoritized ethnoracial transgender, minoritized ethnoracial cisgender) and White cisgender and transgender adults aged 45+ (i.e., White transgender, White cisgender) to determine the odds of SCD by group and to test for group differences.MethodsData from the 2015–2020 Behavioral Risk Factor Surveillance System were used in a modified case–control approach to perform an intercategorical intersectional study. Each transgender participant was matched to 2 cisgender men and 2 cisgender women, on state, ethnoracial identity, and age. Multivariable logistic regressions modeled SCD odds by group and post hoc contrasts estimated pairwise odds ratios comparing the SCD odds for each combination of groups.ResultsSCD prevalence was highest among minoritized ethnoracial transgender (21.6%), followed by White transgender (15.0%), minoritized ethnoracial cisgender (12.0%), and White cisgender (9.0%). After accounting for age, education, and survey year, the odds of SCD were higher in minoritized ethnoracial transgender when compared to White cisgender (adjusted odds ratio [aOR] = 2.51, 95% confidence interval [CI]: 1.59–3.96) and minoritized ethnoracial cisgender (aOR = 1.89, 95% CI: 1.16–3.09). The odds of SCD were higher in White transgender compared to White cisgender (aOR = 1.66, 95% CI: 1.20–2.30).DiscussionWhen considering the intersection of transgender and ethnoracial identities, we found that transgender adults from minoritized ethnoracial groups reported higher odds of SCD when compared to cisgender adults from minoritized ethnoracial groups. Additional studies are needed to understand the relationship between racialized and gendered inequities in cognitive impairment and how specific mechanisms of systemic transphobia and racism may contribute to this inequity.