Psychosocial Disparities Among Racial/Ethnic Minority Transgender Young Adults and Young Men Who Have Sex with Men Living in Detroit.
Psychosocial Disparities Among Racial/Ethnic Minority Transgender Young Adults and Young Men Who Have Sex with Men Living in Detroit.
复制标题
DOI：
10.1089/trgh.2016.0027
复制
发表时间：
2016
影响因子：
2
通讯作者：
Stephenson R
中科院分区：
文献类型：
--
作者：
Bauermeister JA;Goldenberg T;Connochie D;Jadwin-Cakmak L;Stephenson R
目的：美国的跨性别人群在健康和社会福利方面经历着独特的不平等；然而，在艾滋病毒监测中，他们仍然被归类为男男性行为者（MSM）。为了说明年轻男同性恋者和跨性别青年在生活现实中的差异，我们比较了来自底特律的跨性别青年和男同性恋青年的社会心理结果。方法：本研究的数据来自一项以社区为基础的横断面调查，调查对象是生活在底特律的年轻成年人（18-29岁），他们认为自己是跨性别者和/或与男性发生性关系的顺性青年男性（YMSM）。利用参与者在底特律市的地理位置，我们将生活在同一地区的跨性别参与者（N=26）与YMSM （N=123）进行匹配，并比较两组的风险和恢复指标的患病率。结果：跨性别参与者比YMSM更有可能在几个指标上经历社会经济脆弱性，包括较低的受教育程度和劳动力参与率，更大的居住不稳定性，以及更高的交易性生活经历。与男同性恋者相比，跨性别参与者更有可能报告较差的健康状况，更严重的抑郁和焦虑症状，以及更多的日常麻烦和性别歧视经历。跨性别参与者在健康促进因素上与YMSM同龄人没有差异，包括自尊、应对能力、生活目标或社会支持。结论：我们的研究结果强调了解决跨性别年轻人所经历的社会和经济不平等问题的重要性。建议采取地方和国家一级的方案和政策干预措施，以减轻跨性别青年所经历的心理社会脆弱性，并改善他们的健康和社会福祉。
Purpose: Transgender populations in the United States experience unique inequities in health and social well-being; however, they continue to be categorized with men who have sex with men (MSM) in HIV surveillance. To illustrate the differences in the lived realities of young MSM and transgender youth, we compare psychosocial outcomes across a sample of transgender and MSM youth from Detroit. Methods: Data for this study come from a community-based cross-sectional survey of young adults (ages 18–29) living in Detroit who identify as transgender and/or as cisgender young men who have sex with men (YMSM). Using participants' geographic location within the city of Detroit, we matched transgender participants (N=26) to YMSM (N=123) living in the same area, and compared the prevalence in risk and resilience indicators across the two groups. Results: Transgender participants were more likely than YMSM to experience socioeconomic vulnerability across several indicators, including lower educational attainment and workforce participation, greater residential instability, and higher lifetime experiences of transactional sex. Transgender participants were more likely than YMSM to report poorer health status, higher symptoms of depression and anxiety, and greater experiences of daily hassles and gender-related discrimination. Transgender participants did not differ from YMSM peers on health-promotive factors, including self-esteem, coping mastery, purpose in life, or social support. Conclusions: Our findings underscore the importance of addressing the social and economic inequities experienced by transgender young adults. Local- and national-level programmatic and policy interventions are recommended to alleviate the psychosocial vulnerability experienced by transgender young adults and to improve their health and social well-being.