Unevenness in Health at the Intersection of Gender and Sexuality: Sexual Minority Disparities in Alcohol and Drug Use Among Transwomen in the San Francisco Bay Area.
Unevenness in Health at the Intersection of Gender and Sexuality: Sexual Minority Disparities in Alcohol and Drug Use Among Transwomen in the San Francisco Bay Area.
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DOI：
10.1080/00918369.2017.1310552
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发表时间：
2018
影响因子：
2.6
通讯作者：
Wilson EC
中科院分区：
文献类型：
--
作者：
Arayasirikul S;Pomart WA;Raymond HF;Wilson EC
对跨性别妇女健康的研究主要集中在异性恋者的艾滋病毒风险上。人们对性少数跨性别女性的健康状况知之甚少。我们对旧金山湾区16至24岁跨性别女性的HIV风险和恢复力研究数据进行了二次横断面分析（N=259）。评估了性少数跨性别妇女的患病率和人口统计学特征，并使用逻辑回归模型来检验性少数地位与酒精和药物使用之间的关系。在逻辑回归模型中，在控制了种族/民族、年龄、收入、出生、激素状况和女性化过程的历史等因素后，性少数跨性别女性的严重间歇性饮酒和非法处方药使用的几率比异性恋女性高两倍。这些结果表明，性少数群体地位可能是性别少数群体健康的重要社会决定因素。跨性别女性的群体是异质的；有效的干预必须考虑到性少数群体的地位。
Research on the health of transwomen is largely focused on heterosexual HIV risk. Little is known about the health of sexual minority transwomen. We conducted a secondary cross-sectional analysis of data from a HIV risk and resilience study of transwomen aged 16 to 24 years in the San Francisco Bay Area (N=259). Prevalence and demographic characteristics of sexual minority transwomen was assessed and logistic regression models were used to examine the relationship between sexual minority status and alcohol and drug use. In logistic regression models, sexual minority transwomen had greater fold odds of heavy episodic drinking and illicit prescription drug use compared to their heterosexual counterparts, controlling for race/ethnicity, age, income, nativity, hormone status and history of feminization procedures. These results suggest that sexual minority status may be an important social determinant of health among gender minorities. Populations of transwomen are heterogeneous; effective interventions must consider sexual minority status.
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影响因子：
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