Structural transphobia is associated with psychological distress and suicidality in a large national sample of transgender adults.
Structural transphobia is associated with psychological distress and suicidality in a large national sample of transgender adults.
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DOI：
10.1007/s00127-023-02482-4
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发表时间：
2024-02
影响因子：
4.4
通讯作者：
Rakhilin, Marina
中科院分区：
文献类型：
--
作者：
Price, Maggi A.;Hollinsaid, Nathan L.;McKetta, Sarah;Mellen, Emily J.;Rakhilin, Marina
关键词：
跨性别成年人在美国许多地区面临越来越多的歧视性法律/政策和偏见态度，但研究既没有使用这两种指标量化州一级的跨性别恐惧症，也没有考虑他们与跨性别成年人心理健康的集体关联，阻碍了跨性别心理健康不平等的潜在社会决定因素的识别。 因此，我们使用因子分析来开发一个更全面的结构性跨性别恐惧症测量方法，包括州一级跨性别法律/政策和态度的29个指标，我们将其与居住在美国45个州和哥伦比亚特区（DC）的27，279名跨性别成年人（18-100岁）的大型全国样本的个人心理健康数据联系起来。控制个人（即，人口统计学），人际关系（即，感知歧视），以及状态（即，收入不平等，宗教信仰）水平的协变量，来自美国各州的跨性别成年人与较高（与较低）水平的结构性跨性别恐惧报告更严重的上个月的心理困扰，更有可能赞同过去一年和一生的自杀想法，计划和企图。研究结果提供了新的证据，表明州一级的跨性别法律/政策和态度共同塑造了美国跨性别成年人的一系列重要心理健康结果。需要多层次的干预策略，如肯定心理健康治疗，提供者培训干预和支持性立法，以解决结构性变性恐惧症的多方面性质和负面的心理健康后果。在线版本包含补充材料，可通过10.1007/s 00127 -023-02482-4获得。
Transgender adults face increasingly discriminatory laws/policies and prejudicial attitudes in many regions of the United States (US), yet research has neither quantified state-level transphobia using indicators of both, nor considered their collective association with transgender adults’ psychological wellbeing, hindering the identification of this potential social determinant of transgender mental health inequity. We therefore used factor analysis to develop a more comprehensive structural transphobia measure encompassing 29 indicators of transphobic laws/policies and attitudes at the state level, which we linked to individual-level mental health data from a large national sample of 27,279 transgender adults (ages 18–100) residing in 45 US states and the District of Columbia (DC). Controlling for individual- (i.e., demographics), interpersonal- (i.e., perceived discrimination), and state- (i.e., income inequality, religiosity) level covariates, transgender adults from US states with higher (vs. lower) levels of structural transphobia reported more severe past-month psychological distress and were more likely to endorse past-year and lifetime suicidal thoughts, plans, and attempts. Findings provide novel evidence that state-level transphobic laws/policies and attitudes collectively shape a range of important mental health outcomes among transgender adults in the US. Multilevel intervention strategies, such as affirming mental health treatments, provider-training interventions, and supportive legislation, are needed to address structural transphobia’s multifaceted nature and negative mental health consequences. The online version contains supplementary material available at 10.1007/s00127-023-02482-4.
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影响因子：
3.5
作者：
Everett BG;Limburg A;Homan P;Philbin MM
通讯作者：
Philbin MM
影响因子：
12.7
作者：
Bockting, W. O.;Miner, M. H.;Coleman, E.
通讯作者：
Coleman, E.
影响因子：
5.5
作者：
Downing, Janelle M.;Przedworski, Julia M.
通讯作者：
Przedworski, Julia M.
影响因子：
4.4
作者：
Cramer, Robert J.;Kaniuka, Andrea R.;Tucker, Raymond P.
通讯作者：
Tucker, Raymond P.
DOI：
10.1037/pst0000310
发表时间：
2021-03
期刊：
Psychotherapy (Chicago, Ill.)
影响因子：
--
作者：
Budge SL;Sinnard MT;Hoyt WT
通讯作者：
Hoyt WT