Longitudinal Associations of Sexual Fluidity and Health in Transgender Men and Cisgender Women and Men.
Longitudinal Associations of Sexual Fluidity and Health in Transgender Men and Cisgender Women and Men.
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DOI：
10.1037/sgd0000246
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发表时间：
2017
影响因子：
3.8
通讯作者：
Sharp C
中科院分区：
文献类型：
--
作者：
Katz-Wise SL;Williams DN;Keo-Meier CL;Budge SL;Pardo S;Sharp C
研究才刚刚开始研究顺性别个体的性流动性和健康之间的关联;只有一项横断面研究研究了跨性别个体之间的这些联系。本研究的目的是前瞻性地研究性吸引力的流动性和性取向认同的流动性，以及与健康相关结果的关联。参与者是一个以社区为基础的样本，包括45名变性男性，年龄在16-51岁之间，他们最近开始接受睾酮治疗，以及95名顺性别者（53名女性，42名男性），年龄在18-55岁之间，他们亲自或通过邮件完成了调查。分析测试了性流动性的组间差异，跨性别男性性流动性的社会人口学预测因素，以及三组性流动性与健康之间的关联。正如假设的那样，跨性别男性比顺性别者在性吸引力和性取向认同方面更具流动性。与我们的假设相反，睾丸激素的使用与性流动性没有显著相关，尽管教育程度较低。正如假设的那样，性取向认同的流动性与跨性别男性（抑郁和焦虑）和顺性别女性（焦虑和压力）的不良心理健康结果有关，以及跨性别男性和顺性别女性的活力下降，以及顺性别女性的社会功能下降。相比之下，性吸引力的流动性只与顺性别女性的抑郁症较少相关，但与任何其他健康相关的结果无关。这项研究增加了关于变性男性性流动性的知识和对健康的影响，并可以为这一人群的临床工作提供信息。
Research has just begun to study associations between sexual fluidity and health among cisgender individuals; only one cross-sectional study examined these links among transgender individuals. The goals of the current study were to prospectively examine fluidity in sexual attractions and fluidity in sexual orientation identity, and associations with health-related outcomes. Participants were a community-based sample of 45 transgender men, ages 16–51 years, who had recently begun testosterone, and 95 cisgender individuals (53 women, 42 men), ages 18–55 years, who completed surveys either in-person or via mail. Analyses tested for group differences in sexual fluidity, sociodemographic predictors of sexual fluidity among transgender men, and associations between sexual fluidity and health across the three groups. As hypothesized, transgender men reported more fluidity in sexual attractions and sexual orientation identity than did cisgender individuals. Contrary to our hypotheses, testosterone use was not significantly associated with sexual fluidity, although less education was. As hypothesized, fluidity in sexual orientation identity was associated with more adverse mental health outcomes among transgender men (depression and anxiety) and cisgender women (anxiety and stress), as well as decreased vitality among transgender men and cisgender women, and decreased social functioning among cisgender women. In contrast, fluidity in sexual attractions was only associated with less depression among cisgender women, but was not significantly associated with any other health-related outcomes. This study increases knowledge about sexual fluidity among transgender men and implications for health and can inform clinical work with this population.