Uncertainty and Confusion Regarding Transgender Non-discrimination Policies: Implications for the Mental Health of Transgender Americans.
Uncertainty and Confusion Regarding Transgender Non-discrimination Policies: Implications for the Mental Health of Transgender Americans.
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关于跨性别非歧视政策的不确定性和混乱：对跨性别美国人的心理健康的影响。
DOI：
10.1007/s13178-021-00602-w
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发表时间：
2022-09
影响因子：
2.6
通讯作者：
Cahill, Sean
中科院分区：
文献类型：
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作者：
Hughto, Jaclyn M W;Meyers, David J;Mimiaga, Matthew J;Reisner, Sari L;Cahill, Sean
最近的政策限制了美国跨性别者的权利；有必要探讨跨性别者对此类政策和相关心理健康的知识和态度。 2019 年，居住在美国东北部的 580 名跨性别成年人完成了一项调查，评估人口统计数据、对跨性别相关政策的知识/态度以及心理健康。根据年龄、性别、种族和既往虐待情况进行调整的多变量逻辑回归模型适合研究对歧视性政策实施的担忧与抑郁、焦虑和创伤后应激障碍 (PTSD) 之间的关联。许多参与者对联邦和州对跨性别者的保护状况感到困惑，48.4% 的人担心他们的州会通过剥夺跨性别者权利的政策。在调整后的模型中，与不关心的参与者相比，那些关心州级反变性政策制定的参与者患抑郁、焦虑和创伤后应激障碍的几率更大（p < 0.05）。我们的研究结果强调了政策变化的不确定性和潜在的心理健康影响，以及确保对变性美国人的法律保护的必要性。有几起悬而未决的诉讼试图推翻特朗普时代限制跨性别者权利的政策。与此同时，几个州的立法者正在推动反变性立法。这项研究的结果可以作为倡导者未来和正在进行的法律和立法努力的一部分，以确保跨性别者根据州和联邦法律得到平等保护。
Recent policies have restricted the rights of the US transgender people; there is a need to explore transgender people’s knowledge and attitudes regarding such policies and related mental health. In 2019, 580 transgender adults living in the Northeastern US completed a survey assessing demographics, knowledge/attitudes toward transgender-related policies, and mental health. Multivariable logistic regression models, adjusted for age, gender, race, and prior abuse, were fit to examine the association of concerns about the implementation of discriminatory policies and depression, anxiety, and post-traumatic stress disorder (PTSD). Many participants were confused about the status of federal and state protections for transgender people, and 48.4% were concerned that their state would pass policies that took away transgender rights. In adjusted models, compared to participants who were not concerned, those who were concerned about the enactment of state-level, anti-transgender policies had greater odds of depression, anxiety, and PTSD (p < 0.05). Our findings highlight the uncertainty around changing policies and potential mental health implications as well as the need to ensure legal protections for transgender Americans. There are several pending lawsuits seeking to overturn Trump-era policies that restrict the rights of transgender individuals. At the same time, lawmakers in several states are pushing anti-transgender legislation. Findings from this study can be cited as part of future and ongoing legal and legislative efforts from advocates seeking to ensure equal protections for transgender people under state and federal law.