Racial Health Disparities in a Cohort of 5,135 Transgender Veterans
Racial Health Disparities in a Cohort of 5,135 Transgender Veterans
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DOI：
10.1007/s40615-014-0032-4
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发表时间：
2014-12-01
影响因子：
3.9
通讯作者：
Jones, Kenneth T.
中科院分区：
文献类型：
--
作者：
Brown, George R.;Jones, Kenneth T.
目的目前还没有关于变性人患者种族健康差异的大规模研究。退伍军人健康管理局(VHA)是美国最大的医疗保健系统，是电子健康记录的早期采用者。我们提供了关于大量变性人退伍军人的医疗和心理健康差异的新数据。方法使用四个ICD-9-CM代码，我们确定了1996-2013年间参加VHA护理的变性人退伍军人队列。共有5135名变性人退伍军人被确认，其中387人是非西班牙裔黑人，4120人是非西班牙裔白人。结果黑人变性人退伍军人被诊断为酗酒的几率增加(调整后的优势比[AOR]=1.86，95%可信区间[CI]=1.50~2.31，P
Objective There are no large-scale studies of racial health disparities in transgender patients. The Veterans Health Administration (VHA) is the largest health-care system in the United States and was an early adopter of electronic health records. We present new data on medical and mental health disparities in a large population of transgender veterans.Method Using four ICD-9-CM codes, we identified a cohort of transgender veterans who presented for VHA care from1996-2013. A total of 5,135 transgender veterans were identified, 387 were non-Hispanic Black and 4,120 were nonHispanic White. These two groups were compared to determine if medical and/or mental health disparities existed.Results Black transgender veterans had increased odds to be diagnosed with alcohol abuse (adjusted odds ratio [AOR]=1.86, 95 % confidence interval [CI]=1.50-2.31, p