The health status of transgender and gender nonbinary adults in the United States
The health status of transgender and gender nonbinary adults in the United States
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DOI：
10.1371/journal.pone.0228765
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发表时间：
2020-02-21
期刊：
影响因子：
3.7
通讯作者：
Silva, Susan G.
中科院分区：
文献类型：
--
作者：
Cicero, Ethan C.;Reisner, Sari L.;Silva, Susan G.
本探索性研究的目的是描述跨性别亚群（跨性别女性/TW，跨性别男性/TM，性别非二元/GNB成人）之间的健康差异。分析2015年行为危险因素监测系统数据，比较三组（TW:N = 369; TM:N = 239; GNB:N = 156）的健康状况。采用Logistic回归和调整比值比来确定健康结果（健康状况一般/较差、经常出现身心不健康的日子、慢性健康状况和健康问题/损害）是否与群体及其与个人特征和社会经济地位的相互作用有关。组是健康状况一般/较差和频繁精神不健康日子的重要预测因子，揭示了跨性别群体之间的显着健康差异。与TW相比，TM和GNB成年人健康状况不佳/一般的几率大约高出2.5倍。TM成年人频繁出现精神不健康天数的几率大约是TW和GNB成年人的1.5-2倍。在有医疗保险的人群中，GNB成年人健康状况一般/较差的几率是TM和TW的1.5-2倍以上。在没有医疗保险的人群中，TM健康状况一般/较差的几率是TW的7倍多。这项研究强调了将跨性别人群的健康分类和检查作为独特的亚人群的重要性，因为发现了显着的健康差异。TM和GNB成年人有严重的健康问题，需要重视旨在促进健康和预防疾病的临床干预措施。
The goal of this exploratory study was to delineate health differences among transgender subpopulations (transgender women/TW, transgender men/TM, gender nonbinary/GNB adults). 2015 Behavioral Risk Factor Surveillance System data were analyzed to compare the health of three groups (TW:N = 369; TM:N = 239; GNB:N = 156). Logistic regression and adjusted odds ratios were used to determine whether health outcomes (fair/poor health, frequent physical and mental unhealthy days, chronic health conditions, and health problems/impairments) are related to group and its interaction with personal characteristics and socioeconomic position. Group was a significant predictor of fair/poor health and frequent mental unhealthy days, revealing significant health differences between the transgender groups. The odds of poor/fair health were approximately 2.5 times higher in TM and GNB adults relative to TW. The odds of frequent mental unhealthy days for TM were approximately 1.5-2 times greater than TW and GNB adults. Among those with health insurance, the odds of fair/poor health for GNB adults was more than 1.5-2 times higher that of TM and TW. Among those without health insurance, TM had over 7 times greater odds of fair/poor health than TW. This study underscores the importance of classifying and examining the health of the transgender population as unique subpopulations, as notable health differences were discovered. TM and GNB adults have significant health concerns, requiring the attention of clinical interventions aimed at promoting health and preventing illness.