Barriers to Possessing Gender-Concordant Identity Documents are Associated with Transgender and Nonbinary People's Mental Health in Aotearoa/New Zealand.
Barriers to Possessing Gender-Concordant Identity Documents are Associated with Transgender and Nonbinary People's Mental Health in Aotearoa/New Zealand.
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在新西兰，拥有性别一致的身份证件的障碍与跨性别者和非二元性别者的心理健康有关。
DOI：
10.1089/lgbt.2021.0240
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发表时间：
2022
期刊：
影响因子：
4.8
通讯作者：
Veale,JaimieF
中科院分区：
文献类型：
--
作者：
Tan,KyleKH;Watson,RyanJ;Byrne,JackL;Veale,JaimieF
目的：本研究旨在扩大以前的奖学金集中在性别一致的身份证件（ID）作为健康的社会决定因素。我们研究了法律的性别识别障碍与Aotearoa/NewZealand.Methods跨性别和非二元人群心理健康之间的关联：我们使用了2018年全国范围内基于社区的跨性别和非二元人群Aotearoa调查的数据（N= 818）。调查的变量包括：性别一致的ID，心理健康（过去一个月的心理困扰，过去一年的非自杀性自伤，过去一年的自杀）和改变出生证明或护照上的性别标记的障碍。性别一致的ID和心理健康之间的关联进行了确定使用广义线性回归models.Results：在总的，34.8%的报告正确的名字对他们的ID。出生证和护照上都有正确性别标记的比例为16.0%。具有性别一致ID的参与者更有可能年龄较大，收入和教育水平较高，并且进行过生殖器重建。此外，68.7%的参与者报告说，他们在改变身份证上的性别标记时遇到了至少一个障碍，这些参与者的心理困扰评分平均分显著较高（B= 2.39）和更大的自杀意念几率（优势比= 2.02）比那些与性别一致的ID，调整后的社会人口变量。我们提出了新的发现，在跨性别和非二元的人谁面临的障碍，试图获得性别一致的身份证与那些与性别一致的身份证之间的心理健康问题的水平较高。消除法律的性别承认的障碍可能是改善心理健康的有效途径。
Purpose:This study sought to expand on previous scholarship focused on gender-concordant identity documents (IDs) as a social determinant of health. We examined the association between barriers to legal gender recognition and the mental health of transgender and nonbinary people in Aotearoa/New Zealand.Methods:We used data from a 2018 nationwide community-based survey of trans and nonbinary people in Aotearoa (N= 818). Variables of investigation included: gender-concordant IDs, mental health (past-month psychological distress, past-year nonsuicidal self-injury, past-year suicidality) and barriers to changing gender markers on a birth certificate or passport. Associations between gender-concordant IDs and mental health were determined using generalized linear regression models.Results:In total, 34.8% reported the correct name on all of their IDs. The proportion with the correct gender marker on both birth certificates and passports was 16.0%. Participants with gender-concordant IDs were more likely to be older, have higher levels of income and education, and have had genital reconstruction. In addition, 68.7% of participants reported experiencing at least one barrier to changing gender markers on their IDs, and these participants had significantly higher average points of psychological distress scores (b= 2.39) and greater odds of suicidal ideation (odds ratio = 2.02) than those with gender-concordant IDs, after adjusting for sociodemographic variables.Conclusion:We present novel findings on higher levels of mental health problems among trans and nonbinary people who faced barriers in trying to obtain gender-concordant IDs compared with those with gender-concordant IDs. Removing barriers to legal gender recognition may be an effective way to improve mental health.