Associations Between Transgender Identity, Sleep, Mental Health and Suicidality Among a North American Cohort of College Students.
Associations Between Transgender Identity, Sleep, Mental Health and Suicidality Among a North American Cohort of College Students.
复制标题
DOI：
10.2147/nss.s286131
复制
发表时间：
2021
影响因子：
3.4
通讯作者：
Dunietz GL
中科院分区：
文献类型：
--
作者：
Hershner S;Jansen EC;Gavidia R;Matlen L;Hoban M;Dunietz GL
本研究旨在探讨北美顺性别和跨性别大学生跨性别认同、睡眠和心理健康之间的关系。这项横断面研究调查了2016-2017年美国大学健康协会-国家大学健康评估II中的221,549名北美大学生。双变量和多变量分析研究了跨性别身份与失眠症状、白天嗜睡、睡眠障碍诊断和治疗结果之间的关系。心理健康结果包括情绪症状、自杀行为、焦虑和抑郁的诊断和治疗。有1.6% （n=3471）的美国学生和1.7% （n=717）的加拿大学生报告有跨性别认同。平均年龄22.5±6岁。与顺性大学生相比，变性大学生在白天嗜睡、失眠症状、失眠诊断和/或治疗以及其他睡眠障碍方面的患病率更高。心理健康症状更为普遍，变性学生的抑郁和焦虑增加了2倍，自杀企图增加了近4倍。与加拿大学生相比，美国变性大学生的情绪症状负担更高。变性大学生的情绪、睡眠障碍、睡眠诊断和自杀率高得惊人。学院和大学必须提供足够的资源来解决跨性别学生的睡眠和心理健康需求。各机构必须采取促进包容性环境的性别肯定政策。增加资源分配和采取提高跨性别学生身心健康的政策可以改善睡眠和情绪，并可能降低经常经历健康不平等的人群的自杀风险。
The purpose of this study is to examine the associations between transgender identity, sleep, and mental health among a North American cohort of cisgender and transgender college students. This cross-sectional study surveyed 221,549 North American college students from the 2016–2017 American College Health Association-National College Health Assessment II. Bivariate and multivariable analysis examined associations among transgender identity and outcomes of insomnia symptoms, daytime sleepiness, sleep disorder diagnoses and treatments. Mental health outcomes included mood symptoms, suicidal behaviors, anxiety and depression diagnoses and treatments. Transgender identity was reported by 1.6% (n=3471) of United States (US) and 1.7% (n=717) Canadian students, respectively. Mean age was 22.5 ±6. Transgender college students have an increased prevalence of daytime sleepiness, insomnia symptoms, diagnoses and/or treatment of insomnia and other sleep disorders as compared to cisgender college students. Mental Health symptoms are more prevalent with a 2-fold increase in depression and anxiety and nearly a 4-fold increase in suicide attempts among transgender students. A higher burden of mood symptoms exists among transgender college students in the US in comparison to Canadian students. Transgender college students have an alarmingly high rate of mood, sleep disturbances and sleep diagnoses, and suicidality. Colleges and universities must provide sufficient resources to address the sleep and mental health needs of transgender students. Institutions must adopt gender affirming policies that promote an inclusive environment. Increased allocation of resources and adoption of policies that enhance the physical and mental health of transgender students could improve sleep, mood, and potentially lower the suicide risk among a population that often experiences health inequities.