Stigma, mental health, and resilience in an online sample of the US transgender population.
Stigma, mental health, and resilience in an online sample of the US transgender population.
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DOI：
10.2105/ajph.2013.301241
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发表时间：
2013-01-01
影响因子：
12.7
通讯作者：
Coleman, E.
中科院分区：
文献类型：
--
作者：
Bockting, W. O.;Miner, M. H.;Coleman, E.
目标.我们评估了少数民族压力，心理健康和潜在的改善因素之间的关联，在一个大的，以社区为基础的，地理上不同的美国跨性别人口样本。方法. 2003年，我们通过互联网招募了1093名男变女和女变男的跨性别者，按性别分层。参与者完成了一项在线调查，其中包括心理健康的标准化措施。在少数民族压力模型的指导下，我们评估了耻辱感和心理健康之间的关联，并测试了弹性指标（家庭支持，同伴支持，身份自豪感）是否会调节这些关联。结果被调查者有较高的临床抑郁（44.1%），焦虑（33.2%）和躯体化（27.5%）的患病率。社会耻辱感与心理困扰呈正相关。同伴支持（来自其他跨性别者）调节了这种关系。我们发现性别认同的差异很小。结论.我们的研究结果支持少数人压力模型。预防需要面对社会结构，规范和态度，为性别差异的人产生少数压力;加强同伴支持;并改善获得心理健康和社会服务的机会，确认跨性别身份并促进复原力。
Objectives. We assessed the association between minority stress, mental health, and potential ameliorating factors in a large, community-based, geographically diverse sample of the US transgender population. Methods. In 2003, we recruited through the Internet a sample of 1093 male-to-female and female-to-male transgender persons, stratified by gender. Participants completed an online survey that included standardized measures of mental health. Guided by the minority stress model, we evaluated associations between stigma and mental health and tested whether indicators of resilience (family support, peer support, identity pride) moderated these associations. Results. Respondents had a high prevalence of clinical depression (44.1%), anxiety (33.2%), and somatization (27.5%). Social stigma was positively associated with psychological distress. Peer support (from other transgender people) moderated this relationship. We found few differences by gender identity. Conclusions. Our findings support the minority stress model. Prevention needs to confront social structures, norms, and attitudes that produce minority stress for gender-variant people; enhance peer support; and improve access to mental health and social services that affirm transgender identity and promote resilience.