Health and service utilization among a sample of gender-diverse youth of color: the TRUTH study.
Health and service utilization among a sample of gender-diverse youth of color: the TRUTH study.
复制标题
DOI：
10.1186/s12889-022-14585-9
复制
发表时间：
2022-12-10
影响因子：
4.5
通讯作者：
中科院分区：
文献类型：
--
作者：
虽然越来越多的研究考虑到跨性别青年的身份与性别二元性相一致的经历，特别是在年轻的跨性别女性中，但准确捕捉非二元青年数据的研究明显较少，捕捉跨性别和性别多样性（TGD）有色青年经验的研究更少。这项研究的目的是评估性健康行为，心理健康挑战，物质使用和医疗保健利用率之间的黑人/非裔美国人，拉丁美洲人，亚洲/太平洋岛民，土著和多种族/民族TGD青年，谁在很大程度上在研究中代表性不足。共有108名16 - 24岁的TGD青年被招募到跨肤色青年研究（TRUTH）中。每个参与者都完成了一个90分钟的调查，由研究助理管理，使用ACASI收集更敏感的信息。除了完成由研究人员管理的调查外，参与者还参与了样本收集，其中包括尿液采样以评估最近在没有处方的情况下使用药物，自我收集直肠/前额和咽喉拭子以测试淋病和衣原体，以及抽血以测试最近使用药物，淋病和衣原体以及梅毒。样本是在公共场所，社区外展和转介，通过社交媒体外展，并通过参与者转介招募。横断面分析来自单次研究访视。与他们的顺性别同龄人相比，参与者报告说经历了不利的社会和结构性健康决定因素-例如粮食不安全（61%），住房不稳定（30%）和获得医疗保健的机会有限（26%没有地方去医疗保健）-非法药物使用率上升（19 - 85%），心理健康问题（例如，60%的人自我报告抑郁症），以及参与与性风险相关的行为（例如，在那些报告插入性行为的人中，57 - 67%的人报告没有避孕套的性行为）。这项研究增加了对TGD青年非临床样本的心理和性健康结果的描述，特别是在年轻的变性男性和性别非二元青年中，他们经常被排除在以前的性健康研究之外。研究结果记录了TGD青年的经历和行为，这些经历和行为有助于心理和性健康问题，包括物质使用率和医疗保健利用率。在线版本包含补充材料，可通过10.1186/s12889 - 022 - 14585 - 9获得。
While there is growing research considering the experiences of transgender youth whose identities align with the gender binary, especially among young trans women, there are significantly fewer studies that accurately capture data about nonbinary youth, and even fewer studies capturing the experiences of transgender and gender diverse (TGD) youth of color. The purpose of this research was to assess the prevalence of sexual health behaviors, mental health challenges, substance use, and healthcare utilization among Black/African American, Latinx, Asian/Pacific Islander, indigenous and multi-racial/ethnic TGD youth, who have been largely underrepresented in research. A total of 108 TGD youth ages 16–24 were recruited into the Trans Youth of Color Study (TRUTH). Each participant completed a 90-min survey administered by a research assistant with more sensitive information collected using ACASI. In addition to a completing a survey administered by research staff, participants also participated in specimen collection, which included urine sampling to assess recent substance use without a prescription, self-collected rectal/frontal and throat swabs to test for gonorrhea and chlamydia, and a blood draw to test for recent use of drugs, gonorrhea and chlamydia, and syphilis. The sample was recruited at public venues, community outreach and referral, through social media outreach, and via participant referral. Cross-sectional analyses were from a single study visit. Compared to rates among their cisgender peers, participants reported experiencing adverse social and structural determinants of health—e.g. food insecurity (61%), housing instability (30%), and limited access to healthcare (26% had no place to go for healthcare)—and elevated rates of illicit drug use (19–85%), mental health problems (e.g. 60% self-reported depression), and involvement in sexual risk-related behaviors (e.g. among those reporting penetrative sex 57–67% reported sex without a condom). This study adds descriptions of both mental and sexual health outcomes of a non-clinical sample of TGD youth to the literature, particularly among young transgender men and gender nonbinary youth, who have frequently been excluded from previous studies of sexual health. The findings document experiences and behaviors among TGD youth that contribute to mental and sexual health concerns, including rates of substance use, and healthcare utilization. The online version contains supplementary material available at 10.1186/s12889-022-14585-9.
登录
查看更多内容
DOI：
10.3205/psm000089
发表时间：
2012
期刊：
Psycho-social medicine
影响因子：
--
作者：
Babitsch B;Gohl D;von Lengerke T
通讯作者：
von Lengerke T
影响因子：
26.1
作者：
Barbee, Harry;Deal, Cameron;Gonzales, Gilbert
通讯作者：
Gonzales, Gilbert
DOI：
10.1037/1099-9809.12.2.367
发表时间：
2006-04-01
影响因子：
3.3
作者：
Asner-Self, Kimberly K;Schreiber, James B;Marotta, Sylvia A
通讯作者：
Marotta, Sylvia A
影响因子：
2
作者：
Bauermeister JA;Goldenberg T;Connochie D;Jadwin-Cakmak L;Stephenson R
通讯作者：
Stephenson R
影响因子：
--
作者：
Dawson, Anne E.;Wymbs, Brian T.;Figueroa, Wilson
通讯作者：
Figueroa, Wilson