Disparities in Childhood Abuse Between Transgender and Cisgender Adolescents.

Disparities in Childhood Abuse Between Transgender and Cisgender Adolescents.
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跨性别者和赋予者青少年之间儿童虐待的差异。

DOI:
10.1542/peds.2020-016907
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发表时间:
2021-08
期刊:
影响因子:
8
通讯作者:
Marshal MP
Marshal MP
中科院分区:
医学2区
文献类型:
--
作者:
Thoma BC;Rezeppa TL;Choukas-Bradley S;Salk RH;Marshal MP

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跨性别青少年(TGAs)表现出不成比例的心理健康问题的水平相比,顺性别青少年(CGAs),但心理社会过程的TGAs之间的心理健康差异仍然研究不足。我们在美国青少年的全国样本中研究了TGA与CGA之间自我报告的儿童虐待以及TGA亚组内的虐待风险。14至18岁的青少年完成了一项横断面在线调查(n = 1836,包括1055个TGA,340个异性恋CGA和433个性少数CGA)。参与者报告了出生时分配的性别和当前的性别认同(分类如下:顺性别男性,顺性别女性,跨性别男性,跨性别女性,出生时分配女性的非二元青少年,出生时分配男性的非二元青少年,以及质疑性别认同)。对心理、身体和性虐待的终生报告进行了测量。73%的TGA报告了心理虐待,39%报告了身体虐待,19%报告了性虐待。与异性恋CGA相比,TGA有更高的心理虐待(OR = 1.84),身体虐待(OR = 1.61)和性虐待(OR = 2.04)。在单独的亚组分析中,变性男性和出生时分配为女性的非二元青少年报告心理虐待的几率高于CGA。在美国青少年的全国性在线样本中,与异性恋CGA相比,TGA的心理,身体和性虐待率较高。心理虐待的风险是最高的TGA分配女性出生。在未来,研究人员应该研究儿童时期更频繁的虐待经历如何导致在这一人群中观察到的不成比例的心理健康问题。
Transgender adolescents (TGAs) exhibit disproportionate levels of mental health problems compared with cisgender adolescents (CGAs), but psychosocial processes underlying mental health disparities among TGAs remain understudied. We examined self-reported childhood abuse among TGAs compared with CGAs and risk for abuse within subgroups of TGAs in a nationwide sample of US adolescents. Adolescents aged 14 to 18 completed a cross-sectional online survey (n = 1836, including 1055 TGAs, 340 heterosexual CGAs, and 433 sexual minority CGAs). Participants reported gender assigned at birth and current gender identity (categorized as the following: cisgender males, cisgender females, transgender males, transgender females, nonbinary adolescents assigned female at birth, nonbinary adolescents assigned male at birth, and questioning gender identity). Lifetime reports of psychological, physical, and sexual abuse were measured. Seventy-three percent of TGAs reported psychological abuse, 39% reported physical abuse, and 19% reported sexual abuse. Compared with heterosexual CGAs, TGAs had higher odds of psychological abuse (odds ratio [OR] = 1.84), physical abuse (OR = 1.61), and sexual abuse (OR = 2.04). Within separate subgroup analyses, transgender males and nonbinary adolescents assigned female at birth had higher odds of reporting psychological abuse than CGAs. In a nationwide online sample of US adolescents, TGAs had elevated rates of psychological, physical, and sexual abuse compared with heterosexual CGAs. Risk for psychological abuse was highest among TGAs assigned female at birth. In the future, researchers should examine how more frequent experiences of abuse during childhood could contribute to disproportionate mental health problems observed within this population.
儿童期性虐待,父母的身体虐待以及性少数群体和性非少数人的同伴受害的荟萃分析。
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