Individual- and Structural-Level Risk Factors for Suicide Attempts Among Transgender Adults.
Individual- and Structural-Level Risk Factors for Suicide Attempts Among Transgender Adults.
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DOI：
10.1080/08964289.2015.1028322
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Bockting W
中科院分区：
文献类型：
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作者：
Perez-Brumer A;Hatzenbuehler ML;Oldenburg CE;Bockting W
这项研究评估了个体（即，内化的跨性别恐惧症）和结构性形式的耻辱作为跨性别成年人自杀企图的风险因素。内化跨性别恐惧症通过26项量表进行评估，包括四个维度：骄傲，通过，疏远和羞耻。州一级的结构性耻辱被作为一个综合指数，包括：同性伴侣的密度;每个公立高中的同性恋-异性恋联盟的比例;与性取向歧视有关的政策;以及对同性恋的总体民意。多变量Logistic广义估计方程模型评估了代表48个州和哥伦比亚特区的跨性别成年人（N= 1，229）在线样本之间的兴趣关联。较低水平的结构性耻辱与较少的终身自杀企图相关（AOR 0.96，95% CI 0.92-0.997），内化跨性别恐惧量表得分较高与较多的终身自杀企图相关（AOR 1.18，95% CI 1.04-1.33）。必须在多个层面解决污名化问题，以减少变性成年人自杀未遂的脆弱性。
This study assessed individual (i.e., internalized transphobia) and structural forms of stigma as risk factors for suicide attempts among transgender adults. Internalized transphobia was assessed through a 26-item scale including four dimensions: pride, passing, alienation and shame. State-level structural stigma was operationalized as a composite index, including: density of same-sex couples; proportion of Gay-Straight Alliances per public high school; 5 policies related to sexual orientation discrimination; and aggregated public opinion towards homosexuality. Multivariable logistic generalized estimating equation models assessed associations of interest among an online sample of transgender adults (N=1,229) representing 48 states and the District of Columbia. Lower levels of structural stigma were associated with fewer lifetime suicide attempts (AOR 0.96, 95% CI 0.92–0.997), and a higher score on the internalized transphobia scale was associated with greater lifetime suicide attempts (AOR 1.18, 95% CI 1.04–1.33). Addressing stigma at multiple levels is necessary to reduce the vulnerability of suicide attempts among transgender adults.