U.S. Transgender Population Health Survey

摘要 跨性别者是一个性别少数群体，他们的性别认同不同于他们的指定性别 因此，他们会经历社会的排斥、耻辱和偏见。健康人（HP）2020 承认跨性别者作为一个感兴趣的人口，由于跨性别者之间的健康差距， 和非跨性别（或顺性别）个体。在需要特别强调的健康问题中， 健康和精神疾病、酒精和非法药物使用、青少年欺凌、医疗保险覆盖面 和通常的护理来源以及烟草使用。特别是，惠普2020指出，需要增加数量 用于监测2020年健康人口目标的基于人口的数据系统。在本申请中，我们 为了实现这两个目标，我们提议在美国首次收集，来自以下概率样本的数据 变性成年人到目前为止，还没有关于美国跨性别人口的数据。的概率 （全国代表性的）跨性别个体样本将有助于研究人员提供无偏见的数据 与健康人和更广泛的公共卫生目标相关。此外，我们将评估压力源， 弹性因素，涉及造成负面的健康结果和健康之间的差距， 跨性别和顺性别人群，并研究少数民族的压力和弹性，作为解释 健康差距。我们建议对大约1,000名跨性别者和1,000名顺性别者进行调查 代表美国一般人群的个人，以比较两个人群， 健康差距。我们使用创新的抽样方法，包括两步程序：第一步， 跨性别者和顺性别者是在35万人的全国概率样本中确定的 使用移动的和固定电话号码进行招募（由盖洛普进行）。第二步，确定 跨性别个体和顺性别异性恋个体的随机样本将在一个 全面的在线或邮寄调查。此R 01应用程序是对已启动的项目的补充 在2015年，一项研究使用了同样的方法来研究女同性恋者，男同性恋者， 和双性恋男性和女性（LGB）成年人（#HD078526），只允许两年所需的其中一年 数据收集，不允许纳入顺性别比较样本。我们的数据共享计划 呼吁在收集数据后尽快向公众提供我们的数据集， 数据档案。

Abstract Transgender individuals are a gender minority group whose gender identity is different than their assigned sex at birth and, as a result, experience societal rejection, stigma, and prejudice. Healthy People (HP) 2020 recognizes transgender individuals as a population of interest due to health disparities between transgender and non-transgender (or, cisgender) individuals. Among health topics requiring special emphasis are mental health and mental illness, alcohol and illicit drug use, bullying among adolescents, health insurance coverage and usual source of care, and tobacco use. In particular, HP 2020 notes the need for to increase the number of population-based data systems used to monitor Healthy People 2020 objectives. In this application we address both these goals by proposing to collect, for the first time in the U.S., data from a probability sample of transgender adults. To date, no such data is available about the U.S. transgender population. A probability (nationally representative) sample of transgender individuals will help researchers provide unbiased data relevant to Healthy People and broader public health objectives. In addition, we will assess stressors and resilience factors that are implicated in causing negative health outcomes and health disparities between transgender and cisgender populations and study minority stress and resilience as mechanisms that explain health disparities. We propose to conduct a survey of about 1,000 transgender and 1,000 cisgender individuals representing the U.S. general population to allow comparison of the two populations to assess health disparities. We use an innovative sampling approach involving a 2-step procedure: In the first step, transgender and cisgender people are identified in a national probability sample of 350,000 individuals recruited using mobile and landline phone numbers (conducted by Gallup). In the second step, the identified transgender individuals and a random sample of cisgender heterosexual individuals will be assessed in a comprehensive online or mailed survey. This R01 application comes to complement a project that was started in 2015 with supplemental funding for a study that uses the same methodology to study lesbians, gay men, and bisexual men and women(LGB) adults (#HD078526), which allows for only one of two-years of required data collection and does not allow the inclusion of the cisgender comparison sample. Our data sharing plan calls for making available our data set to the public as soon as possible after data collection via publication in data archives.