U.S. Transgender Population Health Survey

美国跨性别人口健康调查

• 批准号: 9220307
• 负责人: ILAN H MEYER
• 金额: $ 42.5万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-01-01 至 2018-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9220307
• 关键词: Address; Adolescence; Adult; Age; Alcohol abuse; Alcohols; Birth; Bisexual; Caring; Characteristics; Communities; Complement; Data; Data Collection; Data Set; Discrimination; Drug abuse; Education; Employment; Ethnic Origin; Event; Exhibits; Female; Funding; Gays; Gender Identity; General Population; Goals; Grant; Health; Health Insurance; Health Surveys; Health behavior; Healthy People 2020; Heterosexuals; Income; Individual; Information Systems; Insurance Coverage; Knowledge; Lesbian; Life; Low income; Mediating; Mental Health; Mental disorders; Methodology; Minority; Minority Groups; Monitor; Outcome; Pathway interactions; Phonation; Population; Prejudice; Prevalence; Probability; Probability Samples; Procedures; Process; Public Health; Publications; Quality of life; Race; Recruitment Activity; Reporting; Research; Research Personnel; Risk; Risk Behaviors; Role; Sampling; Self-Administered; Smoking; Social support; Source; Stress; Stress and Coping; Suicide; Surveys; Telephone; Time; Tobacco use; Unemployment; Uninsured; Woman; adolescent health; base; bullying; cisgender; coping; data archive; data sharing; disability; expectation; experience; gender disparity; gender minority; genderqueer; health disparity; illicit drug use; innovation; interest; low socioeconomic status; male; men; physical assault; physical conditioning; population based; population health; resilience; rural area; sex; sexual assault; social stigma; stress resilience; stressor; transgender; transgender men; transgender women; transphobia

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.

抽象的 跨性别者是性别少数群体，其性别认同与其指定性别不同 出生时，就会经历社会的排斥、耻辱和偏见。健康人 (HP) 2020 由于跨性别者之间的健康差异，将跨性别者视为关注人群 和非跨性别（或顺性别）个体。需要特别强调的健康主题包括心理 健康和精神疾病、酗酒和非法药物使用、青少年欺凌、健康保险覆盖 以及通常的护理来源和烟草使用。 HP 2020 特别指出需要增加数量 用于监测“健康人类 2020”目标的基于人口的数据系统。在这个应用程序中我们 通过提议在美国首次从概率样本中收集数据来实现这两个目标 变性成年人。迄今为止，还没有关于美国跨性别人口的此类数据。一个概率 （全国代表性）跨性别者样本将帮助研究人员提供公正的数据 与健康人群和更广泛的公共卫生目标相关。此外，我们将评估压力源和 与造成负面健康结果和不同人群之间的健康差异有关的复原力因素 跨性别和顺性别人群并研究少数群体的压力和复原力作为解释的机制 健康差异。我们建议对约 1,000 名跨性别者和 1,000 名顺性别者进行调查 代表美国总人口的个人，以便对两个人口进行比较以评估 健康差异。我们使用创新的抽样方法，包括两步程序：第一步， 在全国 350,000 人的概率样本中确定了跨性别者和顺性别者 使用手机和固定电话号码进行招募（由盖洛普进行）。第二步，识别出 跨性别者和顺性别异性恋者的随机样本将在 全面的在线或邮寄调查。此 R01 应用程序是对已启动项目的补充 2015 年，为一项研究提供补充资金，该研究使用相同的方法来研究女同性恋、男同性恋， 和双性恋男性和女性 (LGB) 成人 (#HD078526)，仅允许两年中的一年 数据收集不允许包含顺性别比较样本。我们的数据共享计划 呼吁在数据收集后通过发布尽快向公众提供我们的数据集 数据档案。