耻辱,社会和结构脆弱性,跨性别女性的心理健康: 一部分最小平方路径建模分析分析
Athena D F Sherman1, Melinda K Higgins1, Monique S Balthazar1,2
1Nell Hodson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA.
概括
变性女性面临着因耻辱和脆弱性而带来的重大心理健康风险. 解决社会障碍和建立支持的反种族主义干预措施对于改善心理健康结果至关重要.
科学领域:
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
背景情况:
- 跨性别女性 (TW) 被认为是面临不良心理健康结果高风险的人群.
- 这种风险往往归因于耻辱和多方面的社会和结构脆弱性的累积影响.
- 有限的研究已经探索了这些共同发生的因素和TW中的心理健康之间的复杂关系.
研究的目的:
- 开发和测试一个理论上的概念模型.
- 检查跨性别女性的耻辱,社会和结构脆弱性以及心理健康之间的关联.
- 提供证据,为这一群体量身定制未来的心理健康干预措施.
主要方法:
- 利用了部分最小平方路径建模和基于响应的单元细分.
- 分析了1418名美国跨性别女性的多元化社区样本.
- 检查了隐藏的耻辱 (多受害者,歧视),脆弱性 (住房/粮食不安全,失业,性工作,社会支持,物质使用) 和心理健康 (PTSD,心理痛苦) 的隐藏结构.
主要成果:
- 建立了一个概念模型,定义了耻辱,脆弱性和心理健康之间的结构关系.
- 确定了六个不同的集群,表明了种族主义,种族主义,地理和心理健康不平等之间的潜在联系.
- 研究结果突出了交叉因素对心理健康结果的影响.
结论:
- 跨性别女性的心理健康干预必须包括反种族主义策略.
- 解决诸如资源障碍等社会和结构性脆弱性至关重要.
- 干预措施应包括减少耻辱的组成部分,并为改善心理健康建立社会支持.
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