调解途径探索跨性别人口中不良童年经历和身体健康之间的联系
Chance R Strenth1, Margaret Smith1, Leo Gonzalez1
1University of Texas Southwestern Medical Center, Department of Family and Community Medicine, 5323 Harry Hines Blvd, Dallas, TX 75390, United States of America.
Child abuse & neglect
|February 3, 2024
概括
童年不良经历 (ACE) 通过精神困扰和歧视对跨性别者的健康产生负面影响. 解决这些因素对于改善该人口的福祉至关重要.
科学领域:
- 公共卫生 公共卫生
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 童年不良经历 (ACE) 包括在成年之前的虐待,忽视或家庭功能障碍.
- 在特定人群中,ACE的患病率不成比例地高,包括性别少数群体.
- 变性人 (TG) 遇到许多个人,社会和结构因素,这些因素可能会对他们的身体健康产生不利影响.
研究的目的:
- 检查跨性别个体 (TG) 中ACE和健康结果 (一般健康,身体疾病日) 之间的探索性调解途径.
- 调查日常歧视,社会支持,性别非肯定和心理痛苦作为调解者的作用.
主要方法:
- 利用来自美国跨性别人口健康调查 (TransPop) 的横截面数据.
- 包括总共274名跨性别个人 (TG).
- 进行了串行/并行调解分析,以探索间接影响.
主要成果:
- ACE与增加的精神困扰有关,导致整体健康状况较差,身体病日较多.
- ACE与歧视的增加有关,反过来又增加了心理痛苦,对健康结果产生了负面影响.
- 一条途径出现了,ACE导致歧视,然后导致性别不肯定,随后增加心理痛苦和恶化健康.
结论:
- 针对歧视,性别非肯定和心理健康的干预措施对于改善TG健康至关重要.
- 减轻ACE对跨性别个体健康的间接影响需要解决这些关键的调解者.
- 这项研究强调了跨性别人口中早期生活逆境和健康之间的复杂相互作用.
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