转换实践中的不平等在民族种族和性别认同的交叉点上的暴露
Nguyen K Tran1, Elle Lett1, Annesa Flentje1
1Nguyen K. Tran, Annesa Flentje, Micah E. Lubensky, Zubin Dastur, Juno Obedin-Maliver, and Mitchell R. Lunn are with The PRIDE Study/PRIDEnet, Stanford University School of Medicine, Palo Alto, CA. Elle Lett is with the Health Systems and Population Health and the Center for Anti-Racism and Community Health, University of Washington School of Public Health, Seattle. Shalonda Ingram is with the Born Brown Institute, Washington, DC.
American journal of public health
|March 13, 2024
概括
最小化的民族性跨性别者和非二进制个体面临着不成比例地更高的暴露在有害的转换实践中. 禁止这些做法的政策对于减少这种不公平的负担至关重要.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 健康差异 在健康上的差异
背景情况:
- 旨在改变性取向或性别认同的转化做法,尽管存在道德问题,但仍然存在.
- 了解暴露中的不平等对于有针对性的公共卫生干预至关重要.
研究的目的:
- 调查美国性和性别少数群体个人在转化实践暴露中的差异.
- 分析跨种族认同和性别认同的交叉点的这些差异.
主要方法:
- 利用了来自身份和差异对平等研究的人口研究 (2019-2021,n=9274) 的数据.
- 检查了终身暴露,第一次暴露的年龄和接触转化实践的持续时间.
- 采用了日志二项式,考克斯比例危险和负二项式模型,调整混因子并评估附加性相互作用.
主要成果:
- 在少数民族种族跨性别和非二进制 (TNB) 参与者中,转化实践的流行率最高 (8.6%).
- 与白色 cisgender 个人相比,少数民族民族 TNB 参与者显示出暴露的患病率和风险的两倍.
- 证据表明,对于首次暴露的年龄来说,有一个积极的添加相互作用.
结论:
- 最小化的民族种族TNB个人报告说,经历转换实践的可能性最高.
- 调查结果强调了基于交叉身份的转换实践暴露的重大不平等.
- 禁止转换实践的政策可以减轻少数民族民族TNB人口所面临的不成比例的伤害.
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