性取向/性别认同歧视和儿童慢性疼痛:一项全国性研究
Karen E Weiss1, Rui Li2, Diane Chen3
1Mayo Clinic College of Medicine, Rochester, Minnesota; Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota.
American journal of preventive medicine
|March 20, 2024
概括
遭受基于性取向或性别认同 (SGM) 的歧视的儿童患慢性疼痛的可能性是其两倍. 这凸显了有针对性的疼痛管理和对边缘化的年轻人的支持的需要.
科学领域:
- 儿科健康 儿科健康
- 健康的社会决定因素
- 心理健康 心理健康
背景情况:
- 基于性取向或性别认同 (SGM) 的歧视是儿童的重要压力因素.
- 慢性疼痛是儿童群体中普遍存在的问题,影响生活质量.
- 了解SGM歧视和慢性疼痛的交叉关系对于全面的儿童医疗保健至关重要.
研究的目的:
- 估计被认为是儿童SGM歧视的全国流行率.
- 检查SGM歧视与儿童慢性疼痛之间的关联.
- 为SGM年轻人提供临床实践和公共卫生计划的信息.
主要方法:
- 2020-2021年全国儿童健康调查 (N=47,213) 的横截面分析.
- 护理人员报告的关于儿童SGM歧视和慢性疼痛的数据 (定义为过去12个月的频繁/慢性疼痛).
- 多变量波桑回归模型被用来评估关联,调整社会人口统计学因素.
主要成果:
- 1.4%的儿童经历了与SGM相关的歧视,青少年,女性和郊区的患病率更高.
- 经历歧视的儿童患慢性疼痛的患病率明显高 (20.2%) 与没有经历歧视的儿童 (7.0%) 相比.
- 调整后的患病率比率为2.0,表明面临SGM歧视的儿童报告慢性疼痛的可能性是2倍.
结论:
- 大约有60万美国儿童经历了基于SGM的歧视.
- 这些儿童面临慢性疼痛的风险增加了一倍,这凸显了歧视对身体健康的影响.
- 临床评估和慢性疼痛干预对于因SGM身份而遭受边缘化的儿童至关重要.
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