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跨性别和非二进制成年人的反跨性别政策环境和抑郁和焦虑症状
Arjee Restar1,2,3,4, Eric K Layland5, Landon Hughes6
1Department of Epidemiology, School of Public Health, University of Washington, Seattle.
JAMA network open
|August 22, 2024
概括
对反跨性别法律的担忧增加了跨性别成年人的抑郁和焦虑. 然而,对保护性立法的认识显著降低了这些心理健康风险.
科学领域:
- 公共卫生 公共卫生
- 心理健康 心理健康
- 卫生政策 卫生政策
背景情况:
- 越来越多的立法限制对跨性别和非二进制 (跨) 人群的医疗保健准入.
- 对意识的影响和对立法限制和保护跨性别精神健康结果的担忧的研究有限.
研究的目的:
- 检查对政策环境的认识和关注以及跨性别成年人中抑郁和焦虑症状之间的关联.
主要方法:
- 使用来自华盛顿优先评估跨性别健康 (PATH) 项目 (2023年3月至4月) 的数据进行横截面研究.
- 包括797名跨性别成年人 (18岁以上).
- 对反交易政策环境的认识和担忧的评估,使用患者健康问卷-4测量抑郁和焦虑症状.
主要成果:
- 大多数参与者对抑郁症 (86.45%) 和焦虑症 (86.07%) 的查结果呈阳性.
- 对被剥夺权利的担忧与显著更高的抑郁症 (aOR=1.66) 和焦虑症 (aOR=2.67) 的几率有关.
- 了解州级保护性立法与显著降低抑郁症 (aOR=0.44) 和焦虑症 (aOR=0.11) 的几率有关.
结论:
- 调查结果强调了反交易法对心理健康的负面影响.
- 告知政策和干预措施以支持受立法行动影响的跨性别人口至关重要.
- 意识到保护和减少对权利的担忧与更好的心理健康结果相关.
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