微型攻击与英国跨性别者心理健康之间的关联:一项横截面研究
Talen Wright1, Gemma Lewis2, Talya Greene3
1Division of Psychiatry, Faculty of Brain Sciences, University College London, London, UK. Talen.wright.20@ucl.ac.uk.
Social psychiatry and psychiatric epidemiology
|September 26, 2024
概括
变性成年人经常经历微型攻击,这与抑郁症,焦虑,自我伤害,自杀想法和自杀企图的增加有关. 针对这些微型攻击的公共卫生干预措施对于改善跨性别心理健康至关重要.
科学领域:
- 跨性别者健康 跨性别者健康
- 心理健康研究 心理健康研究
- 卫生社会学 卫生社会学
背景情况:
- 之前关于跨性别精神健康和微型攻击的流行病学研究存在方法上的局限性.
- 缺乏有效的措施来评估跨性别人口中的微型攻击行为.
- 这项研究解决了关于微型攻击对跨性别者的心理健康影响的证据缺口.
研究的目的:
- 研究微型攻击和跨性别成年人各种不良心理健康结果之间的关联.
- 检查微侵略与抑郁,焦虑,非自杀性自伤 (NSSH),自杀思想和自杀企图之间的关系.
- 为了解决此主题先前研究的方法限制.
主要方法:
- 在英国对787名跨性别成年人进行了横截面调查.
- 用性别认同微攻击量表 (GIMS) 来衡量微攻击的暴露.
- 单变量和多变量回归模型分析了与心理健康结果的关联 (PHQ-9,GAD-7,NSSH,自杀想法,自杀企图).
主要成果:
- 微型攻击非常普遍,影响97.6%的参与者一生.
- 增加的微侵略性得分与较高的抑郁症状 (aOR: 1.86) 和焦虑症状 (aOR: 1.57) 有显著的关联.
- 较高的微侵略性暴露与NSSH (aOR:1.83),自杀念头 (aOR:2.18) 和自杀企图 (aOR:1.59) 的可能性增加相关.
结论:
- 微型攻击和跨性别成年人的不良心理健康结果之间存在显著的关联.
- 特定类型的微型攻击可能与特定的心理健康问题有关.
- 建议采取旨在减少对跨性别成年人的微型攻击的公共卫生干预措施;需要进行纵向研究.
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