跨性别退伍军人中心理健康利用情况
Joy L Lee1,2,3,4, Adam Hirsh5, Archana Radhakrishnan6,7
1VA Center for Health Information and Communication, US Department of Veterans Affairs, Veterans Health Administration, Health Systems Research CIN 13-416, Richard L. Roudebush VA Medical Center, Indianapolis, Indiana.
JAMA network open
|January 13, 2025
概括
患有抑郁症的跨性别和性别多元 (TGD) 退伍军人比 cisgender (CG) 退伍军人更频繁地使用心理健康服务. 这项研究突出了TGD退伍军人护理需求的潜在差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理健康 心理健康
- 健康差异 在健康上的差异
背景情况:
- 变性人和性别多元 (TGD) 个体面临着重大的社会和经济差异,往往导致不良的心理健康结果.
- 了解护理障碍和这些差异的原因对于改善未来的医疗保健至关重要.
- 退伍军人代表TGD社区中独特的人口,在获得护理方面可能面临着独特的挑战.
研究的目的:
- 描述和比较TGD和被诊断患有抑郁症的 cisgender (CG) 退伍军人之间的心理健康护理利用率.
- 确定TGD退伍军人与他们的CG同行相比,在获得心理健康服务的频率和类型上的差异.
主要方法:
- 一项全国性的队列研究,利用美国退伍军人事务部 (VA) 从2018年到2020年的电子健康记录.
- 创建了一个1:3年龄和VA设施匹配的TGD和CG退伍军人抑郁症队列.
- 用描述性统计数据和调整后勤回归来分析心理健康护理的利用率 (门诊,远程医疗,急诊,住院访问).
主要成果:
- 这项研究包括10,564名患有抑郁症的退伍军人,其中2,643名TGD退伍军人与7,921名CG退伍军人相匹配.
- 每年,TGD退伍军人接受的精神健康专业诊所数量显著增加 (平均13.93对8.46).
- 与CG退伍军人相比,TGD退伍军人进行门诊心理健康访问的可能性是CG退伍军人的2.6倍,即使对共变量进行了调整.
结论:
- 与CG退伍军人相比,患有抑郁症的TGD退伍军人使用心理健康服务的比例明显高.
- 这些发现表明,不同的卫生系统资源可能是必要的,以充分解决TGD退伍军人的心理健康需求.
- 进一步的研究是必要的,以了解这些利用差异的决定因素,并制定有针对性的干预措施.
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