跨性别和性别多样性个人的饮食障碍症状学:一个横截面研究
Sofie Martine Rasmussen1,2,3, Loa Clausen4,5, Maria L Pop6
1Psychiatry, Aalborg University Hospital, Aalborg, Denmark. sofie.martine@rn.dk.
Journal of eating disorders
|February 18, 2025
概括
变性人和性别多样的人面临更高的饮食障碍风险,经常使用饮食来肯定性别. 性别转变和性别一致性是减少饮食障碍症状的关键因素.
科学领域:
- 精神病学是一个精神病学.
- 内分泌学 在内分泌学.
- 性别研究是性别研究.
背景情况:
- 变性人和性别多元 (TGD) 个体比 cisgender 群体更容易患上饮食障碍 (ED).
- 关于性别转变,性别一致性和ED症状之间的相互作用的理解有限.
- 肯定性别治疗对ED的影响是显著的,但需要进一步调查.
研究的目的:
- 为了确定TGD个体中ED的患病率和相关的症状.
- 探索TGD个体的饮食和饮食习惯背后的动机.
- 评估性别转变,性别一致性,身体不满,生活质量和ED症状之间的关联.
主要方法:
- 对TGD个体和匹配的非临床比较组进行了全国横截面调查.
- 使用了饮食障碍检查问卷 (EDE-Q) 和性别转变,一致性,身体不满和生活质量的评估.
- 统计分析包括费舍尔的精确测试,两样 t 测试和线性回归模型.
主要成果:
- 在TGD个体中,ED的患病率为19.25%,而在对照组中为14.02% (p=0.010).
- 80.6%的TGD个体使用饮食来改变性特征和/或性别表达.
- 性别一致性和过渡与ED症状有负面关联;TGD个体报告了较低的性别一致性,生活质量和更高的身体不满.
结论:
- TGD个体经历不成比例的高ED症状,通常与性别确认的饮食行为有关.
- 在TGD人群中,性别转变和性别一致性是ED症状的关键因素.
- 肯定性别的医疗保健对于减轻TGD个体的ED发展和风险至关重要.
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