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在性别确认手术后检查性别特定的心理健康风险:一项国家数据库研究研究
Joshua E Lewis1, Amani R Patterson2, Maame A Effirim3
1School of Medicine, Baylor College of Medicine, Houston, TX 77030, United States.
The journal of sexual medicine
|February 25, 2025
概括
接受性别确认手术的变性人面临更高的抑郁,焦虑和物质使用障碍的风险. 加强心理健康支持对于跨性别护理的手术后至关重要.
科学领域:
- 医学研究 医学研究
- 精神病学是一个精神病学.
- 跨性别者健康问题
背景情况:
- 变性人因耻辱和缺乏肯定而经历了严重的心理痛苦.
- 这种痛苦包括更高的抑郁,焦虑和自杀想法.
研究的目的:
- 为了评估经过性别确认手术后患有性别障碍症的跨性别个体的心理健康结果.
- 按性别和手术后的时间进行分层.
主要方法:
- 对TrinetX数据库 (2014-2024) 对于患有性别障碍症的18岁以上患者的回顾性分析 (ICD-10 F64).
- 根据性别和手术状态创建了六个队列,并使用倾向性得分匹配.
- 心理健康结果 (抑郁,焦虑,自杀念头,物质使用障碍) 通过ICD-10代码在手术后两年内进行评估.
主要成果:
- 与没有手术的患者相比,接受手术的患者患抑郁症,焦虑症,自杀念头和物质使用障碍的风险明显更高.
- 接受手术的男性患抑郁症 (RR 2.203) 和焦虑症 (RR 4.882) 的风险更高.
- 女性化个体显示出抑郁症 (RR 1.783) 和物质使用障碍 (RR 1.284) 的风险增加.
结论:
- 性别确认手术与心理健康问题的风险增加有关.
- 在性别确认手术后,急需性别敏感的心理健康支持.
- 对于手术后的跨性别者来说,持续的心理支持是必不可少的.
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