跨性别/非二进制大学生对心理健康服务的看法和使用情况:与美国大型样本中的同龄人进行比较
Gabriel R Murchison1,2, Ilana Seager van Dyk3, Hill L Wolfe4,5,6
1Department of Social & Behavioral Sciences, Yale School of Public Health, New Haven, Connecticut, USA.
Journal of American college health : J of ACH
|December 18, 2025
概括
变性人和/或非二进制 (TNB) 学生患精神健康问题的比例更高,并且比 cisgender 同龄人更多地使用心理健康服务. 大学必须改善TNB学生获得肯定护理的机会.
科学领域:
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
- 心理健康服务研究 心理健康服务研究
背景情况:
- 变性人和/或非二进制 (TNB) 个人在获得心理健康护理时经常面临独特的挑战.
- 了解TNB大学生所面临的具体需求和障碍对于改善支持系统至关重要.
研究的目的:
- 描述跨性别和/或非二进制 (TNB) 大学生对心理健康护理的看法和使用情况.
- 为了比较TNB学生的心理健康护理经验与他们的cisgender同龄人的心理健康护理经验.
主要方法:
- 利用来自美国本科生和研究生 (2015-2021) 的横截面,基于人口的调查数据.
- 在TNB (n=10,297) 和cisgender (n=426,827) 学生之间比较心理健康服务的感知和使用情况.
- 采用人口调整的通用线性模型进行分析.
主要成果:
- 超过77%的TNB学生报告中度至重度的抑郁/焦虑症状.
- 与cisgender学生相比,TNB学生使用心理治疗 (RR=2.12) 和精神药物 (RR=2.05) 的可能性明显高.
- TNB学生报告了明显更高的护理障碍,包括预约可用性 (RR=2.67) 和提供者误解 (RR=1.96).
结论:
- 大专和大学必须实施战略,确保TNB学生获得公平的心理健康护理.
- 增加校园内外TNB确认临床医生的可用性至关重要.
- 解决诸如提供者理解等障碍对于有效的心理健康支持至关重要.
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