transgender veterans 利用退伍军人健康管理局的 care 时，性别认同障碍和自杀风险的流行率。
Prevalence of gender identity disorder and suicide risk among transgender veterans utilizing veterans health administration care.
机构信息
John R. Blosnich is with the Department of Psychiatry, University of Rochester, Rochester, NY. George R. Brown is with the VA Office of Health Equity (10A6), Washington, DC. Jillian C. Shipherd is with VA Boston Healthcare System, Boston, MA. Michael Kauth is with VA South Central Mental Illness Research, Education, & Clinical Center, Michael E. DeBakey VA Medical Center, Houston, TX. At the time of this study, Rebecca I. Piegari was with Department of Veteran Affairs VISN-2 Center of Excellence for Suicide Prevention, Canandaigua, NY. Robert M. Bossarte is with the Department of Veteran Affairs VISN-2 Center of Excellence for Suicide Prevention.
出版信息
Am J Public Health. 2013 Oct;103(10):e27-32. doi: 10.2105/AJPH.2013.301507. Epub 2013 Aug 15.
OBJECTIVES
We estimated the prevalence and incidence of gender identity disorder (GID) diagnoses among veterans in the Veterans Health Administration (VHA) health care system and examined suicide risk among veterans with a GID diagnosis.
METHODS
We examined VHA electronic medical records from 2000 through 2011 for 2 official ICD-9 diagnosis codes that indicate transgender status. We generated annual period prevalence estimates and calculated incidence using the prevalence of GID at 2000 as the baseline year. We cross-referenced GID cases with available data (2009-2011) of suicide-related events among all VHA users to examine suicide risk.
RESULTS
GID prevalence in the VHA is higher (22.9/100 000 persons) than are previous estimates of GID in the general US population (4.3/100 000 persons). The rate of suicide-related events among GID-diagnosed VHA veterans was more than 20 times higher than were rates for the general VHA population.
CONCLUSIONS
The prevalence of GID diagnosis nearly doubled over 10 years among VHA veterans. Research is needed to examine suicide risk among transgender veterans and how their VHA utilization may be enhanced by new VA initiatives on transgender care.
目的
我们估计退伍军人事务部（VHA）医疗保健系统中性别认同障碍（GID）诊断的患病率和发病率，并研究有 GID 诊断的退伍军人的自杀风险。
方法
我们检查了 2000 年至 2011 年期间 VHA 的电子病历，其中包含 2 个表示跨性别身份的 ICD-9 诊断代码。我们生成了年度期间的患病率估计值，并使用 2000 年的 GID 患病率作为基准年来计算发病率。我们将 GID 病例与所有 VHA 用户中可获得的（2009-2011 年）自杀相关事件数据进行交叉引用，以研究自杀风险。
结果
VHA 中的 GID 患病率（22.9/100000 人）高于之前在美国普通人群中 GID 的估计患病率（4.3/100000 人）。被诊断为 GID 的 VHA 退伍军人中与自杀相关的事件发生率是普通 VHA 人群的 20 多倍。
结论
在 10 年内，VHA 退伍军人中 GID 诊断的患病率几乎翻了一番。需要研究跨性别退伍军人的自杀风险，以及 VA 关于跨性别护理的新倡议如何提高他们在 VHA 的利用。
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