Peitzmeier Sarah, Gardner Ivy, Weinand Jamie, Corbet Alexandra, Acevedo Kimberlynn
a John Hopkins School of Public Health , Baltimore , MD , USA.
b Boston University School of Medicine , Boston , MA , USA.
Cult Health Sex. 2017 Jan;19(1):64-75. doi: 10.1080/13691058.2016.1191675. Epub 2016 Jun 14.
Chest binding involves the compression of chest tissue for masculine gender expression among people assigned a female sex at birth, particularly transgender and gender non-conforming individuals. There are no peer-reviewed studies that directly assess the health impacts of chest binding, yet transgender community resources commonly discuss symptoms such as pain and scarring. A cross-sectional 32-item survey was administered online to an anonymous, non-random sample of adults who were assigned a female sex at birth and had had experience of binding (n = 1800). Multivariate regression models were used to identify practices associated with self-reported health outcomes. Of participants, 51.5% reported daily binding. Over 97% reported at least one of 28 negative outcomes attributed to binding. Frequency (days/week) was consistently associated with negative outcomes (22/28 outcomes). Compression methods associated with symptoms were commercial binders (20/28), elastic bandages (14/28) and duct tape or plastic wrap (13/28). Larger chest size was primarily associated with dermatological problems. Binding is a frequent activity for many transmasculine individuals, despite associated symptoms. Study findings offer evidence of how binding practices may enhance or reduce risk. Clinicians caring for transmasculine patients should assess binding practices and help patients manage risk.
束胸是指出生时被认定为女性的人，尤其是跨性别者和性别认同不符者，通过压迫胸部组织来展现男性特质。目前尚无经过同行评审的研究直接评估束胸对健康的影响，但跨性别群体资源中普遍讨论了疼痛和疤痕等症状。对一个出生时被认定为女性且有束胸经历的成年人匿名非随机样本（n = 1800）进行了一项包含32个项目的在线横断面调查。使用多元回归模型来确定与自我报告的健康结果相关的行为。在参与者中，51.5%报告每天束胸。超过97%的人报告了至少28种归因于束胸的负面结果中的一种。束胸频率（每周天数）始终与负面结果相关（28种结果中的22种）。与症状相关的压迫方法有商业束胸衣（28种结果中的20种）、弹力绷带（28种结果中的14种）以及胶带或保鲜膜（28种结果中的13种）。胸部尺寸较大主要与皮肤问题相关。尽管存在相关症状，但束胸对许多跨性别男性个体来说仍是一种常见行为。研究结果提供了束胸行为如何增加或降低风险的证据。照顾跨性别男性患者的临床医生应评估束胸行为并帮助患者管理风险。
