1 Friends Research Institute, Inc. , Los Angeles, California.
2 UCLA Integrated Substance Abuse Programs, Semel Institute for Neuroscience and Human Behavior, University of California , Los Angeles, Los Angeles, California.
LGBT Health. 2017 Aug;4(4):268-274. doi: 10.1089/lgbt.2016.0186. Epub 2017 May 12.
Transgender women have consistently reported elevated rates of lifetime physical and sexual abuse. This study examined the associations between reported physical and/or sexual abuse and symptoms of psychological and emotional distress among a sample of urban, high-risk transgender women.
From June 2005 through July 2012, 99 transgender women enrolled in a Comprehensive Risk Counseling and Services program in Hollywood, CA. Seemingly unrelated regression equations (SURE) were used to simultaneously regress psychiatric symptom reports on participant sociodemographic characteristics and self-reported history of physical/sexual abuse.
Participants were African American/Black (33.3%), Caucasian/White (28.3%), or Hispanic/Latina (24.2%). Average age was 35 years (standard deviation [SD] = 9), and 37.4% of participants self-reported an HIV-positive status. Most (84.9%) participants reported experiencing physical or sexual abuse at some point in their lifetime, and symptoms of psychological and emotional distress (as measured by the Brief Symptom Inventory) among those who reported abuse were more severe than those observed in cisgender psychiatric in-patient populations. After controlling for participant sociodemographics, prior experience of physical and/or sexual abuse was associated with significantly increased psychological and emotional distress across all measured symptom domains except psychoticism [χ = 17.56; p < 0.05].
Given these associations as well as the high prevalence of physical and/or sexual abuse among transgender women, mental health professionals and social service providers working with this population should be sensitive to the abuse history and mental health needs of the transgender women with whom they work.
跨性别女性报告称，她们一生中遭受身体和性虐待的比率一直很高。本研究调查了在一个城市高风险的跨性别女性样本中，报告的身体和/或性虐待与心理和情绪困扰症状之间的关联。
2005 年 6 月至 2012 年 7 月，99 名跨性别女性参加了加利福尼亚州好莱坞的综合风险咨询和服务计划。似乎不相关的回归方程（SURE）被用于同时回归参与者社会人口统计学特征和自我报告的身体/性虐待史与精神症状报告。
参与者为非裔美国人/黑人（33.3%）、白种人/白人（28.3%）或西班牙裔/拉丁裔（24.2%）。平均年龄为 35 岁（标准差[SD] = 9），37.4%的参与者自我报告 HIV 阳性。大多数（84.9%）参与者报告在他们的一生中经历过身体或性虐待，而那些报告有虐待经历的人表现出的心理和情绪困扰症状比顺性别精神病住院患者群体更为严重。在控制了参与者的社会人口统计学特征后，身体和/或性虐待的既往经历与所有测量的症状领域的心理和情绪困扰显著增加相关，除了精神病性症状外[χ = 17.56；p < 0.05]。
鉴于这些关联以及跨性别女性中身体和/或性虐待的高发生率，与该人群合作的心理健康专业人员和社会服务提供者应关注跨性别女性的虐待史和心理健康需求。
