Dinno Alexis
At the time of the study, Alexis Dinno was with the Oregon Health and Science University-Portland State University School of Public Health, Portland, OR.
Am J Public Health. 2017 Sep;107(9):1441-1447. doi: 10.2105/AJPH.2017.303878. Epub 2017 Jul 20.
To estimate homicide rates of transgender US residents and relative risks (RRs) of homicide with respect to cisgender comparators intersected with age, gender, and race/ethnicity.
I estimated homicide rates for transgender residents and transfeminine, Black, Latin@, and young (aged 15-34 years) subpopulations during the period 2010 to 2014 using Transgender Day of Remembrance and National Coalition of Anti-Violence Programs transgender homicide data. I used estimated transgender prevalences to estimate RRs using cisgender comparators. I performed a sensitivity analysis to situate all results within assumptions about underreporting of transgender homicides and assumptions about the prevalence of transgender residents.
The overall homicide rate of transgender individuals was likely to be less than that of cisgender individuals, with 8 of 12 RR estimates below 1.0. However, the homicide rates of young transfeminine Black and Latina residents were almost certainly higher than were those of cisfeminine comparators, with all RR estimates above 1.0 for Blacks and all above 1.0 for Latinas.
Antiviolence public health programs should identify young and Black or Latina transfeminine women as an especially vulnerable population.
估算美国跨性别居民的凶杀率以及与年龄、性别和种族/族裔交叉的顺性别对照者相比的凶杀相对风险(RRs)。
我利用跨性别纪念日和全国反暴力项目联盟的跨性别凶杀数据,估算了2010年至2014年期间跨性别居民以及跨性别女性、黑人、拉丁裔和年轻(15 - 34岁)亚人群的凶杀率。我使用估算的跨性别患病率,以顺性别对照者来估算RRs。我进行了敏感性分析,将所有结果置于关于跨性别凶杀案报告不足的假设以及关于跨性别居民患病率的假设范围内。
跨性别者的总体凶杀率可能低于顺性别者,12个RR估计值中有8个低于1.0。然而,年轻的跨性别女性黑人及拉丁裔居民的凶杀率几乎肯定高于顺性别女性对照者,黑人的所有RR估计值均高于1.0,拉丁裔的所有RR估计值也都高于1.0。
反暴力公共卫生项目应将年轻的黑人或拉丁裔跨性别女性确定为特别易受伤害的人群。