Su Dejun, Irwin Jay A, Fisher Christopher, Ramos Athena, Kelley Megan, Mendoza Diana Ariss Rogel, Coleman Jason D
Center for Reducing Health Disparities, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska.
Department of Health Promotion, Social and Behavioral Health, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska.
Transgend Health. 2016 Jan 1;1(1):12-20. doi: 10.1089/trgh.2015.0001. eCollection 2016.
This study assessed within a Midwestern LGBT population whether, and the extent to which, transgender identity was associated with elevated odds of reported discrimination, depression symptoms, and suicide attempts. Based on survey data collected online from respondents who self-identified as lesbian, gay, bisexual, and/or transgender persons over the age of 19 in Nebraska in 2010, this study performed bivariate - or chi-square tests and multivariate logistic regression analysis to examine differences in reported discrimination, depression symptoms, suicide attempts, and self-acceptance of LGBT identity between 91 transgender and 676 nontransgender respondents. After controlling for the effects of selected confounders, transgender identity was associated with higher odds of reported discrimination (OR=2.63, <0.01), depression symptoms (OR=2.33, <0.05), and attempted suicides (OR=2.59, <0.01) when compared with nontransgender individuals. Self-acceptance of LGBT identity was associated with substantially lower odds of reporting depression symptoms (OR=0.46, <0.001). Relative to nontransgender LGB individuals, transgender individuals were more likely to report discrimination, depression symptoms, and attempted suicides. Lack of self-acceptance of LGBT identity was associated with depression symptoms among transgender individuals.
本研究在中西部的 LGBT 人群中评估了跨性别身份与所报告的歧视、抑郁症状及自杀未遂几率升高之间是否存在关联以及关联程度如何。基于 2010 年从内布拉斯加州 19 岁以上自我认定为女同性恋、男同性恋、双性恋和/或跨性别者的受访者在线收集的调查数据，本研究进行了双变量（或卡方检验）和多变量逻辑回归分析，以检验 91 名跨性别受访者和 676 名非跨性别受访者在报告的歧视、抑郁症状、自杀未遂及对 LGBT 身份的自我接受方面的差异。在控制了选定混杂因素的影响后，与非跨性别个体相比，跨性别身份与所报告的歧视（比值比 = 2.63，<0.01）、抑郁症状（比值比 = 2.33，<0.05）及自杀未遂（比值比 = 2.59，<0.01）的较高几率相关。对 LGBT 身份的自我接受与报告抑郁症状的几率大幅降低相关（比值比 = 0.46，<0.001）。相对于非跨性别 LGB 个体，跨性别个体更有可能报告歧视、抑郁症状及自杀未遂。跨性别个体中，对 LGBT 身份缺乏自我接受与抑郁症状相关。
