美国跨性别个体的性风险行为和 HIV 检测与少数群体压力源的关联。
Minority Stressors Associated with Sexual Risk Behaviors and HIV Testing in a U.S. Sample of Transgender Individuals.
机构信息
Department of Psychology, Augsburg College, 2211 Riverside Avenue, Minneapolis, MN, 55454, USA.
Department of Mathematics and Statistics, Augsburg College, Minneapolis, MN, USA.
出版信息
AIDS Behav. 2018 Sep;22(9):3111-3116. doi: 10.1007/s10461-018-2054-0.
The majority of published research on transgender health focuses on associations between external minority stressors (e.g., discrimination) and health. Little is known about how internal minority stressors (e.g., identity concealment and expecting rejection) might predict HIV disparities. The current study addresses this gap by examining the association between external and internal minority stressors and sexual risk behaviors and HIV testing history in a sample of 300 transgender adults across the U.S. Transgender-related discrimination and expecting rejection were associated with sexual risk behaviors. When controlling for covariates, none of the minority stressors were associated with HIV testing. Results illustrate how minority stress, both external and internal, may operate uniquely for transgender individuals.
大多数关于跨性别健康的已发表研究都集中在外部少数群体压力源（例如歧视）与健康之间的关联上。对于内部少数群体压力源（例如身份隐瞒和期望被拒绝）如何预测 HIV 差异知之甚少。本研究通过对美国 300 名跨性别成年人样本中外部和内部少数群体压力源与性行为风险行为和 HIV 检测史之间的关联进行检验，填补了这一空白。与跨性别相关的歧视和期望被拒绝与性行为风险行为有关。在控制协变量的情况下，少数群体压力源均与 HIV 检测无关。研究结果说明了外部和内部少数群体压力源对跨性别者可能具有独特的作用。
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