Janelle Downing (
Kerith Conron is the Blachford-Cooper Distinguished Scholar and research director of the Williams Institute, University of California Los Angeles School of Law.
Health Aff (Millwood). 2018 Jul;37(7):1160-1168. doi: 10.1377/hlthaff.2018.0027.
Transgender people have been able to serve openly in the military since June 2016. However, the administration of President Donald Trump has signaled its interest in reinstating a ban on transgender military service. In March 2018 President Trump issued a revised memorandum that stated, in part, that people with a "history or diagnosis of gender dysphoria" who "may require substantial medical treatment, including medications and surgery-are disqualified from military service except under certain limited circumstances." Whether and how the health of transgender service members differs from that of cisgender service members (that is, those who identify with their sex assigned at birth) is largely unknown. This study used population-level data for 2014-16 from the Behavioral Risk Factor Surveillance System to compare the health of transgender and cisgender veterans and civilians. An estimated 0.5 percent of veterans in the sample identified themselves as transgender. While transgender civilians had worse health than cisgender civilians across most indicators, very few differences existed among veterans. However, transgender veterans had higher odds of having at least one disability compared to cisgender veterans, despite similar levels of access to health care. These findings largely suggest that transgender veterans do not have worse health than cisgender veterans.
跨性别者自 2016 年 6 月以来就能够公开在军队服役。然而,唐纳德·特朗普总统领导的政府已表示有兴趣恢复对跨性别者服兵役的禁令。2018 年 3 月,特朗普总统发布了一份经修订的备忘录,其中部分内容指出,患有“性别焦虑症病史或诊断”且“可能需要大量医疗,包括药物和手术的人——除了某些特定的有限情况外,不符合兵役条件”。跨性别现役军人的健康状况与顺性别现役军人(即那些认同其出生时被分配的性别的人)的健康状况有何不同,在很大程度上尚不清楚。本研究使用了 2014 年至 2016 年来自行为风险因素监测系统的人群水平数据,比较了跨性别退伍军人和顺性别退伍军人和平民的健康状况。样本中约有 0.5%的退伍军人认为自己是跨性别者。虽然跨性别平民在大多数指标上的健康状况都不如顺性别平民,但退伍军人之间几乎没有差异。然而,与顺性别退伍军人相比,跨性别退伍军人至少有一种残疾的可能性更高,尽管他们获得医疗保健的机会相似。这些发现表明,跨性别退伍军人的健康状况并不比顺性别退伍军人差。