患有饮食障碍的跨性别个体中自伤思想和行为的流行率：一项全国性研究。
Prevalence of Self-Injurious Thoughts and Behaviors in Transgender Individuals With Eating Disorders: A National Study.
机构信息
Department of Psychology, Florida State University, Tallahassee, Florida; Department of Psychology, University of Saint Joseph, West Hartford, Connecticut.
Department of Psychology, University of Saint Joseph, West Hartford, Connecticut.
出版信息
J Adolesc Health. 2019 Apr;64(4):461-466. doi: 10.1016/j.jadohealth.2018.07.016. Epub 2018 Oct 9.
PURPOSE
This study examined prevalence of self-injurious thoughts and behaviors (SITBs) in transgender individuals with eating disorders, as compared to cisgender individuals with eating disorders and transgender individuals without eating disorders.
METHODS
Data were analyzed from 365,749 individuals (median age 21 years, 71.8% White/Caucasian, 34.9% male, 64.9% female, and 0.2% transgender) who participated in American College Health Association-National College Health Assessment, an annual national assessment of college student health, from 2008 to 2011.
RESULTS
Rates of past-year nonsuicidal self-injury, suicidal ideation, and suicide attempts were elevated in transgender participants with eating disorders (74.8%, 75.2%, and 74.8%, respectively), as compared to cisgender participants with eating disorders and transgender participants without eating disorders. Follow-up logistic regression analyses indicated these differences were statistically significant above and beyond the effects of demographic variables and depression.
CONCLUSIONS
Results found extremely high rates of SITBs in transgender individuals with eating disorders. This combination of identities, each associated with SITBs, may have a compounding effect.
目的
本研究调查了患有饮食障碍的跨性别个体中，自我伤害思想和行为（SITBs）的流行情况，并与患有饮食障碍的顺性别个体以及没有饮食障碍的跨性别个体进行了比较。
方法
对 2008 年至 2011 年间参加美国大学健康协会-全国大学生健康评估的 365749 名参与者（中位数年龄 21 岁，71.8%为白种人/高加索人，34.9%为男性，64.9%为女性，0.2%为跨性别者）的数据进行了分析。
结果
患有饮食障碍的跨性别者中，过去一年非自杀性自我伤害、自杀意念和自杀企图的发生率较高（分别为 74.8%、75.2%和 74.8%），与患有饮食障碍的顺性别者和没有饮食障碍的跨性别者相比。后续的逻辑回归分析表明，这些差异在统计学上是显著的，超出了人口统计学变量和抑郁的影响。
结论
研究结果发现，患有饮食障碍的跨性别者中 SITBs 的发生率极高。这些身份的结合，每种身份都与 SITBs 相关，可能具有叠加效应。
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