Department of Behavioral and Social Sciences, School of Public Health, Brown University, Providence, RI, USA.
J Interpers Violence. 2021 Oct;36(19-20):NP10477-NP10498. doi: 10.1177/0886260519876024. Epub 2019 Sep 17.
Intimate partner violence (IPV) is highly prevalent in transgender (trans) populations in the United States; however, details about its manifestations and correlates have not been well captured. Using data from the 2015 U.S. Transgender Survey, we analyzed weighted data from 23,999 adult transgender participants to estimate the prevalence and explore correlates of five IPV subtypes: psychological IPV, physical IPV, trans-related IPV, stalking, and forced sex committed by an intimate partner. Regression models examined race/ethnicity, gender identity, past-year incarceration, past-year sex work, and lifetime homelessness, and adjusted for annual household income, highest level of education, age, birthplace, Census region, and relationship status. The sample was racially/ethnically diverse (62.6% White, 0.7% Alaskan Native/American Indian, 4.7% Asian/Native Hawaiian/Pacific Islander, 12.7% Black/African American, 16.5% Latinx/Hispanic, 0.4% Middle Eastern/North African, 2.5% Multiracial/Not Listed), and comprised of 31.2% transgender men, 34.2% transgender women, 27.5% assigned-female-at-birth nonbinary participants, and 7.1% assigned-male-at-birth nonbinary participants. Rates of IPV were high, with variability by IPV subtype: 42.0% endorsed psychological IPV, 39.9% endorsed physical IPV, 30.4% endorsed trans-related IPV, 18.0% endorsed stalking, and 21.5% endorsed forced sex by an intimate partner. We observed disparities in IPV subtypes by race/ethnicity, gender identity, and experiences of social marginalization. Results highlight the need for targeted, trans-inclusive IPV screening practices and interventions. Future studies should examine the syndemic effects of IPV, social marginalization, and health outcomes related to HIV, substance use, and mental health in trans populations.
亲密伴侣暴力(IPV)在美国跨性别(trans)人群中高度普遍;然而,其表现形式和相关因素的细节尚未得到很好的捕捉。使用 2015 年美国跨性别调查的数据,我们分析了来自 23999 名成年跨性别参与者的加权数据,以估计五种 IPV 亚型的流行率,并探讨其相关因素:心理 IPV、身体 IPV、与跨性别相关的 IPV、跟踪和亲密伴侣强迫性行为。回归模型检查了种族/民族、性别认同、过去一年的监禁、过去一年的性工作以及终身无家可归,并调整了年收入、最高教育水平、年龄、出生地、人口普查区和关系状况。该样本种族/民族多样化(62.6%为白人,0.7%为阿拉斯加原住民/美洲印第安人,4.7%为亚洲/夏威夷原住民/太平洋岛民,12.7%为黑人/非裔美国人,16.5%为拉丁裔/西班牙裔,0.4%为中东/北非,2.5%为多种族/未列出),包括 31.2%的跨性别男性、34.2%的跨性别女性、27.5%的出生时为女性的非二元性别参与者和 7.1%的出生时为男性的非二元性别参与者。IPV 的发生率很高,各亚型之间存在差异:42.0%的人表示经历过心理 IPV,39.9%的人表示经历过身体 IPV,30.4%的人表示经历过与跨性别相关的 IPV,18.0%的人表示经历过跟踪,21.5%的人表示经历过亲密伴侣的强迫性行为。我们观察到不同种族/民族、性别认同和社会边缘化经历的 IPV 亚型存在差异。研究结果强调了需要针对跨性别群体的、包容跨性别的 IPV 筛查实践和干预措施。未来的研究应该研究 IPV、社会边缘化以及与 HIV、药物使用和心理健康相关的健康结果在跨性别群体中的综合征效应。
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