Wanta Jonathon W, Niforatos Joshua D, Durbak Emily, Viguera Adele, Altinay Murat
Residency Training Program, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington.
Residency Training Program, Department of Emergency Medicine, Baltimore, Maryland.
Transgend Health. 2019 Nov 1;4(1):313-315. doi: 10.1089/trgh.2019.0029. eCollection 2019.
We performed a cross-sectional analysis of the prevalence of psychiatric diagnoses among transgender patients in clinical care using an all-payer electronic health record database. Of 10,270 transgender patients identified, 58% (=5940) had at least one psychiatric diagnosis compared with 13.6% (=7,311,780) in the control patient population (<0.0005). Transgender patients had a statistically significant increase in prevalence for all psychiatric diagnoses queried, with major depressive disorder and generalized anxiety disorder being the most common diagnoses (31% and 12%, respectively). Utilizing an all-payer database, although not without limitations, enables assessment of mental health and substance use diagnoses in this otherwise small population.
我们使用一个全付费电子健康记录数据库，对接受临床护理的跨性别患者中精神疾病诊断的患病率进行了横断面分析。在识别出的10270名跨性别患者中，58%（即5940名）至少有一项精神疾病诊断，而对照患者群体中的这一比例为13.6%（即7311780名）（<0.0005）。跨性别患者所查询的所有精神疾病诊断的患病率均有统计学意义的增加，其中重度抑郁症和广泛性焦虑症是最常见的诊断（分别为31%和12%）。利用全付费数据库，尽管有局限性，但能够评估这个原本规模较小群体中的心理健康和物质使用诊断情况
