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亲密伴侣暴力的年轻跨性别女性幸存者:保护过程的潜在类别分析

Young Transgender Women Survivors of Intimate Partner Violence: A Latent Class Analysis of Protective Processes.

作者信息

Garthe Rachel C, Hidalgo Marco A, Goffnett Jacob, Hereth Jane, Garofalo Robert, Reisner Sari L, Mimiaga Matthew J, Kuhns Lisa M

机构信息

School of Social Work, University of Illinois, Urbana-Champaign, Illinois.

Center for Transyouth Health and Development, Children's Hospital Los Angeles, Los Angeles, California.

出版信息

Psychol Sex Orientat Gend Divers. 2020 Dec;7(4):386-395. doi: 10.1037/sgd0000379. Epub 2020 Mar 23.

Abstract

Research is critically needed to understand protective processes that may lessen the impact of intimate partner violence (IPV) on negative outcomes for transgender individuals. The current study utilized a latent class analysis to identify combinations of protective processes (i.e., collective self-esteem and social support) in relation to internalizing mental health symptoms among young transgender women (YTW) survivors of IPV. Data from Project LifeSkills (2012-2015), a multisite trial for HIV sexual risk reduction intervention, were used for the present study. A subsample of 78 YTW (ages 16 to 29) who were IPV survivors (i.e., indicated lifetime IPV) were included in the analyses. Participants completed measures of general social support, perceived social support from their mother and friends, and collective self-esteem, as well as mental health symptoms. Three latent classes emerged: 1) YTW who perceived high levels of social support and collective self-esteem (48%), 2) YTW who perceived low levels of collective self-esteem, but average to high levels of social support from mother and friends (23%), and 3) YTW who perceived low levels of collective self-esteem and low to average levels of social support from mother and friends (29%). YTW in the overall low class had significantly higher levels of depressive, anxiety, and somatization symptoms, compared to the other two classes. These findings highlight how low levels of social support and collective self-esteem can place YTW survivors of IPV at significant risk for experiencing negative internalizing mental health symptoms.

摘要

迫切需要开展研究,以了解那些可能减轻亲密伴侣暴力(IPV)对跨性别者负面后果影响的保护机制。本研究采用潜在类别分析,来确定与遭受IPV的年轻跨性别女性(YTW)内化心理健康症状相关的保护机制组合(即集体自尊和社会支持)。本研究使用了“生活技能项目”(2012 - 2015年)的数据,该项目是一项降低HIV性风险干预的多地点试验。分析纳入了78名IPV幸存者(即表明有过终生IPV经历)的YTW子样本(年龄在16至29岁之间)。参与者完成了一般社会支持、来自母亲和朋友的感知社会支持、集体自尊以及心理健康症状的测量。出现了三个潜在类别:1)感知到高水平社会支持和集体自尊的YTW(48%),2)感知到低水平集体自尊,但从母亲和朋友那里获得的社会支持为中等至高水平的YTW(23%),以及3)感知到低水平集体自尊且从母亲和朋友那里获得的社会支持为低至中等水平的YTW(29%)。与其他两个类别相比,总体低类别中的YTW具有显著更高水平的抑郁、焦虑和躯体化症状。这些发现凸显了社会支持和集体自尊水平低下如何使遭受IPV的YTW幸存者面临出现负面内化心理健康症状的重大风险。

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