Chavada Vijay K, R Priyadharshini, Kurushev Jeyastri
Community Medicine, Indira Gandhi Government Medical College and Research Institute, Puducherry, IND.
Mental Health Nursing, Vinayaka Mission's College of Nursing Puducherry, Puducherry, IND.
Cureus. 2021 Sep 30;13(9):e18413. doi: 10.7759/cureus.18413. eCollection 2021 Sep.
Background Resilience is the process of adapting well in the face of adversity, trauma, tragedy, threats, or significant sources of stress, and it is a predictor of mental health status that specifically indicates self-esteem, perceived social support, emotion-oriented coping, and a sense of personal mastery. The third gender known better as transgender has existed in every culture, race, class, and religion since the inception of human life has been recorded and analyzed. In spite of many advances and reforms, the current plight of transgender is far from being satisfactory. The social integration of transgender with the mainstream community is practically non-existent even today. Aim and objective The objective of the study is to assess the level of resilience among transgenders at selected areas in Puducherry, India, and to find out the association between the levels of resilience among transgenders with the selected demographic variables. Methods A descriptive cross-sectional study was conducted in the selected areas of Puducherry, India, adopting a linear snowball sampling method after consultation with the Nayaks (heads of transgenders) of the transgender groups, and 100 transgenders were enrolled who fulfilled the inclusion criteria and consented to participate in the research. Results About 29 (29%) transgenders were in the age group of 31-40 years, 28 (28%) were in the age group of 21-30 years, 24 (24%) were in the group of 41-50 years, and 19 (19%) were in the age group of 51 and above. In education status, 38 (38%) had secondary education, 23 (23%) had primary education, 20 (20%) had higher secondary education, 12 (12%) had graduation and above, and seven (7%) were diploma holders. Moreover, 54 (54%) were employed, and 46 (46%) were unemployed; 81 (81%) were residing in rural areas, and 19 (19%) were residing in urban areas. The study revealed that 53 (53%) of them had average resilience, 28 (28%) had the least resilience, and 19 (19%) had the highest resilience among transgenders. The minimum score was 28.0, and the maximum score was 52.0. The mean score was 42.50 with a standard deviation of 4.61. The median value was 43.0. Conclusion Transgenders exhibit low and average resilience that reflects poor mental health status among them. The educational status was found to be associated with the level of resilience. Proper education among transgenders would help in improving their resilience and betterment of their life.
背景
心理韧性是指在面对逆境、创伤、悲剧、威胁或重大压力源时良好适应的过程，它是心理健康状况的一个预测指标，具体体现为自尊、感知到的社会支持、以情绪为导向的应对方式以及个人掌控感。自人类生活开始被记录和分析以来，第三性别（更为人熟知的是跨性别者）就存在于每一种文化、种族、阶级和宗教之中。尽管有许多进步和改革，但跨性别者目前的困境仍远不尽如人意。即使在今天，跨性别者与主流社区的社会融合实际上仍不存在。
目的
本研究的目的是评估印度本地治里选定地区跨性别者的心理韧性水平，并找出跨性别者心理韧性水平与选定人口统计学变量之间的关联。
方法
在印度本地治里的选定地区进行了一项描述性横断面研究，在与跨性别群体的奈亚克（跨性别者领袖）协商后采用线性滚雪球抽样方法，招募了100名符合纳入标准并同意参与研究的跨性别者。
结果
约29名（29%）跨性别者年龄在31 - 40岁之间，28名（28%）在21 - 30岁之间，24名（24%）在41 - 50岁之间，19名（19%）在51岁及以上。在教育程度方面，38名（38%）有中学教育水平，23名（23%）有小学教育水平，20名（20%）有高中教育水平，12名（12%）有本科及以上学历，7名（7%）是文凭持有者。此外，54名（54%）有工作，46名（46%）无工作；81名（81%）居住在农村地区，19名（19%）居住在城市地区。研究显示，其中53名（53%）跨性别者心理韧性处于中等水平，28名（28%）心理韧性最低，19名（19%）心理韧性最高。最低分数为28.0，最高分数为52.0。平均分数为42.50，标准差为4.61。中位数为43.0。
结论
跨性别者表现出较低和中等水平的心理韧性，这反映出他们较差的心理健康状况。研究发现教育程度与心理韧性水平相关。跨性别者接受适当教育将有助于提高他们的心理韧性并改善其生活。
