From the Department of Medicine, Stony Brook Renaissance School of Medicine, Stony Brook, NY.
Crit Pathw Cardiol. 2022 Mar 1;21(1):42-46. doi: 10.1097/HPC.0000000000000271.
The cardiovascular health of transgender and gender diverse (TGD) persons, a growing population in the United States, has become a subject of heightened interest. We sought to assess the prevalence and predictors of cardiovascular disease (CVD) in transgender men, transgender women, and gender nonconforming persons in the United States.
A cohort of individuals self-identified as TGD (ie, transgender or gender nonconforming) in the United States was identified using the 2018 Centers for Disease Control's Behavioral Risk Factor Surveillance Survey.
Among the 1019 TGD individuals studied, 378 (37.1%) identified their transition status as male-to-female, 394 (38.7%) as female-to-male, and the remaining 247 (24.2%) as gender nonconforming. A total of 138 (13.5%) had reported CVD, while 881 (86.5%) did not. The prevalence of CVD in TGD individuals identified as male-to-female, female-to-male, and gender nonconforming were noted to be similar (14.6% vs. 13.5% vs. 12.1%; P = 0.69). TGD persons with CVD were older with lower annual income. They also had higher rates of smoking, lower rates of regular exercise, and higher rates of smoking and chronic medical comorbidities. Independent predictors of CVD in TGD persons included older age, diabetes, chronic kidney disease, chronic obstructive pulmonary disease, and depressive disorder.
In this contemporary cross-sectional nationally representative survey, CVD was prevalent in nearly 14% of TGD persons. Further studies examining interventions to reduce CV risk and enhance access to medical care in the TGD population are warranted.
在美国，跨性别和性别多样化（TGD）人群的心血管健康已成为人们日益关注的话题，他们是一个不断增长的群体。我们旨在评估美国跨性别男性、跨性别女性和性别不一致者的心血管疾病（CVD）的患病率和预测因素。
我们使用美国疾病控制与预防中心 2018 年行为风险因素监测调查的数据，确定了自我认同为 TGD（即跨性别或性别不一致）的个体队列。
在所研究的 1019 名 TGD 个体中，378 名（37.1%）的个体将其过渡状态确定为男变女，394 名（38.7%）的个体将其过渡状态确定为女变男，其余 247 名（24.2%）的个体为性别不一致。共有 138 名（13.5%）报告患有 CVD，而 881 名（86.5%）没有。确定为男变女、女变男和性别不一致的 TGD 个体的 CVD 患病率相似（14.6%比 13.5%比 12.1%；P=0.69）。患有 CVD 的 TGD 个体年龄较大，年收入较低。他们吸烟率较高，定期锻炼率较低，吸烟和慢性合并症的发生率较高。TGD 个体 CVD 的独立预测因素包括年龄较大、糖尿病、慢性肾脏病、慢性阻塞性肺疾病和抑郁障碍。
在这项当代的全国代表性横断面研究中，近 14%的 TGD 个体患有 CVD。需要进一步研究检查干预措施，以降低 TGD 人群的 CV 风险并增强他们获得医疗保健的机会。
