私营医疗保险覆盖的跨性别者和非跨性别者的全因死亡率差异。

Differences in All-Cause Mortality Among Transgender and Non-Transgender People Enrolled in Private Insurance.

机构信息

School of Public Health and Institute for Social Research, University of Michigan, Ann Arbor, MI, USA.

School of Public Health, University of Michigan, Ann Arbor, MI, USA.

出版信息

Demography. 2022 Jun 1;59(3):1023-1043. doi: 10.1215/00703370-9942002.

Abstract

Few studies have analyzed mortality rates among transgender (trans) populations in the United States and compared them to the rates of non-trans populations. Using private insurance data from 2011 to 2019, we estimated age-specific all-cause mortality rates among a subset of trans people enrolled in private insurance and compared them to a 10% randomly selected non-trans cohort. Overall, we found that trans people were nearly twice as likely to die over the period as their non-trans counterparts. When stratifying by gender, we found key disparities within trans populations, with people on the trans feminine to nonbinary spectrum being at the greatest risk of mortality compared to non-trans males and females. While we found that people on the trans masculine to nonbinary spectrum were at a similar risk of overall mortality compared to non-trans females, their overall mortality rate was statistically smaller than that of non-trans males. These findings provide evidence that some trans and non-trans populations experience substantially different mortality conditions across the life course and necessitate further study.

摘要

鲜有研究分析过美国跨性别(trans)群体的死亡率,并将其与非跨性别群体的死亡率进行比较。我们使用了 2011 年至 2019 年的私人保险数据,对参加私人保险的跨性别者亚组进行了特定年龄段的全因死亡率估计,并将其与随机选择的 10%非跨性别队列进行了比较。总的来说,我们发现跨性别者在这段时间内的死亡可能性几乎是其非跨性别者的两倍。在按性别分层时,我们发现跨性别者群体内部存在一些关键差异,与非跨性别男性和女性相比,跨性别女性化到非二元性别者的人面临最大的死亡风险。虽然我们发现跨性别男性化到非二元性别者的总体死亡率与非跨性别女性相似,但他们的总体死亡率在统计学上小于非跨性别男性。这些发现提供了证据,表明一些跨性别和非跨性别群体在整个生命周期中经历了截然不同的死亡状况,这需要进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf0d/9195044/856b27a90cf7/nihms-1808755-f0001.jpg

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