Eom Yun-Jung, Lee Hyemin, Kim Ranyeong, Choo Sungsub, Yi Horim, Kim Seung-Sup
Department of Public Health Sciences, Graduate School of Korea University, Seoul, South Korea; Interdisciplinary Program in Precision Public Health, Department of Public Health Sciences, Graduate School of Korea University, Seoul, South Korea.
Jeju Institute of Public Health & Health Policy, Jeju, South Korea.
Sleep Health. 2022 Dec;8(6):580-586. doi: 10.1016/j.sleh.2022.06.012. Epub 2022 Aug 30.
We sought to investigate the association between transgender identity discrimination and sleep problems among transgender people in South Korea (hereafter, Korea), and whether family support for transgender identity plays a protective role in the association.
DESIGN & SETTING: We analyzed a nationwide cross-sectional survey of 583 Korean transgender adults which was anonymously conducted through an online platform.
Transgender identity discrimination was assessed using a single-item question. Sleep problems were defined as having any of the following problems: poor sleep quality, short sleep duration, and use of alcohol or sleep medications to fall asleep. Family support for transgender identity was classified into 3 groups as follows: not supportive, supportive, and unaware of participants' transgender identity.
Of 583 participants, 383 (65.7%) experienced transgender identity discrimination over the past 12 months. Participants who experienced transgender identity discrimination were 1.48 times (95% confidence intervals [95% CI] = 1.19-1.83) more likely to have any sleep problems, compared to those who never experienced transgender identity discrimination. When stratified by family support level, the associations between transgender identity discrimination and sleep problems remained statistically significant only among those with a family unsupportive (adjusted prevalence ratio [aPR] = 1.64; 95% CI = 1.16-2.31) or unaware (aPR = 1.60; 95% CI = 1.01-2.52) of participants' transgender identity. However, the association was not statistically significant among those with a supportive family (aPR = 1.41; 95% CI = 0.96-2.07).
Given transphobic environments in Korea, legal and institutional efforts are required to reduce transgender identity discrimination (eg, anti-discrimination laws) as well as to build trans-specific family resources.
我们试图调查韩国跨性别者中跨性别身份歧视与睡眠问题之间的关联，以及家庭对跨性别身份的支持在这种关联中是否起到保护作用。
我们分析了一项通过在线平台对583名韩国成年跨性别者进行的全国性横断面调查，该调查采用匿名方式进行。
使用单项问题评估跨性别身份歧视。睡眠问题定义为存在以下任何一种问题：睡眠质量差、睡眠时间短、使用酒精或助眠药物入睡。家庭对跨性别身份的支持分为以下3组：不支持、支持、以及不知道参与者的跨性别身份。
在583名参与者中，383人（65.7%）在过去12个月中经历过跨性别身份歧视。与从未经历过跨性别身份歧视的参与者相比，经历过跨性别身份歧视的参与者出现任何睡眠问题的可能性高1.48倍（95%置信区间[95%CI]=1.19 - 1.83）。按家庭支持水平分层时，跨性别身份歧视与睡眠问题之间的关联仅在那些家庭不支持（调整患病率比[aPR]=1.64；95%CI=1.16 - 2.31）或不知道（aPR=1.60；95%CI=1.01 - 2.52）参与者跨性别身份的人群中具有统计学意义。然而，在家庭支持的人群中，这种关联没有统计学意义（aPR=1.41；95%CI=0.96 - 2.07）。
鉴于韩国存在恐跨环境，需要通过法律和制度努力来减少跨性别身份歧视（例如反歧视法），并建立针对跨性别者的家庭资源。
