Madeline Smith-Johnson (
Health Aff (Millwood). 2022 Oct;41(10):1470-1476. doi: 10.1377/hlthaff.2022.00500.
In the US population, the burden of disability among transgender adults compared with their cisgender peers is largely unknown. This study used seven years of pooled cross-sectional data from the Behavioral Risk Factor Surveillance System to examine how disability varies by gender across age groups. I present a series of nested logistic regression models to show the adjusted probability of disability among adults. Transgender adults have a higher probability of reporting a disability compared with cisgender men and women. After confounders are controlled for, transgender adults have a 27 percent chance of having at least one disability at age twenty and a 39 percent chance at age fifty-five, which is nearly twice the rate of their cisgender counterparts at both ages. The findings show the importance of considering disability from a life-course perspective, the effect of intersectional identities on disability risk, and the urgency of targeted health interventions for transgender people in the US.
在美国人口中,跨性别成年人与顺性别同龄人相比,残疾负担在很大程度上是未知的。本研究使用了来自行为风险因素监测系统的七年汇总横断面数据,研究了残疾在各年龄段如何因性别而有所不同。我提出了一系列嵌套逻辑回归模型,以显示成年人中残疾的调整后概率。与顺性别男性和女性相比,跨性别成年人报告残疾的可能性更高。在控制了混杂因素后,跨性别成年人在二十岁时至少有一种残疾的可能性为 27%,在五十五岁时为 39%,这几乎是他们在这两个年龄段顺性别同龄人的两倍。这些发现表明了从生命历程的角度考虑残疾的重要性,交叉身份对残疾风险的影响,以及为美国跨性别者进行有针对性的健康干预的紧迫性。