Radusky Pablo D, Cardozo Nadir, Duarte Mariana, Fabian Solange, Frontini Emilia, Sued Omar, Aristegui Ines
Research Department, Fundación Huésped, Buenos Aires, Argentina.
Faculty of Psychology, Universidad de Buenos Aires, Buenos Aires, Argentina.
Int J Transgend Health. 2021 Jul 21;24(3):320-333. doi: 10.1080/26895269.2021.1943593. eCollection 2023.
Lockdown measures are effective to control COVID-19 spread; however, concerns have increased regarding its impact on transgender and non-binary people. This study describes self-reported changes in mental health, substance use, experiences of violence, and access to health care and basic services among transgender and non-binary population from Argentina after two months of implementation of the lockdown. An online national survey was responded by 182 participants (72 transfeminine [TF], 66 transmasculine [TM], 44 non-binary [NB] people) between May and June 2020. The questionnaire was informed by the results of focus groups, reviewed by activists, and disseminated through social media. Descriptive statistics were used to summarize data. The COVID-19 pandemic and the lockdown have had a general negative impact on the participants. TF participants reported a greater proportion of negative changes in the socioeconomic aspect, such as reduction in income and barriers to access basic services (housing, food, hygiene products and financial assistance). TM and NB participants reported higher proportions of adverse psychological impact, with high frequencies of intense negative emotions and suicidal ideation. A general reduction in substance use was observed in the three groups. The most frequent source of violence in the three groups was from a family member, especially among NB participants. Half of the TF and TM individuals reported difficulties to access or continue their hormone therapy. TM and NB participants reported considerable barriers to access mental health care. The COVID-19 pandemic and the prolonged lockdown have had a negative impact on the transgender and NB population, aggravating their preexisting situation of vulnerability and exclusion. Furthermore, this impact affected each subgroup differently in a particular and specific way.
封锁措施对于控制新冠病毒传播是有效的；然而，人们越来越担心其对跨性别者和非二元性别者的影响。本研究描述了阿根廷实施封锁两个月后，跨性别和非二元性别群体自我报告的心理健康、物质使用、暴力经历以及获得医疗保健和基本服务方面的变化。2020年5月至6月期间，182名参与者（72名跨性别女性[TF]、66名跨性别男性[TM]、44名非二元性别[NB]者）参与了一项全国在线调查。该问卷以焦点小组的结果为依据，经活动人士审核，并通过社交媒体传播。使用描述性统计来汇总数据。新冠疫情和封锁对参与者产生了普遍的负面影响。跨性别女性参与者报告称，在社会经济方面负面变化的比例更高，比如收入减少以及获得基本服务（住房、食品、卫生用品和经济援助）存在障碍。跨性别男性和非二元性别参与者报告称，不良心理影响的比例更高，强烈负面情绪和自杀念头的出现频率很高。三组人群的物质使用普遍减少。三组中最常见的暴力来源是家庭成员，尤其是在非二元性别参与者中。一半的跨性别女性和跨性别男性表示在获取或继续激素治疗方面存在困难。跨性别男性和非二元性别参与者报告称，在获得心理健康护理方面存在相当大的障碍。新冠疫情和长期封锁对跨性别者和非二元性别群体产生了负面影响，加剧了他们原有的脆弱性和被排斥状况。此外，这种影响以一种特定且具体的方式对每个亚组产生了不同的影响。
