School of Medicine, University of California, San Francisco, San Francisco, California, United States of America.
Department of Epidemiology & Biostatistics, University of California, San Francisco, San Francisco, California, United States of America.
PLoS One. 2023 Jul 31;18(7):e0263492. doi: 10.1371/journal.pone.0263492. eCollection 2023.
Young transgender women (trans women) experience poor health in part due to discrimination. Factors that promote resilience may help young trans women positively adapt to discrimination, resulting in attenuation of poor health outcomes. While religion is sometimes a source of stigma and transphobia, qualitative studies have identified religiosity as an important resilience resource for young trans women. The goals of this study were to quantitatively measure religiosity and resilience among young trans women and to assess whether they are associated.
From 2012-2013, 300 young trans women between the ages of 16-24 years were enrolled in a longitudinal study; we examined the cross-sectional baseline data on demographics, religiosity, and resilience. Bivariate and multivariable logistic regression analysis examined the correlation between demographics (age, gender, race/ethnicity, education, income) and religiosity among young trans women. Additionally, bivariate and multivariable logistic regression analysis examined the association between religiosity and resilience among young trans women, controlling for age, gender, race/ethnicity, education, and income.
Participants who reported high religiosity had significantly greater odds (aOR 1.78, 95% CI 1.05-3.01, p = .03) of reporting high resilience compared to those reporting low religiosity. Black/African American participants had significantly higher odds (aOR 6.16, 95% CI 2.34-16.20, p = < .001) of reporting high religiosity compared to those who identified as White.
Religiosity may be an important resilience resource for young trans women. Gender affirming religious and spiritual interventions may promote resilience among some young trans women.
年轻跨性别女性（跨女）的健康状况较差，部分原因是受到歧视。促进适应力的因素可能有助于年轻跨性别女性积极应对歧视，从而减轻不良健康后果。虽然宗教有时是污名化和跨性别恐惧症的根源，但定性研究已经确定宗教信仰是年轻跨性别女性的重要适应力资源。本研究的目的是定量测量年轻跨性别女性的宗教信仰和适应力，并评估它们之间是否存在关联。
2012 年至 2013 年期间，招募了 300 名年龄在 16-24 岁之间的年轻跨性别女性参加一项纵向研究；我们检查了关于人口统计学、宗教信仰和适应力的横断面基线数据。双变量和多变量逻辑回归分析检查了年轻跨性别女性的人口统计学（年龄、性别、种族/族裔、教育程度、收入）与宗教信仰之间的相关性。此外，双变量和多变量逻辑回归分析检查了在控制年龄、性别、种族/族裔、教育程度和收入的情况下，宗教信仰与年轻跨性别女性适应力之间的关联。
报告宗教信仰程度较高的参与者报告具有较高适应力的可能性显著更高（调整后的优势比 1.78，95%置信区间 1.05-3.01，p =.03），而报告宗教信仰程度较低的参与者报告具有较高适应力的可能性较低。与自认为是白人的参与者相比，报告宗教信仰程度较高的黑人和/或非裔美国人参与者的可能性显著更高（调整后的优势比 6.16，95%置信区间 2.34-16.20，p <.001）。
宗教信仰可能是年轻跨性别女性的重要适应力资源。支持性别认同的宗教和精神干预措施可能会促进一些年轻跨性别女性的适应力。
