Burton Jackson S, Pfeifauf Kristin, Skolnick Gary B, Sacks Justin M, Snyder-Warwick Alison K
Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.
Transgend Health. 2024 Jun 17;9(3):241-253. doi: 10.1089/trgh.2022.0119. eCollection 2024 Jun.
National polling data indicate that Americans support the right of transgender persons to undergo gender-affirming surgery (GAS). It remains unknown whether public perceptions of GAS differ depending on patient subpopulations, anatomical site, or insurance coverage and whether the public widely believes that transgender people will regret GAS.
We built a Qualtrics™ survey derived from an online validated 2017 Ipsos survey and distributed it to American adults through Amazon Mechanical Turk. Associations of demographic characteristics with perception of GAS were determined using multinomial logistic regression.
Respondents (=312) were predominantly non-Hispanic White (69.2%), held a bachelor's degree (64.7%), and reported an annual income of $25,000 to $74,999 (64.4%). Approximately half of respondents identified as socially liberal (50.3%); 34.0% as socially conservative; and 15.7% as neither. Respondents supported a right to GAS independent of anatomy and insurance. Support for transgender children (62%) was less than for adult transgender men (84%) and women (83%). Despite supporting a right to GAS, respondents agreed that transgender adults (67%) and children (74%) would regret GAS. Education was the strongest predictor of support for GAS rights. Socially conservative respondents were significantly more likely than nonideological or liberal respondents to believe that transgender people would regret GAS.
This large online sample of American adults with diverse ideologies demonstrated support for GAS independent of anatomical site and insurance. Support of GAS for transgender children is robust, although lower than support for adults. Despite broad support, most laypersons believe that transgender people would regret GAS.
全国民意调查数据显示，美国人支持跨性别者接受性别确认手术（GAS）的权利。目前尚不清楚公众对性别确认手术的看法是否因患者亚群体、解剖部位或保险覆盖范围而有所不同，以及公众是否普遍认为跨性别者会对性别确认手术感到后悔。
我们构建了一项源自2017年益普索在线验证调查的Qualtrics™ 调查，并通过亚马逊土耳其机器人将其分发给美国成年人。使用多项逻辑回归确定人口统计学特征与性别确认手术认知之间的关联。
受访者（=312）主要为非西班牙裔白人（69.2%），拥有学士学位（64.7%），报告年收入在25,000美元至74,999美元之间（64.4%）。约一半的受访者认为自己在社会上持自由主义立场（50.3%）；34.0%为社会保守派；15.7%既非自由主义者也非保守派。受访者支持无论解剖结构和保险情况如何都有权接受性别确认手术。对跨性别儿童的支持率（62%）低于成年跨性别男性（84%）和女性（83%）。尽管支持接受性别确认手术的权利，但受访者一致认为成年跨性别者（67%）和儿童（74%）会对性别确认手术感到后悔。教育程度是支持性别确认手术权利的最强预测因素。社会保守派受访者比非意识形态或自由主义受访者更有可能认为跨性别者会对性别确认手术感到后悔。
这个由不同意识形态的美国成年人组成的大型在线样本表明，无论解剖部位和保险情况如何，人们都支持性别确认手术。对跨性别儿童接受性别确认手术的支持力度很大，尽管低于对成年人的支持。尽管得到广泛支持，但大多数外行人认为跨性别者会对性别确认手术感到后悔。
