Madzoska Monica, Lawrence David, Higgins Daryl J, Haslam Divna M, Mathews Ben, Malacova Eva, Dunne Michael P, Erskine Holly E, Pacella Rosana, Meinck Franziska, Thomas Hannah J, Scott James G
Curtin University, Perth, WA, Australia.
Australian Catholic University, Melbourne, VIC, Australia.
J Interpers Violence. 2025 May;40(9-10):2281-2306. doi: 10.1177/08862605241270077. Epub 2024 Aug 17.
This study examined rates of mental health disorders and health risk behaviors in people with diverse gender identities and associations with five types of child maltreatment. We used data from the Australian Child Maltreatment Study (ACMS), a nationally representative survey of Australian residents aged 16 years and more, which was designed to understand the experience of child maltreatment (physical abuse, sexual abuse, emotional abuse, neglect, exposure to domestic violence). Mental disorders-major depressive disorder, generalized anxiety disorder (GAD), alcohol use disorder, post-traumatic stress disorder (PTSD), and health risk behaviors-smoking, binge drinking, cannabis dependence, self-harm, and suicide attempt in the past 12 months were assessed. People with diverse gender identities who experienced child maltreatment were significantly more likely to have GAD (43.3%; 95% CI [30.3, 56.2]) than those who had experienced child maltreatment who were either cisgender men (13.8%; [12.0, 15.5]) or cisgender women (17.4%; [15.7, 19.2]). Similarly, higher prevalence was found for PTSD (21.3%; [11.1, 31.5]), self-harm (27.8%; [17.1, 38.5]) and suicide attempt (7.2%; [3.1, 11.3]) for people with diverse gender identities. Trauma-informed approaches, attuned to the high likelihood of any child maltreatment, and the co-occurrence of different kinds may benefit people with diverse gender identities experiencing GAD, PTSD, self-harm, suicidal behaviors, or other health risk behaviors.
本研究调查了具有不同性别认同的人群中精神健康障碍和健康风险行为的发生率，以及与五种类型儿童虐待的关联。我们使用了来自澳大利亚儿童虐待研究（ACMS）的数据，这是一项对16岁及以上澳大利亚居民进行的具有全国代表性的调查，旨在了解儿童虐待（身体虐待、性虐待、情感虐待、忽视、暴露于家庭暴力）的经历。评估了精神障碍——重度抑郁症、广泛性焦虑症（GAD）、酒精使用障碍、创伤后应激障碍（PTSD），以及健康风险行为——过去12个月内的吸烟、暴饮、大麻依赖、自我伤害和自杀未遂情况。经历过儿童虐待的具有不同性别认同的人群患广泛性焦虑症的可能性（43.3%；95%可信区间[30.3, 56.2]）显著高于经历过儿童虐待的顺性别男性（13.8%；[12.0, 15.5]）或顺性别女性（17.4%；[15.7, 19.2]）。同样，具有不同性别认同的人群中创伤后应激障碍（21.3%；[11.
