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因新冠疫情导致性别确认手术取消或推迟的跨性别者抑郁和焦虑症状更为常见:一项全球横断面研究。

Depressive and Anxiety Symptoms Were More Common for Transgender Individuals Whose Gender-Affirming Surgeries Were Cancelled or Delayed Due to COVID-19: A Global Cross-Sectional Study.

作者信息

Fennell Anna Marie, Wiegand Aaron A, Restar Arjee, Glick Jennifer L, Beckham Sam Wilson, Jarrett Brooke A

机构信息

Department of Counseling and Clinical Psychology, Teachers College, Columbia University, New York, New York, USA.

Department of Health, Behavior and Society, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.

出版信息

Transgend Health. 2024 Aug 16;9(4):361-367. doi: 10.1089/trgh.2022.0052. eCollection 2024 Aug.

DOI:10.1089/trgh.2022.0052
PMID:39385960
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11456764/
Abstract

Gender-affirming surgeries, which have well-established mental health benefits, were cancelled and delayed for transgender people worldwide during the COVID-19 crisis. Of 253 scheduled gender-affirming surgeries among transgender adults across 35 countries in late 2020, 27% (=69) reported that the COVID-19 crisis limited their access to gender-affirming surgery (i.e., cancelled, postponed indefinitely, or rescheduled). In adjusted models, respondents with reduced access to surgeries were somewhat more likely to screen positive for depressive or anxiety symptoms, whereas those who maintained access were more likely to report higher levels of happiness. Our findings illustrate the transgender-specific harms of the COVID-19 crisis on gender-affirming surgeries and mental health.

摘要

性别确认手术对心理健康有益,这一点已得到充分证实。在新冠疫情危机期间,全球范围内针对跨性别者的此类手术被取消或推迟。2020年末,在35个国家的跨性别成年人中计划进行的253例性别确认手术里,27%(即69例)报告称新冠疫情危机限制了他们获得性别确认手术的机会(即手术被取消、无限期推迟或重新安排)。在调整后的模型中,手术机会减少的受访者筛查出抑郁或焦虑症状呈阳性的可能性略高,而那些仍能获得手术机会的受访者报告的幸福感水平更高。我们的研究结果表明了新冠疫情危机对性别确认手术和心理健康造成的特定于跨性别者的危害。

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本文引用的文献

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How the COVID-19 pandemic affects transgender health care - A cross-sectional online survey in 63 upper-middle-income and high-income countries.2019冠状病毒病大流行如何影响跨性别者的医疗保健——对63个中高收入和高收入国家的横断面在线调查
Int J Transgend Health. 2021 Oct 18;24(3):346-359. doi: 10.1080/26895269.2021.1986191. eCollection 2023.
2
The impact of the first three months of the COVID-19 pandemic on the Australian trans community.新冠疫情头三个月对澳大利亚跨性别群体的影响。
Int J Transgend Health. 2021 Mar 11;24(3):281-291. doi: 10.1080/26895269.2021.1890659. eCollection 2023.
3
Telemedicine for Gender-Affirming Medical and Surgical Care: A Systematic Review and Call-to-Action.用于性别肯定性医疗和外科护理的远程医疗:系统评价与行动呼吁。
Transgend Health. 2022 Apr 11;7(2):117-126. doi: 10.1089/trgh.2020.0136. eCollection 2022 Apr.
4
Gender-affirming care, mental health, and economic stability in the time of COVID-19: A multi-national, cross-sectional study of transgender and nonbinary people.在 COVID-19 期间的性别肯定护理、心理健康和经济稳定:一项对跨性别和非二元性别者的多国、横断面研究。
PLoS One. 2021 Jul 9;16(7):e0254215. doi: 10.1371/journal.pone.0254215. eCollection 2021.
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JAMA Surg. 2021 Jul 1;156(7):611-618. doi: 10.1001/jamasurg.2021.0952.
6
Characterising the impact of COVID-19 environment on mental health, gender affirming services and socioeconomic loss in a global sample of transgender and non-binary people: a structural equation modelling.用结构方程模型刻画全球跨性别和非二元性别群体中 COVID-19 环境对心理健康、性别肯定服务和社会经济损失的影响。
BMJ Glob Health. 2021 Mar;6(3). doi: 10.1136/bmjgh-2020-004424.
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Understanding the Impact of the COVID-19 Pandemic on the Mental Health of Transgender and Gender Nonbinary Individuals Engaged in a Longitudinal Cohort Study.了解 COVID-19 大流行对参与纵向队列研究的跨性别和性别非二元个体心理健康的影响。
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