Fennell Anna Marie, Wiegand Aaron A, Restar Arjee, Glick Jennifer L, Beckham Sam Wilson, Jarrett Brooke A
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.
Transgend Health. 2024 Aug 16;9(4):361-367. doi: 10.1089/trgh.2022.0052. eCollection 2024 Aug.
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.
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。