Connolly Dean J, Meads Catherine, Wurm Alanna, Brown Chay, Bayliss Jacob, Oakes-Monger T C, Berner Alison M
Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, Keppel St, London, WC1E 7HT, UK.
National Addiction Centre, King's College London, London, UK.
Int J Equity Health. 2025 May 28;24(1):155. doi: 10.1186/s12939-025-02509-z.
The moral panic surrounding trans, non-binary, and gender diverse (TGD) lives in the United Kingdom (UK) has been incited by high-level political and government actors and exacerbated by pervasive misinformation in social and press media. This hostile environment contributes to increasing interpersonal violence and social exclusion experienced by TGD people. Structural and interpersonal discrimination—conceptualised as minority stress—is understood to elicit physiological and psychological stress responses that predispose TGD individuals to a range of adverse health outcomes, including cardiovascular disease, and risk behaviours such as alcohol use.
Health disparities among TGD people in the UK are driven by a combination of minority stress, barriers to general healthcare, and disadvantage across multiple social determinants of health. Limited access to gender-affirming healthcare compounds these disparities, contributing to stark differences in morbidity and mortality relative to cisgender populations. Preventive healthcare engagement is also disproportionately low among TGD individuals, further exacerbating long-term health risks. The intersection of social exclusion, policy-driven discrimination, and systemic healthcare inequities places TGD people at significant and potentially increasing risk of poor health outcomes.
The health disparities faced by TGD people in the UK constitute a real-time public health crisis that demands urgent and sustained intervention. TGD people must be central to shaping the strategic direction of a coordinated and adequately resourced response to these harms.
英国围绕跨性别、非二元性别和性别多样化（TGD）人群的道德恐慌是由高层政治和政府行为者煽动的，社交媒体和新闻媒体中普遍存在的错误信息使其进一步加剧。这种充满敌意的环境导致TGD人群遭受的人际暴力和社会排斥不断增加。结构性和人际歧视——被概念化为少数群体压力——被认为会引发生理和心理应激反应，使TGD个体易患一系列不良健康后果，包括心血管疾病，以及诸如饮酒等风险行为。
英国TGD人群的健康差距是由少数群体压力、普通医疗保健的障碍以及多个健康社会决定因素方面的不利处境共同造成的。获得性别肯定医疗保健的机会有限加剧了这些差距，导致与顺性别群体相比，发病率和死亡率存在显著差异。TGD个体参与预防性医疗保健的比例也极低，进一步加剧了长期健康风险。社会排斥、政策驱动的歧视和系统性医疗保健不平等的交织，使TGD人群面临健康不良后果的重大且可能不断增加的风险。
英国TGD人群面临的健康差距构成了一场需要紧急和持续干预的实时公共卫生危机。TGD人群必须成为塑造对这些危害进行协调且资源充足的应对措施的战略方向的核心。
