Healthcare Mistreatment is Associated With Psychological Distress, Suicidality, and Substance Use Among Transgender and Nonbinary Emerging Adults.

IF 2 3区心理学 Q1 FAMILY STUDIES

Emerging Adulthood Pub Date : 2025-04-01 Epub Date: 2024-12-20 DOI:10.1177/21676968241308316

Jordon D Bosse, Lane Z Kantor, Yu-Chi Wang, R Korkodilos, Sari L Reisner, Diane Ehrensaft, Jody L Herman, Sabra L Katz-Wise

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引用次数: 0

Abstract

Transgender and nonbinary (TNB) emerging adults in the United States experience mistreatment inside and outside healthcare settings, which may contribute to known mental health and substance use inequities. The purpose of our study was to examine associations between provider and healthcare setting mistreatment with past 30-day severe psychological distress, illicit substance use, binge drinking, and past year suicidal ideation among TNB emerging adults (18-25 years; N = 10,203) who sought healthcare in the previous year. In sociodemographic-adjusted, multivariate, logistic regression models, all mistreatment types were associated with worse mental health and illicit substance use. Structural interventions to improve interdisciplinary healthcare providers' attitudes and knowledge, combined with inclusive healthcare policies are needed to ensure TNB emerging adults are treated with respect and dignity.

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医疗保健虐待与跨性别和非二元新生成人的心理困扰、自杀倾向和物质使用有关。

美国的跨性别和非二元（TNB）新生成人在医疗保健机构内外都受到虐待，这可能导致已知的精神健康和物质使用不平等。本研究的目的是研究提供者和医疗机构虐待与TNB新兴成人(18-25岁；N = 10,203)，在前一年寻求医疗保健。在社会人口调整、多变量、逻辑回归模型中，所有虐待类型都与较差的精神健康和非法药物使用有关。需要采取结构性干预措施，改善跨学科医疗保健提供者的态度和知识，并结合包容性医疗保健政策，以确保TNB新兴成人得到尊重和尊严。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Emerging Adulthood Multiple-

CiteScore

4.50

自引率

19.20%

发文量