Kumari Sarika, Devu Rajeev, Sucharita Maji, Gerald Jordan
{"title":"印度跨性别者的心理健康：元民族志","authors":"Kumari Sarika, Devu Rajeev, Sucharita Maji, Gerald Jordan","doi":"10.1111/eip.70048","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aim</h3>\n \n <p>Gender, as a social determinant of health, places transgender (TG) individuals at increased risk for mental health issues. This review aimed to explore the mental health challenges faced by Indian transgender individuals and the factors contributing to these challenges through an interpretative synthesis of existing qualitative research.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A meta-ethnographic approach was used to synthesise qualitative research on the mental health of transgender individuals in India. Ten studies were systematically identified, reviewed and analysed using Noblit and Hare's method (1988) of meta-ethnography.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Four major themes emerged from the synthesis: healthcare barriers, predisposing factors to psychological distress, mental health issues, and coping strategies. Within healthcare barriers, three sub-themes were identified: stigma and discrimination within the healthcare system, limited life resources for accessing services, and healthcare-system barriers. Predisposing factors emerged at micro (individual and familial), meso (community and organisational) and macro (societal and legal) levels, reflecting varied sources of distress. Mental health issues such as anxiety, depression, suicidality and substance use were reported.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Based on these findings, a model is developed to illustrate the interconnected factors affecting the mental health of Indian transgender individuals. The findings have important implications for improving healthcare, policy and mental health practices to better support transgender individuals.</p>\n </section>\n </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 5","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Mental Health of Indian Transgender Individuals: A Meta-Ethnography\",\"authors\":\"Kumari Sarika, Devu Rajeev, Sucharita Maji, Gerald Jordan\",\"doi\":\"10.1111/eip.70048\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Aim</h3>\\n \\n <p>Gender, as a social determinant of health, places transgender (TG) individuals at increased risk for mental health issues. This review aimed to explore the mental health challenges faced by Indian transgender individuals and the factors contributing to these challenges through an interpretative synthesis of existing qualitative research.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>A meta-ethnographic approach was used to synthesise qualitative research on the mental health of transgender individuals in India. Ten studies were systematically identified, reviewed and analysed using Noblit and Hare's method (1988) of meta-ethnography.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Four major themes emerged from the synthesis: healthcare barriers, predisposing factors to psychological distress, mental health issues, and coping strategies. Within healthcare barriers, three sub-themes were identified: stigma and discrimination within the healthcare system, limited life resources for accessing services, and healthcare-system barriers. Predisposing factors emerged at micro (individual and familial), meso (community and organisational) and macro (societal and legal) levels, reflecting varied sources of distress. Mental health issues such as anxiety, depression, suicidality and substance use were reported.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>Based on these findings, a model is developed to illustrate the interconnected factors affecting the mental health of Indian transgender individuals. The findings have important implications for improving healthcare, policy and mental health practices to better support transgender individuals.</p>\\n </section>\\n </div>\",\"PeriodicalId\":11385,\"journal\":{\"name\":\"Early Intervention in Psychiatry\",\"volume\":\"19 5\",\"pages\":\"\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2025-05-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Early Intervention in Psychiatry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/eip.70048\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Early Intervention in Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/eip.70048","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}
Mental Health of Indian Transgender Individuals: A Meta-Ethnography
Aim
Gender, as a social determinant of health, places transgender (TG) individuals at increased risk for mental health issues. This review aimed to explore the mental health challenges faced by Indian transgender individuals and the factors contributing to these challenges through an interpretative synthesis of existing qualitative research.
Methods
A meta-ethnographic approach was used to synthesise qualitative research on the mental health of transgender individuals in India. Ten studies were systematically identified, reviewed and analysed using Noblit and Hare's method (1988) of meta-ethnography.
Results
Four major themes emerged from the synthesis: healthcare barriers, predisposing factors to psychological distress, mental health issues, and coping strategies. Within healthcare barriers, three sub-themes were identified: stigma and discrimination within the healthcare system, limited life resources for accessing services, and healthcare-system barriers. Predisposing factors emerged at micro (individual and familial), meso (community and organisational) and macro (societal and legal) levels, reflecting varied sources of distress. Mental health issues such as anxiety, depression, suicidality and substance use were reported.
Conclusion
Based on these findings, a model is developed to illustrate the interconnected factors affecting the mental health of Indian transgender individuals. The findings have important implications for improving healthcare, policy and mental health practices to better support transgender individuals.
期刊介绍：
Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.
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