ABSTRACT

Few studies exist that examine within-group differences of the transgender population. This paper aims to assess differences in sociodemographic characteristics and health-related quality of life (HRQoL) among transgender men (TM), transgender women (TW), and transgender gender nonconforming (TGNC) individuals in the United States. Data were pooled from the 2014–2017 Behavioral Risk Factor Surveillance System. Chi-square tests and weighted multivariable logistic regression models investigated differences in HRQoL by gender identity and separately identified predictors of HRQoL in these groups. Overall, TGNC individuals self-reported worse general health than TW or TM. TW and TGNC individuals who also identified as lesbian, gay, or bisexual (LGB) had higher odds of reporting frequent mental distress compared to their heterosexual counterparts. Race/ethnicity, education, and employment also emerged as predictors of HRQoL. Findings support the need to disaggregate these subpopulations of transgender individuals to address the unique needs of each subgroup.

摘要

很少有研究检查跨性别人群的组内差异。本文旨在评估美国跨性别男性 (TM)、跨性别女性 (TW) 和跨性别性别不合格 (TGNC) 个体在社会人口学特征和健康相关生活质量 (HRQoL) 方面的差异。数据来自 2014-2017 年行为风险因素监测系统。卡方检验和加权多变量逻辑回归模型根据性别认同调查 HRQoL 的差异，并分别确定这些组中 HRQoL 的预测因子。总体而言，TGNC 个体自我报告的总体健康状况比 TW 或 TM 差。与异性恋者相比，同时被认定为女同性恋、男同性恋或双性恋 (LGB) 的 TW 和 TGNC 个体报告频繁精神困扰的几率更高。种族/民族、教育和就业也成为 HRQoL 的预测指标。研究结果支持需要分解这些跨性别个体的亚群，以解决每个亚群的独特需求。