Uncertainty and Confusion Regarding Transgender Non-discrimination Policies: Implications for the Mental Health of Transgender Americans,Sexuality Research and Social Policy

当前位置： X-MOL 学术 › Sexuality Research and Social Policy › 论文详情

Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)

Uncertainty and Confusion Regarding Transgender Non-discrimination Policies: Implications for the Mental Health of Transgender Americans
Sexuality Research and Social Policy ( IF 2.484 ) Pub Date : 2021-06-11 , DOI: 10.1007/s13178-021-00602-w
Jaclyn M W Hughto _{1,

2,

3,

4} , David J Meyers _{5,

6} , Matthew J Mimiaga _{4,

7,

8,

9} , Sari L Reisner _{4,

10,

11,

12} , Sean Cahill _{4,

13,

14}

Affiliation

Department of Behavioral and Social Sciences, Brown University School of Public Health, 121 South Main Street, Providence, RI 02903, USA.
Department of Epidemiology, Brown University School of Public Health, 121 South Main Street, Providence, RI 02903, USA.
Center for Health Promotion and Health Equity, Brown University, Providence, RI, USA.
The Fenway Institute, Fenway Health, Boston, MA, USA.
Center for Gerontology and Health Services, Brown University School of Public Health, Providence, RI, USA.
Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI, USA.
UCLA Center for LGBTQ Advocacy, and Health (C-LARAH), ResearchLos Angeles, CA, USA.
Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
Department of Psychiatry & Biobehavioral Sciences, UCLA David Geffen School of Medicine, Los Angeles, CA, USA.
Department of General Medicine, Harvard Medical School, Boston, MA, USA.
Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Division of Endocrinology, Diabetes and Hypertension, Brigham and Women's Hospital, Boston, MA, USA.
Bouve College of Health Sciences, Northeastern University, Boston, MA, USA.
Department of Health Law, Policy and Management, Boston University School of Public Health, MA, Boston, USA.

Introduction

Recent policies have restricted the rights of the US transgender people; there is a need to explore transgender people’s knowledge and attitudes regarding such policies and related mental health.

Methods

In 2019, 580 transgender adults living in the Northeastern US completed a survey assessing demographics, knowledge/attitudes toward transgender-related policies, and mental health. Multivariable logistic regression models, adjusted for age, gender, race, and prior abuse, were fit to examine the association of concerns about the implementation of discriminatory policies and depression, anxiety, and post-traumatic stress disorder (PTSD).

Results

Many participants were confused about the status of federal and state protections for transgender people, and 48.4% were concerned that their state would pass policies that took away transgender rights. In adjusted models, compared to participants who were not concerned, those who were concerned about the enactment of state-level, anti-transgender policies had greater odds of depression, anxiety, and PTSD (p < 0.05).

Conclusions

Our findings highlight the uncertainty around changing policies and potential mental health implications as well as the need to ensure legal protections for transgender Americans.

Policy Implications

There are several pending lawsuits seeking to overturn Trump-era policies that restrict the rights of transgender individuals. At the same time, lawmakers in several states are pushing anti-transgender legislation. Findings from this study can be cited as part of future and ongoing legal and legislative efforts from advocates seeking to ensure equal protections for transgender people under state and federal law.

中文翻译：