JAMA子刊：美国9至10岁跨性别儿童心理健康问题的患病率

2022-07-31 liangying MedSci原创

在9到10岁之间，跨性别儿童已经表现出比顺性别儿童更容易出现心理健康问题，这对公共健康有重要影响。

对跨性别者和性别多样化年轻人（此后统称为跨性别者）心理健康的研究表明，他们的抑郁、焦虑和其他心理健康问题的程度令人担忧。此类研究大多集中于在性别专科诊所就诊或通过社区便利抽样招募的变性年轻人，虽然这类研究对理解变性年轻人的心理健康做出了重要贡献，但它们存在严重的局限性和潜在的偏见。

临床样本可能会错误估计心理健康问题的患病率和严重程度，而便利抽样样本可能会出现选择偏差。这两种情况导致很难将研究结果推广到普通人群。为了解决这些缺点，需要使用具有代表性的跨性别年轻人社区样本进行研究。

这项队列研究比较了9至10岁跨性别儿童的心理健康结果，他们在青少年大脑认知发展研究中完成了基线评估。研究者评估了6个面向精神障碍诊断、统计手册第五版（DSM-5）的子量表（抑郁/焦虑/躯体/注意力缺陷/多动障碍/对立违抗/行为问题）和自杀的标准化T分数。数据分析于2022年3月进行。本研究遵循《加强流行病学观察研究报告》（STROBE）报告指南。

这项分析最后纳入7169名儿童，参与者的平均（SD）年龄为10.03（0.62）岁。变性儿童占调查对象的0.8%（加权），所有6个分量表的平均T分数都较高，尽管这些都在参考范围内，并且每个案例的标准化平均差很小。所有6个分量表中变性儿童的优势比都有所增加，尽管注意力缺陷/多动障碍和对立违抗问题的结果在统计上并不显著。

跨性别者与顺性别者按DSM-5分量表及CBCL自杀倾向问题的比较

总之，本研究结果表明，在9到10岁之间，跨性别儿童已经表现出比顺性别儿童更容易出现心理健康问题，这对公共健康有重要影响。这些心理问题是由于耻辱、少数族裔压力、歧视还是性别焦虑目前尚不清楚，但向这一弱势群体提供适当的心理健康支持至关重要。

参考文献：Russell DH, Hoq M, Coghill D, Pang KC. Prevalence of Mental Health Problems in Transgender Children Aged 9 to 10 Years in the US, 2018. JAMA Netw Open. 2022;5(7):e2223389. doi:10.1001/jamanetworkopen.2022.23389

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2023-03-28 lidong40

#心理健康问题#

44 0
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2022-07-28 xinmeili

#患病率#

0 0
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2022-07-28 xzw119

#健康问题#

55 0
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2022-07-26 肿瘤克星

JAMA上文章都是顶级的，谢谢梅斯及时上新

39 0

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