Stigma, Mental Health, and Resilience in an Online Sample of the US Transgender Population
Tóm tắt
Objectives. We assessed the association between minority stress, mental health, and potential ameliorating factors in a large, community-based, geographically diverse sample of the US transgender population.
Methods. In 2003, we recruited through the Internet a sample of 1093 male-to-female and female-to-male transgender persons, stratified by gender. Participants completed an online survey that included standardized measures of mental health. Guided by the minority stress model, we evaluated associations between stigma and mental health and tested whether indicators of resilience (family support, peer support, identity pride) moderated these associations.
Results. Respondents had a high prevalence of clinical depression (44.1%), anxiety (33.2%), and somatization (27.5%). Social stigma was positively associated with psychological distress. Peer support (from other transgender people) moderated this relationship. We found few differences by gender identity.
Conclusions. Our findings support the minority stress model. Prevention needs to confront social structures, norms, and attitudes that produce minority stress for gender-variant people; enhance peer support; and improve access to mental health and social services that affirm transgender identity and promote resilience.
Từ khóa
Tài liệu tham khảo
Bockting WO, 1999, SIECUS Rep, 28, 3
Bockting WO, 2005, Transgender Health and HIV Prevention: Needs Assessment Studies From Transgender Communities Across the United States
Kammerer N, 2001, Transgender and HIV: Risks, Prevention, and Care, 39
Brooks VR, 1981, Minority Stress and Lesbian Women
Jones EE, 1984, Social Stigma: The Psychology of Marked Relationships
Minnesota Department of Health, AIDS/STD Prevention Services Section, 1994, Minnesota Comprehensive HIV/STD Prevention Plan 1995–1996
Nemoto T, 2003, Community Psychol, 36, 31
Bockting WO, 1997, Dir Clin Couns Psychol, 7, 1
Bockting WO, 1997, Gender Blending, 48
Bockting WO, 2007, Principles of Transgender Medicine and Surgery, 185
Pfäfflin F, 1992, Geschlechtsumwandlung. Abhandlungen zur transsexualitaet [Sex Reassignment: Treatments for Transsexualism], 149
Miller CT, 2000, The Social Psychology of Stigma, 243
Shade BJ, 1990, Handbook of Mental Health and Mental Disorder Among Black Americans, 273
Nuttbrock L, 2002, Int J Transgenderism, 6, 1
Doorn CD, 1997, Towards a Gender Identity Theory of Transsexualism [dissertation]
Derogatis LR.Brief Symptom Inventory (BSI 18).Minneapolis, MN:National Computer Systems, Pearson Inc;2000.
Kerlinger FN, 1973, Multiple Regression in Behavioral Research
2000, Statistical Abstract of the United States
Dill BT, 2009, Emerging Intersections: Race, Class, and Gender in Theory, Policy, and Practice, 10.36019/9780813546513
Weber L, 2010, Understanding Race, Class, Gender, and Sexuality: A Conceptual Framework, 2
Horvath KJ, J Homosex