The factors influencing the psychological distress of transgender women in Shandong, China: a cross-sectional study
Abstract Background As a group at high-risk for acquired immune deficiency syndrome (AIDS) infection, the psychological distress of transgender women cannot be ignored while preventing and controlling AIDS risks. Transgender women are a vulnerable group, and their psychological distress deserves att...
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| Format: | Article |
| Language: | English |
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BMC
2022-05-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-022-13357-9 |
| _version_ | 1828796297388228608 |
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| author | Meng Sun Haoqiang Ji Xu Chen Jia Xu Jiachen Lu Yaohui Yi Yuanping Pan Ruiheng Wu Yunting Chen Yuxin Duan Xiaofeng Dou Ling Zhou |
| author_facet | Meng Sun Haoqiang Ji Xu Chen Jia Xu Jiachen Lu Yaohui Yi Yuanping Pan Ruiheng Wu Yunting Chen Yuxin Duan Xiaofeng Dou Ling Zhou |
| author_sort | Meng Sun |
| collection | DOAJ |
| description | Abstract Background As a group at high-risk for acquired immune deficiency syndrome (AIDS) infection, the psychological distress of transgender women cannot be ignored while preventing and controlling AIDS risks. Transgender women are a vulnerable group, and their psychological distress deserves attention. The purpose of this study was to evaluate the psychological distress of transgender women and further determine the influences of factors on the psychological distress of transgender women. Methods From March 2021 to August 2021, a cross-sectional survey was conducted in Shandong province, China. Data were collected by a questionnaire designed for transgender women, and the GHQ-12 scale was used to measure their psychological distress. The questionnaire combined sociodemographic characteristics, HIV/AIDS cognition, related behaviors, substance abuse, social support, gender identity and other factors. Univariate logistic regression and multivariate logistic regression models were used to explore the psychological factors of transgender women. Results In this study, the rate of transgender women with psychological distress was 20.08%. Earned monthly income between 10,000–15,000 yuan (OR:0.16, 95% CI:0.06–0.45) and a monthly income greater than 15,000 yuan (OR:0.07, 95% CI:0.01–0.43) were protective factors in the psychology of transgender women. Transgender women who never disclosed sexual orientation and identity (OR: 0.19, 95% CI: 0.06–0.58), who only disclosed their sexual orientation and identity to families or friends (OR: 0.41, 95% CI: 0.18–0.93) were also less likely to have psychological distress. Additionally, transgender women who did not desire to be identified with their sexual orientation and identity (OR: 3.31, 95%CI: 1.08–10.16) and who reported that the Internet did not play an essential role in helping determine sexual orientation (OR: 5.96, 95% CI: 2.91–12.20) were more likely to have psychological distress. Conclusion Transgender women were at risk of psychological distress. Earning more money can help transgender women's psychological health. When formulating measures for transgender women, we should pay attention to enhance social inclusion and social acceptance of their gender identity and sexual orientation. Strengthening the role of the internet in transgender women's confirmation of sexual orientation and improving the social acceptance of transgender women will have a positive impact on the psychological status of transgender women. |
| first_indexed | 2024-12-12T04:20:08Z |
| format | Article |
| id | doaj.art-8119995a0b90487eb1832888e3a3f90e |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-12T04:20:08Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-8119995a0b90487eb1832888e3a3f90e2022-12-22T00:38:21ZengBMCBMC Public Health1471-24582022-05-0122111210.1186/s12889-022-13357-9The factors influencing the psychological distress of transgender women in Shandong, China: a cross-sectional studyMeng Sun0Haoqiang Ji1Xu Chen2Jia Xu3Jiachen Lu4Yaohui Yi5Yuanping Pan6Ruiheng Wu7Yunting Chen8Yuxin Duan9Xiaofeng Dou10Ling Zhou11School of Public Health, Dalian Medical UniversitySchool of Public Health, Dalian Medical UniversitySchool of Public Health, Dalian Medical UniversitySchool of Public Health, Dalian Medical UniversitySchool of Public Health, Dalian Medical UniversitySchool of Public Health, Dalian Medical UniversitySchool of Public Health, Dalian Medical UniversitySchool of Public Health, Dalian Medical UniversitySchool of Public Health, Dalian Medical UniversitySchool of Public Health, Dalian Medical UniversitySchool of Public Health, Dalian Medical UniversitySchool of Public Health, Dalian Medical UniversityAbstract Background As a group at high-risk for acquired immune deficiency syndrome (AIDS) infection, the psychological distress of transgender women cannot be ignored while preventing and controlling AIDS risks. Transgender women are a vulnerable group, and their psychological distress deserves attention. The purpose of this study was to evaluate the psychological distress of transgender women and further determine the influences of factors on the psychological distress of transgender women. Methods From March 2021 to August 2021, a cross-sectional survey was conducted in Shandong province, China. Data were collected by a questionnaire designed for transgender women, and the GHQ-12 scale was used to measure their psychological distress. The questionnaire combined sociodemographic characteristics, HIV/AIDS cognition, related behaviors, substance abuse, social support, gender identity and other factors. Univariate logistic regression and multivariate logistic regression models were used to explore the psychological factors of transgender women. Results In this study, the rate of transgender women with psychological distress was 20.08%. Earned monthly income between 10,000–15,000 yuan (OR:0.16, 95% CI:0.06–0.45) and a monthly income greater than 15,000 yuan (OR:0.07, 95% CI:0.01–0.43) were protective factors in the psychology of transgender women. Transgender women who never disclosed sexual orientation and identity (OR: 0.19, 95% CI: 0.06–0.58), who only disclosed their sexual orientation and identity to families or friends (OR: 0.41, 95% CI: 0.18–0.93) were also less likely to have psychological distress. Additionally, transgender women who did not desire to be identified with their sexual orientation and identity (OR: 3.31, 95%CI: 1.08–10.16) and who reported that the Internet did not play an essential role in helping determine sexual orientation (OR: 5.96, 95% CI: 2.91–12.20) were more likely to have psychological distress. Conclusion Transgender women were at risk of psychological distress. Earning more money can help transgender women's psychological health. When formulating measures for transgender women, we should pay attention to enhance social inclusion and social acceptance of their gender identity and sexual orientation. Strengthening the role of the internet in transgender women's confirmation of sexual orientation and improving the social acceptance of transgender women will have a positive impact on the psychological status of transgender women.https://doi.org/10.1186/s12889-022-13357-9Transgender womenGHQ-12Psychological distressAssociated factorsChina |
| spellingShingle | Meng Sun Haoqiang Ji Xu Chen Jia Xu Jiachen Lu Yaohui Yi Yuanping Pan Ruiheng Wu Yunting Chen Yuxin Duan Xiaofeng Dou Ling Zhou The factors influencing the psychological distress of transgender women in Shandong, China: a cross-sectional study BMC Public Health Transgender women GHQ-12 Psychological distress Associated factors China |
| title | The factors influencing the psychological distress of transgender women in Shandong, China: a cross-sectional study |
| title_full | The factors influencing the psychological distress of transgender women in Shandong, China: a cross-sectional study |
| title_fullStr | The factors influencing the psychological distress of transgender women in Shandong, China: a cross-sectional study |
| title_full_unstemmed | The factors influencing the psychological distress of transgender women in Shandong, China: a cross-sectional study |
| title_short | The factors influencing the psychological distress of transgender women in Shandong, China: a cross-sectional study |
| title_sort | factors influencing the psychological distress of transgender women in shandong china a cross sectional study |
| topic | Transgender women GHQ-12 Psychological distress Associated factors China |
| url | https://doi.org/10.1186/s12889-022-13357-9 |
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