Mental health, minority stress and discrimination against transgender people: a cross-sectional survey in Russia.

Autor: Chumakov EM; Department of Psychiatry and Addiction, St. Petersburg State University, St. Petersburg, Russia.; Day in-Patient Clinic, St. Petersburg Psychiatric Hospital No 1 named after P.P. Kaschenko, St. Petersburg, Russia., Ashenbrenner YV; Day in-Patient Clinic, St. Petersburg Psychiatric Hospital No 1 named after P.P. Kaschenko, St. Petersburg, Russia., Petrova NN; Department of Psychiatry and Addiction, St. Petersburg State University, St. Petersburg, Russia., Ventriglio A; Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy., Azarova LA; Day in-Patient Clinic, St. Petersburg Psychiatric Hospital No 1 named after P.P. Kaschenko, St. Petersburg, Russia., Limankin OV; Day in-Patient Clinic, St. Petersburg Psychiatric Hospital No 1 named after P.P. Kaschenko, St. Petersburg, Russia.; Department of Psychotherapy, Medical Psychology and Sexology, North-Western State Medical University named after I.I. Mechnikov, St. Petersburg, Russia.; Department of Social Psychiatry and Psychology, St. Petersburg Institute of Postgraduate Improvement of Physicians-experts of the Ministry of Labour and Social Protection, St. Petersburg, Russia.
Jazyk: angličtina
Zdroj: International review of psychiatry (Abingdon, England) [Int Rev Psychiatry] 2023 May-Jun; Vol. 35 (3-4), pp. 331-338. Date of Electronic Publication: 2023 Feb 27.
DOI: 10.1080/09540261.2023.2182668
Abstrakt: Mental health needs of transgender people in Russia remain unmet and stigmatised as in many other countries around the globe. The aim of this study was to assess the stressors and perceived need for mental health care among transgender people in Russia. A structured online survey was conducted in November 2019. A total of 588 transgender adults (mean age: 24.0 ± 6.7) was included in the final analysis. An overwhelming majority of respondents (95.1%) reported stress in their lives. Financial burden (73.5%), relationships with relatives (59.4%), and intimate relationships (37.9%) were among the most frequently reported sources of stress. Most of respondents (71.8%) indicated that the psychological distress they perceived interfered with their ability to lead a fulfilling social life. More than half of the respondents (52.4%) had visited a mental health professional prior to their gender transition. Virtually half of them (49%) reported problems related to seeking mental healthcare attributed to stigma. Over one third (37.8%) reported taking non-prescription or off-label medications to improve their well-being or mood. Our study confirmed high rates of psychiatric problems in this vulnerable group and problems in help-seeking. The article also discusses the challenges of providing psychiatric care to transgender people in Russia.
Databáze: MEDLINE
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