The Health and Well-Being of Transgender Australians: A National Community Survey
Autor: | Emily Thrower, Jeffrey D Zajac, Mathis Grossmann, Ada S Cheung, Sav Zwickl, Daria Chetcuti, Ingrid Bretherton, Alex Fang Qi Wong |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Gender dysphoria
Adult Male medicine.medical_specialty Adolescent Urology gender-affirming endocrine care Dermatology gender dysphoria Verbal abuse Transgender Persons 03 medical and health sciences barriers to care Young Adult 0302 clinical medicine Surveys and Questionnaires Health care Transgender medicine Humans 030212 general & internal medicine Depression (differential diagnoses) Aged 030505 public health business.industry Mental Disorders Public Health Environmental and Occupational Health Australia Obstetrics and Gynecology Original Articles Health Status Disparities Middle Aged medicine.disease Mental health transgender Health equity Psychiatry and Mental health Snowball sampling Cross-Sectional Studies Family medicine Female 0305 other medical science business Psychology gender-affirming surgical care |
Zdroj: | LGBT Health |
ISSN: | 2325-8306 2325-8292 |
Popis: | Purpose: Transgender, including gender diverse and nonbinary (trans), people experience significant health disparities. We aimed to better understand the health status and needs of Australian trans people to guide resources and health and well-being programs. Methods: This anonymous, cross-sectional online survey utilized nonprobability snowball sampling of Australian adults (18 years and over) who self-identified as trans between September 2017 and January 2018. This descriptive study assessed demographic data, community views on access to health care, health burden, access to health resources, and priorities for government funding in transgender health. Results: Of 928 participants, 37% reported female, 36% reported male, and 27% reported nonbinary gender identities. Despite 47% having tertiary qualifications, the unemployment rate was 19%, with 33% reporting discrimination in employment due to being trans. Discrimination in accessing health care was reported by 26% and verbal abuse and physical assault were reported by 63% and 22%, respectively. Lifetime diagnosis of depression was reported by 73% and anxiety by 67%. Sixty-three percent reported previous self-harm and 43% had attempted suicide. Autism spectrum disorder and attention-deficit/hyperactivity disorder were reported by 15% and 11%, respectively. The most preferred method of receiving health information was through online resources, with the most popular source being Reddit, an online peer discussion board. Better training for doctors in trans health issues was the top priority for government funding. Conclusions: Barriers, including widespread discrimination and unemployment, contribute to health inequity and prevalent mental health conditions. Better training for health professionals in the provision of safe, gender-affirming and general health care for trans people is urgently required. |
Databáze: | OpenAIRE |
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