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
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