Experiences of violence and mental health outcomes among Asian American transgender adults in the United States.

<h4>Purpose</h4>We addressed prevalence and factors associated with mental health outcomes (suicidal behavior and psychological distress) among Asian Americans (AA), who identify as transgender, a key group among sexual and gender minorities that is overlooked and understudied.<h4>...

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Auteurs principaux:	Monideepa B Becerra, Erik J Rodriquez, Robert M Avina, Benjamin J Becerra
Format:	article
Langue:	EN
Publié:	Public Library of Science (PLoS) 2021
Sujets:	Medicine R Science Q
Accès en ligne:	https://doaj.org/article/59ff3f2679ec4e139f5e5ba17154c76b
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spelling	oai:doaj.org-article:59ff3f2679ec4e139f5e5ba17154c76b2021-11-25T06:23:47ZExperiences of violence and mental health outcomes among Asian American transgender adults in the United States.1932-620310.1371/journal.pone.0247812https://doaj.org/article/59ff3f2679ec4e139f5e5ba17154c76b2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0247812https://doaj.org/toc/1932-6203<h4>Purpose</h4>We addressed prevalence and factors associated with mental health outcomes (suicidal behavior and psychological distress) among Asian Americans (AA), who identify as transgender, a key group among sexual and gender minorities that is overlooked and understudied.<h4>Methods</h4>We used data from 2015 United States Transgender Survey during 2019-2020 with our population as census defined AA. Outcomes included suicidal ideation, suicidal thoughts, and serious psychological distress (SPD). Independent variables included any abuse, partner abuse, bathroom-related abuse, and additional covariates. Adjusted odds ratio and 95% confidence interval (aOR; 95% CI) for each outcome are adjusted for age, marital status, citizenship status, education level, employment status, as well as poverty status.<h4>Results</h4>Nearly 67% reported experiencing any abuse, 52% reported abuse from romantic/sexual partner(s), while 29% reported harassment/abuse when trying to use bathrooms. Moreover, 82% reported suicidal thoughts, 40% reported suicidal attempts, and 39% had SPD. Results demonstrated that any abuse/violence had higher odds of suicidal thoughts (adjusted odds ratio [aOR] = 2.67, 95% confidence interval (CI):[1.98-3.58], suicidal attempts (aOR = 2.83, 95% CI:[2.18-3.68]), and SPD (aOR = 1.56, 95% CI:[1.20, 2.04]). Abuse from romantic/sexual partners had higher odds of suicidal thoughts (aOR = 2.47, 95% CI:[1.76-3.47]), suicidal attempts (aOR = 2.17, 95% CI:[1.68-2.80]), and SPD (aOR = 2.72, 95% CI:[2.03-3.63]). Experience of harassment/abuse during bathroom use had increased odds of suicidal attempts (aOR = 1.81, 95% CI:[1.41-2.31]).<h4>Conclusion</h4>Exposure to violence is common among AA transgender individuals and related to negative mental health outcomes. Initiatives to reduce exposure to abuse and providing resources for trauma-informed care are imperative to improve health outcomes.Monideepa B BecerraErik J RodriquezRobert M AvinaBenjamin J BecerraPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 3, p e0247812 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Monideepa B Becerra Erik J Rodriquez Robert M Avina Benjamin J Becerra Experiences of violence and mental health outcomes among Asian American transgender adults in the United States.
description	<h4>Purpose</h4>We addressed prevalence and factors associated with mental health outcomes (suicidal behavior and psychological distress) among Asian Americans (AA), who identify as transgender, a key group among sexual and gender minorities that is overlooked and understudied.<h4>Methods</h4>We used data from 2015 United States Transgender Survey during 2019-2020 with our population as census defined AA. Outcomes included suicidal ideation, suicidal thoughts, and serious psychological distress (SPD). Independent variables included any abuse, partner abuse, bathroom-related abuse, and additional covariates. Adjusted odds ratio and 95% confidence interval (aOR; 95% CI) for each outcome are adjusted for age, marital status, citizenship status, education level, employment status, as well as poverty status.<h4>Results</h4>Nearly 67% reported experiencing any abuse, 52% reported abuse from romantic/sexual partner(s), while 29% reported harassment/abuse when trying to use bathrooms. Moreover, 82% reported suicidal thoughts, 40% reported suicidal attempts, and 39% had SPD. Results demonstrated that any abuse/violence had higher odds of suicidal thoughts (adjusted odds ratio [aOR] = 2.67, 95% confidence interval (CI):[1.98-3.58], suicidal attempts (aOR = 2.83, 95% CI:[2.18-3.68]), and SPD (aOR = 1.56, 95% CI:[1.20, 2.04]). Abuse from romantic/sexual partners had higher odds of suicidal thoughts (aOR = 2.47, 95% CI:[1.76-3.47]), suicidal attempts (aOR = 2.17, 95% CI:[1.68-2.80]), and SPD (aOR = 2.72, 95% CI:[2.03-3.63]). Experience of harassment/abuse during bathroom use had increased odds of suicidal attempts (aOR = 1.81, 95% CI:[1.41-2.31]).<h4>Conclusion</h4>Exposure to violence is common among AA transgender individuals and related to negative mental health outcomes. Initiatives to reduce exposure to abuse and providing resources for trauma-informed care are imperative to improve health outcomes.
format	article
author	Monideepa B Becerra Erik J Rodriquez Robert M Avina Benjamin J Becerra
author_facet	Monideepa B Becerra Erik J Rodriquez Robert M Avina Benjamin J Becerra
author_sort	Monideepa B Becerra
title	Experiences of violence and mental health outcomes among Asian American transgender adults in the United States.
title_short	Experiences of violence and mental health outcomes among Asian American transgender adults in the United States.
title_full	Experiences of violence and mental health outcomes among Asian American transgender adults in the United States.
title_fullStr	Experiences of violence and mental health outcomes among Asian American transgender adults in the United States.
title_full_unstemmed	Experiences of violence and mental health outcomes among Asian American transgender adults in the United States.
title_sort	experiences of violence and mental health outcomes among asian american transgender adults in the united states.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/59ff3f2679ec4e139f5e5ba17154c76b
work_keys_str_mv	AT monideepabbecerra experiencesofviolenceandmentalhealthoutcomesamongasianamericantransgenderadultsintheunitedstates AT erikjrodriquez experiencesofviolenceandmentalhealthoutcomesamongasianamericantransgenderadultsintheunitedstates AT robertmavina experiencesofviolenceandmentalhealthoutcomesamongasianamericantransgenderadultsintheunitedstates AT benjaminjbecerra experiencesofviolenceandmentalhealthoutcomesamongasianamericantransgenderadultsintheunitedstates
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Experiences of violence and mental health outcomes among Asian American transgender adults in the United States.

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