Associations Between Transgender Identity, Sleep, Mental Health and Suicidality Among a North American Cohort of College Students

Shelley Hershner, 1 Erica Jansen, 2 Ronald Gavidia, 1 Lisa Matlen, 3 Mary Hoban, 4 Galit Levi Dunietz 1 1Sleep Disorders Center, Department of Neurology, University of Michigan, Ann Arbor, MI, USA; 2Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor, MI,...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Hershner S, Jansen EC, Gavidia R, Matlen L, Hoban M, Dunietz GL
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	transgender college student sleep insomnia mood suicide Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/7516b4a4bb6a4c5a995c2d17408cb8d3
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:7516b4a4bb6a4c5a995c2d17408cb8d3
record_format	dspace
spelling	oai:doaj.org-article:7516b4a4bb6a4c5a995c2d17408cb8d32021-12-02T16:27:45ZAssociations Between Transgender Identity, Sleep, Mental Health and Suicidality Among a North American Cohort of College Students1179-1608https://doaj.org/article/7516b4a4bb6a4c5a995c2d17408cb8d32021-03-01T00:00:00Zhttps://www.dovepress.com/associations-between-transgender-identity-sleep-mental-health-and-suic-peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608Shelley Hershner, 1 Erica Jansen, 2 Ronald Gavidia, 1 Lisa Matlen, 3 Mary Hoban, 4 Galit Levi Dunietz 1 1Sleep Disorders Center, Department of Neurology, University of Michigan, Ann Arbor, MI, USA; 2Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor, MI, USA; 3Department of Pediatrics; Sleep Disorder Center, University of Michigan, Ann Arbor, MI, USA; 4American College Health Association, Research Office, Silver Spring, MD, USACorrespondence: Shelley HershnerSleep Disorders Center, Department of Neurology, University of Michigan, 728 Med Inn 1500 East Medical Center Drive, Ann Arbor, MI, USATel +1 734-936-6295Fax +1 734-936-5377Email shershnr@umich.eduPurpose: The purpose of this study is to examine the associations between transgender identity, sleep, and mental health among a North American cohort of cisgender and transgender college students.Participants and Methods: This cross-sectional study surveyed 221,549 North American college students from the 2016– 2017 American College Health Association-National College Health Assessment II. Bivariate and multivariable analysis examined associations among transgender identity and outcomes of insomnia symptoms, daytime sleepiness, sleep disorder diagnoses and treatments. Mental health outcomes included mood symptoms, suicidal behaviors, anxiety and depression diagnoses and treatments.Results: Transgender identity was reported by 1.6% (n=3471) of United States (US) and 1.7% (n=717) Canadian students, respectively. Mean age was 22.5 ± 6. Transgender college students have an increased prevalence of daytime sleepiness, insomnia symptoms, diagnoses and/or treatment of insomnia and other sleep disorders as compared to cisgender college students. Mental Health symptoms are more prevalent with a 2-fold increase in depression and anxiety and nearly a 4-fold increase in suicide attempts among transgender students. A higher burden of mood symptoms exists among transgender college students in the US in comparison to Canadian students.Conclusion: Transgender college students have an alarmingly high rate of mood, sleep disturbances and sleep diagnoses, and suicidality. Colleges and universities must provide sufficient resources to address the sleep and mental health needs of transgender students. Institutions must adopt gender affirming policies that promote an inclusive environment. Increased allocation of resources and adoption of policies that enhance the physical and mental health of transgender students could improve sleep, mood, and potentially lower the suicide risk among a population that often experiences health inequities.Keywords: transgender, college student, sleep, insomnia, mood, suicideHershner SJansen ECGavidia RMatlen LHoban MDunietz GLDove Medical Pressarticletransgendercollege studentsleepinsomniamoodsuicidePsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 13, Pp 383-398 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	transgender college student sleep insomnia mood suicide Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	transgender college student sleep insomnia mood suicide Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Hershner S Jansen EC Gavidia R Matlen L Hoban M Dunietz GL Associations Between Transgender Identity, Sleep, Mental Health and Suicidality Among a North American Cohort of College Students
description	Shelley Hershner, 1 Erica Jansen, 2 Ronald Gavidia, 1 Lisa Matlen, 3 Mary Hoban, 4 Galit Levi Dunietz 1 1Sleep Disorders Center, Department of Neurology, University of Michigan, Ann Arbor, MI, USA; 2Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor, MI, USA; 3Department of Pediatrics; Sleep Disorder Center, University of Michigan, Ann Arbor, MI, USA; 4American College Health Association, Research Office, Silver Spring, MD, USACorrespondence: Shelley HershnerSleep Disorders Center, Department of Neurology, University of Michigan, 728 Med Inn 1500 East Medical Center Drive, Ann Arbor, MI, USATel +1 734-936-6295Fax +1 734-936-5377Email shershnr@umich.eduPurpose: The purpose of this study is to examine the associations between transgender identity, sleep, and mental health among a North American cohort of cisgender and transgender college students.Participants and Methods: This cross-sectional study surveyed 221,549 North American college students from the 2016– 2017 American College Health Association-National College Health Assessment II. Bivariate and multivariable analysis examined associations among transgender identity and outcomes of insomnia symptoms, daytime sleepiness, sleep disorder diagnoses and treatments. Mental health outcomes included mood symptoms, suicidal behaviors, anxiety and depression diagnoses and treatments.Results: Transgender identity was reported by 1.6% (n=3471) of United States (US) and 1.7% (n=717) Canadian students, respectively. Mean age was 22.5 ± 6. Transgender college students have an increased prevalence of daytime sleepiness, insomnia symptoms, diagnoses and/or treatment of insomnia and other sleep disorders as compared to cisgender college students. Mental Health symptoms are more prevalent with a 2-fold increase in depression and anxiety and nearly a 4-fold increase in suicide attempts among transgender students. A higher burden of mood symptoms exists among transgender college students in the US in comparison to Canadian students.Conclusion: Transgender college students have an alarmingly high rate of mood, sleep disturbances and sleep diagnoses, and suicidality. Colleges and universities must provide sufficient resources to address the sleep and mental health needs of transgender students. Institutions must adopt gender affirming policies that promote an inclusive environment. Increased allocation of resources and adoption of policies that enhance the physical and mental health of transgender students could improve sleep, mood, and potentially lower the suicide risk among a population that often experiences health inequities.Keywords: transgender, college student, sleep, insomnia, mood, suicide
format	article
author	Hershner S Jansen EC Gavidia R Matlen L Hoban M Dunietz GL
author_facet	Hershner S Jansen EC Gavidia R Matlen L Hoban M Dunietz GL
author_sort	Hershner S
title	Associations Between Transgender Identity, Sleep, Mental Health and Suicidality Among a North American Cohort of College Students
title_short	Associations Between Transgender Identity, Sleep, Mental Health and Suicidality Among a North American Cohort of College Students
title_full	Associations Between Transgender Identity, Sleep, Mental Health and Suicidality Among a North American Cohort of College Students
title_fullStr	Associations Between Transgender Identity, Sleep, Mental Health and Suicidality Among a North American Cohort of College Students
title_full_unstemmed	Associations Between Transgender Identity, Sleep, Mental Health and Suicidality Among a North American Cohort of College Students
title_sort	associations between transgender identity, sleep, mental health and suicidality among a north american cohort of college students
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/7516b4a4bb6a4c5a995c2d17408cb8d3
work_keys_str_mv	AT hershners associationsbetweentransgenderidentitysleepmentalhealthandsuicidalityamonganorthamericancohortofcollegestudents AT jansenec associationsbetweentransgenderidentitysleepmentalhealthandsuicidalityamonganorthamericancohortofcollegestudents AT gavidiar associationsbetweentransgenderidentitysleepmentalhealthandsuicidalityamonganorthamericancohortofcollegestudents AT matlenl associationsbetweentransgenderidentitysleepmentalhealthandsuicidalityamonganorthamericancohortofcollegestudents AT hobanm associationsbetweentransgenderidentitysleepmentalhealthandsuicidalityamonganorthamericancohortofcollegestudents AT dunietzgl associationsbetweentransgenderidentitysleepmentalhealthandsuicidalityamonganorthamericancohortofcollegestudents
_version_	1718383997674848256

Associations Between Transgender Identity, Sleep, Mental Health and Suicidality Among a North American Cohort of College Students

Ejemplares similares