Mental Health Disparities Within the LGBT Population: A Comparison Between Transgender and Nontransgender Individuals

Su, Dejun; Irwin, Jay A.; Fisher, Christopher; Ramos, Athena K.; Kelley, Megan; Mendoza, Diana Ariss Rogel; Coleman, Jason D.

doi:10.1089/trgh.2015.0001

Cited by 225 publications

(155 citation statements)

References 34 publications

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“…These findings, while striking, align with what has been reported in much of the previous literature on transgender patients. 2,[36][37][38][39] In addition, we observed disparities among older TMBs, who were entitled to Medicare based on age. Although rates of chronic conditions in this group were high for both TMBs and CMBs, many chronic conditions that typically occur or worsen in older ages were observed to be even more common among TMBs.…”

Section: Trans Medicare Beneficiaries and Chronic Conditions 407 Discusmentioning

confidence: 83%

Transgender Medicare Beneficiaries and Chronic Conditions: Exploring Fee-for-Service Claims Data

et al. 2017

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Purpose: Data on the health and well-being of the transgender population are limited. However, using claims data we can identify transgender Medicare beneficiaries (TMBs) with high confidence. We seek to describe the TMB population and provide comparisons of chronic disease burden between TMBs and cisgender Medicare beneficiaries (CMBs), thus laying a foundation for national level TMB health disparity research. Methods: Using a previously validated claims algorithm based on ICD-9-CM codes relating to transsexualism and gender identity disorder, we identified a cohort of TMBs using Medicare Fee-for-Service (FFS) claims data. We then describe the demographic characteristics and chronic disease burden of TMBs (N = 7454) and CMBs (N = 39,136,229). Results: Compared to CMBs, a greater observed proportion of TMBs are young (under age 65) and Black, although these differences vary by entitlement. Regardless of entitlement, TMBs have more chronic conditions than CMBs, and more TMBs have been diagnosed with asthma, autism spectrum disorder, chronic obstructive pulmonary disease, depression, hepatitis, HIV, schizophrenia, and substance use disorders. TMBs also have higher observed rates of potentially disabling mental health and neurological/chronic pain conditions, as well as obesity and other liver conditions (nonhepatitis), compared to CMBs. Conclusion: This is the first systematic look at chronic disease burden in the transgender population using Medicare FFS claims data. We found that TMBs experience multiple chronic conditions at higher rates than CMBs, regardless of Medicare entitlement. TMBs under age 65 show an already heavy chronic disease burden which will only be exacerbated with age.

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Section: Trans Medicare Beneficiaries and Chronic Conditions 407 Discusmentioning

confidence: 83%

Transgender Medicare Beneficiaries and Chronic Conditions: Exploring Fee-for-Service Claims Data

et al. 2017

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“…In the United States and other Western countries, lesbian, gay, bisexual, and transgender (LGBT) individuals have also been identified as a sociodemographic population at elevated risk for depression (WHO, 2018;King et al, 2008;Meyer, 2003). For example, lifetime prevalence rates of depression among LGBT individuals tend to be two to four times higher than their heterosexual and cisgender counterparts (King et al, 2008;Su et al, 2016;Reisner et al, 2015). Understanding the causes and consequences of depression in Thai populations is an important public health priority for the Thai Ministry of Health (The Excellence Center for Depression Disorder, 2019).…”

Section: Introductionmentioning

confidence: 99%

The Influence of Minority Stress on Level of Depression among Thai LGBT Adults

Kittiteerasack

Steffen

Matthews

2020

Jurnal Keperawatan Indonesia

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In the US, lesbian, gay, bisexual, and transgender (LGBT) individuals report higher rates of depression compared with heterosexual and cisgender persons. To date, little is known about the mental health of LGBT adults in Thailand. Here, we examined rates and correlates of depression among a volunteer sample of Thai LGBTs. Data were collected as part of a larger cross-sectional survey study. Standardized measures of sexual orientation and gender identity, stress, coping style, and minority stressors were completed. Of the 411 participants, 40.3% met the criteria for depression. In multivariate analyses, the combined influences of sociodemographic factors, general stress, coping strategies, and minority-specific stress variables explained 47.2% of the variance in depression scores (F[16,367]= 20.48, p<.001). Correlates of depression included coping strategies and minority-specific stressors, including experiences of victimization, discrimination, and level of identity concealment. Study findings have implications for psychiatric nursing practice and the development of intervention research. Abstrak Di AS, individu lesbian, gay, biseksual, dan transgender (LGBT) melaporkan tingkat depresi yang lebih tinggi dibandingkan dengan orang heteroseksual dan cisgender. Saat ini, sedikit yang diketahui tentang kesehatan mental pada orang dewasa dengan LGBT di Thailand. Di sini, kami meneliti tingkat dan korelasi depresi di antara sampel sukarelawan LGBT Thailand. Data dikumpulkan sebagai bagian dari studi survei cross-sectional yang lebih besar. Pengukuran terstandar terhadap orientasi seksual dan identitas gender, stres, koping, dan stresor minoritas telah selesai. Dari 411 peserta, 40,3% memenuhi kriteria untuk depresi. Dalam analisis multivariat, pengaruh gabungan faktor sosiodemografi, stres umum, strategi koping, dan variabel stres spesifik-minoritas menjelaskan 47,2% dari varians dalam skor depresi (F [16,367]= 20,48, p< 0,001). Korelasi depresi termasuk strategi koping dan stres spesifik-minoritas, termasuk pengalaman viktimisasi, diskriminasi, dan tingkat penyembunyian identitas. Temuan penelitian memiliki implikasi untuk praktik keperawatan psikiatris dan pengembangan penelitian intervensi. Kata kunci: depresi, LGBT, minoritas seksual dan gender; stres minoritas, Thailand

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“…Se ha encontrado una mayor prevalencia de síntomas depresivos e intentos de suicidio en población trans que en población cisgénero (Su et al, 2016). Lo anterior podría explicar la aparición del factor AFN con ítems con carga negativa de REP en esta muestra.…”

Section: Discussionunclassified

Estudio de validación del Cuestionario de Afrontamiento del Estrés en personas trans de México

Berumen

Rubia²,

Ibarra-González³

et al. 2018

RPPC

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Abstract. The Coping Strategies Questionnaire (CAE) is one of the most used instruments to evaluate coping strategies and styles in diverse populations; however, there is no evidence of its application in trans people, although this population is often discriminated, stigmatized, and presents social, occupational and health vulnerabilities. Therefor, the present study aimed to test factor structure of the CAE, prove internal consistency and convergent and discriminant validity of its factors, and describe the average profile of coping among trans people from Mexico. The sample consisted of 100 trans men and trans women, with ages ranging from 16 to 52 years, from different states of Mexico. The results showed that the CAE presents a factor structure different from that reported in other populations, with six first-order factors that show internal consistency and convergent and discriminant validity. The positive reappraisal factor was not defined, but was partially associated with the negative self-focusing factor. It is concluded that the CAE among trans people presents six first-order factors, with three higher-order underlying factors: negative emotional coping, social support and avoidant coping/religiosity. Keywords:Coping; stress; factor structure; transsexual.Resumen. El Cuestionario de Afrontamiento del Estrés (CAE) es uno de los instrumentos más usados para evaluar estrategias y estilos de afrontamiento; sin embargo, no se cuenta con evidencia sobre su aplicación en población trans, cuando ésta es objeto frecuente de discriminación, estigmatización y presenta diversas vulnerabilidades sociales, laborales y sanitarias. Así, este estudio tuvo como objetivos contrastar la estructura factorial del CAE, probar la consistencia interna y validez convergente y discriminante de sus factores, y describir el perfil promedio del afrontamiento en personas trans de México. La muestra se conformó por 100 hombres trans y mujeres trans con un rango de edad de 16 a 52 años de distintos estados de México. Los resultados mostraron que el CAE presenta una estructura factorial distinta a la reportada en otras poblaciones, con seis factores de primer orden que muestran consistencia interna y validez convergente y discriminante. El factor de reevaluación positiva no se definió, sino que parcialmente se asoció al de autofocalización negativa. Se concluye que el CAE en las personas trans presenta seis factores de primer orden a los que subyacen tres factores de orden superior: afrontamiento emocional negativo, apoyo social y afrontamiento evitativo/religiosidad.

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Mental Health Disparities Within the LGBT Population: A Comparison Between Transgender and Nontransgender Individuals

Cited by 225 publications

References 34 publications

Transgender Medicare Beneficiaries and Chronic Conditions: Exploring Fee-for-Service Claims Data

Transgender Medicare Beneficiaries and Chronic Conditions: Exploring Fee-for-Service Claims Data

The Influence of Minority Stress on Level of Depression among Thai LGBT Adults

Estudio de validación del Cuestionario de Afrontamiento del Estrés en personas trans de México

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