Mental Health Outcomes Among Transgender Veterans and Active-Duty Service Members in the United States: A Systematic Review.

Kerry B O'Leary, Marco Marcelli
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Abstract

Background: It has been shown that veterans and active-duty service members may experience worse mental health outcomes compared with civilians and nonveterans. In addition, transgender veterans and service members face unique challenges. We conducted a systematic review of articles presenting data on mental health outcomes in transgender veterans and active-duty service members. Outcomes examined in this review include symptoms of depression, anxiety, and posttraumatic stress disorder, suicidality, substance use, and military sexual trauma.

Observations: In the military, transgender individuals face stigma and discrimination. Transgender veterans and service members have worse mental health outcomes and higher odds of suicidality compared with their cisgender counterparts. Drug and alcohol use disorders are more prevalent among transgender veterans compared with cisgender veterans. Transgender veterans are also more likely to report military sexual trauma than cisgender veterans.

Conclusions: In the literature, evidence exists that transgender veterans and service members experience worse mental health outcomes than their cisgender counterparts. Additional research is required to measure the effect of gender-affirming care on health outcomes among transgender veterans and active-duty service members to better serve this population and provide optimal care.

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美国跨性别退伍军人和现役军人的心理健康结果:一项系统综述
背景:研究表明,与平民和非退伍军人相比,退伍军人和现役军人的心理健康状况可能更差。此外,跨性别退伍军人和服役人员面临着独特的挑战。我们对有关变性退伍军人和现役军人心理健康结果的文章进行了系统回顾。本综述检查的结局包括抑郁、焦虑、创伤后应激障碍、自杀、药物使用和军中性创伤的症状。观察:在军队中,跨性别者面临耻辱和歧视。跨性别退伍军人和服役人员的心理健康状况较差,自杀率高于顺性别退伍军人和服役人员。与顺性退伍军人相比,跨性别退伍军人中药物和酒精使用障碍更为普遍。变性退伍军人也比顺性退伍军人更有可能报告自己在军中遭受过性创伤。结论:在文献中,有证据表明跨性别退伍军人和服役人员的心理健康状况比他们的顺性别同行更差。需要进一步的研究来衡量性别肯定护理对跨性别退伍军人和现役军人健康结果的影响,以更好地为这一人群服务并提供最佳护理。
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