中国大陆、香港和台湾双性恋者的性身份发展、精神疾病风险和保护因素》(Sexual Identity Development, Psychiatric Risk, and Protective Factors Among Bisexual People in Mainland China, Hong Kong, and Taiwan)。

IF 3.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH LGBT health Pub Date : 2024-08-13 DOI:10.1089/lgbt.2023.0428
Chongzheng Wei, Tania Israel, Shufang Sun
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引用次数: 0

摘要

目的:本研究旨在通过研究个人、家庭和社区层面的生态学因素,揭示中国大陆、香港和台湾地区双性恋者的性身份发展,并调查其精神疾病风险。调查方法2021 年 6 月至 8 月,我们通过互联网对 685 名受访者进行了调查,受访者主要是通过女同性恋、男同性恋、双性恋、跨性别者和同性恋社区组织和专业网络联系到的。受访者报告了他们的人口统计学特征、身份里程碑和精神症状。研究结果在双性恋身份里程碑方面,观察到了显著的出生队列和地区差异。年龄较大、跨性别和/或非二元身份、居住在台湾的受访者披露其性身份的情况更多。所有受访者都报告了临床上较严重的抑郁和焦虑症状,其中大多数人有中度严重抑郁(60%)和中度或严重焦虑(80%)。大约一半的受访者在过去一年里曾有过自杀的念头。与顺性别女性相比,在出生时就被认定为跨性别和非二元性别女性的受访者在过去一年中抑郁情绪明显增加,自杀念头出现的几率也更高。自尊心的增强与幸福感的提高和精神症状的减少有关。经历家庭耻辱与焦虑和抑郁增加有关。在社区层面,与中国大陆相比,生活在香港的人抑郁和自杀倾向较低。男女同性恋、双性恋和变性者群体的存在与心理健康的改善相关。结论中国双性恋者面临着抑郁、焦虑和自杀倾向的巨大风险,其影响因素包括自尊、变性和非二元性别认同、家庭动态和社区环境。在双性恋身份发展方面存在着显著的出生队列和地区差异。
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Sexual Identity Development, Psychiatric Risk, and Protective Factors Among Bisexual People in Mainland China, Hong Kong, and Taiwan.

Purpose: This study aimed to uncover sexual identity development and investigate the psychiatric risks for bisexual people across mainland China, Hong Kong, and Taiwan by examining ecologically informed factors at the individual, family, and community levels. Methods: An internet-based survey was administered to 685 respondents, from June to August 2021, reached primarily through lesbian, gay, bisexual, transgender, and queer community organizations and professional networks. Participants reported their demographics, identity milestones, and psychiatric symptoms. Results: Significant birth cohort and regional differences were observed regarding bisexual identity milestones. Individuals who were older, transgender and/or nonbinary, and based in Taiwan disclosed their sexual identity more. All respondents reported clinically elevated depression and anxiety symptoms, with a majority experiencing moderately severe depression (60%) and moderate or severe anxiety (80%). Approximately half of respondents contemplated suicide in the past year. Compared with cisgender women, identifying as transgender and nonbinary assigned female at birth was significantly associated with increased depression and higher odds of suicidal ideation in the past year. Enhanced self-esteem was associated with greater well-being and decreased psychiatric symptoms. Experiencing family shame was associated with increased anxiety and depression. At the community level, living in Hong Kong was linked to lower depression and suicidal ideation compared to mainland China. The presence of an LGBT group correlated with improved psychological well-being. Conclusions: Chinese bisexual people face substantial risks for depression, anxiety, and suicidal ideation, influenced by factors including self-esteem, transgender and nonbinary gender identity, family dynamics, and community context. Significant birth cohort and regional differences in bisexual identity development exist.

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来源期刊
LGBT health
LGBT health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -
CiteScore
6.60
自引率
6.20%
发文量
80
期刊介绍: LGBT Health is the premier peer-reviewed journal dedicated to promoting optimal healthcare for millions of sexual and gender minority persons worldwide by focusing specifically on health while maintaining sufficient breadth to encompass the full range of relevant biopsychosocial and health policy issues. This Journal aims to promote greater awareness of the health concerns particular to each sexual minority population, and to improve availability and delivery of culturally appropriate healthcare services. LGBT Health also encourages further research and increased funding in this critical but currently underserved domain. The Journal provides a much-needed authoritative source and international forum in all areas pertinent to LGBT health and healthcare services. Contributions from all continents are solicited including Asia and Africa which are currently underrepresented in sex research.
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