目的:探讨与白人变性人(变性人WY)和种族和种族变性人(顺式REMY)同行相比的种族和种族变性人(顺式REMY)的缺勤情况,并确定相关的社会心理因素。
方法:2017-2019年两年一次的加州健康儿童调查数据采用加州中学人口的加权样本进行分析。学生报告说,由于心理健康和骚扰,过去30天缺席,抑郁症状,自杀意念,网络欺凌,受害,和学校联系。泊松和线性回归比较了同龄人之间的旷工和心理社会因素。对于transREMY,泊松回归评估了旷工与社会心理因素之间的关联。分析根据等级进行了调整,性别,和社会经济地位。
结果:分析样品(n=25,085)包括206transREMY,64反式WY,和24,815顺式雷米。与顺式REMY相比,由于精神健康问题和骚扰,TransREMY的缺勤相对风险较高(调整后相对风险2.9,95%置信区间2.1-4.0和调整后相对风险8.1,95%置信区间4.0-16.6),但与TransWY相比,风险相似。对于transREMY,抑郁症状,自杀意念,由于心理健康问题,受害与较高的缺勤风险相关。网络欺凌与骚扰导致的缺勤风险较高有关。由于心理健康问题,高中联系与缺勤风险较低相关。
结论:TransREMY报告,与一些同龄人相比,由于心理健康问题和骚扰,缺勤率更高。心理健康症状,受害,网络欺凌,跨性别REMY中的学校联系与缺勤有关。
OBJECTIVE: To explore
absenteeism among racially and ethnically minoritized transgender youth (trans REMY) compared to their White transgender (trans WY) and racially and ethnically minoritized cisgender (cis REMY) peers and identify associated psychosocial factors.
METHODS: Biennial California Healthy Kids Survey 2017-2019 data was analyzed with a weighted sample of California\'s secondary school population. Students reported past 30-day absences due to mental health and harassment, depressive symptoms, suicidal ideation, cyberbullying, victimization, and school connectedness. Poisson and linear regression compared
absenteeism and psychosocial factors among peer groups. For trans REMY, Poisson regression assessed associations between
absenteeism and psychosocial factors. Analyses were adjusted for grade, sex, and socioeconomic status.
RESULTS: The analytical sample (n = 25,085) included 206 trans REMY, 64 trans WY, and 24,815 cis REMY. Trans REMY had higher relative risk of
absenteeism due to mental health concerns and harassment compared to cis REMY (adjusted relative risk 2.9, 95% confidence interval 2.1-4.0 and adjusted relative risk 8.1, 95% confidence interval 4.0-16.6, respectively) but similar risk when compared to trans WY. For trans REMY, depressive symptoms, suicidal ideation, and victimization were associated with higher relative risk of absenteeism due to mental health concerns. Cyberbullying was associated with a higher risk of
absenteeism due to harassment. Higher school connectedness was associated with lower risk of absenteeism due to mental health concerns.
CONCLUSIONS: Trans REMY reported higher rates of school absenteeism due to mental health concerns and harassment compared to some of their peers. Mental health symptoms, victimization, cyberbullying, and school connectedness were associated with absenteeism among trans REMY.