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Military Sexual Assault in Transgender Veterans: Results From a Nationwide Survey.

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Title: Military Sexual Assault in Transgender Veterans: Results From a Nationwide Survey.
Authors: Beckman, Kerry, Shipherd, Jillian, Simpson, Tracy, Lehavot, Keren
Source: Journal of Traumatic Stress. Apr2018, Vol. 31 Issue 2, p181-190. 10p. 5 Charts.
Subjects: Mental health, Medical care, Post-traumatic stress disorder, Mental health services, Quality of life
Abstract (English): There is limited understanding about the frequency of military sexual assault (MSA) in transgender veterans, characteristics associated with MSA, or subsequent mental and behavioral health problems. To address this gap, we used an online national survey of 221 transgender veterans to identify prevalence of MSA and to assess its association with demographic characteristics, past history of sexual victimization, and stigma-related factors. We also evaluated the association between MSA and several mental and behavioral health problems. Overall, 17.2% of transgender veterans experienced MSA, but rates differed significantly between transgender women (15.2%) and transgender men (30.0%). Using adjusted regression models, MSA was associated with adult sexual assault prior to military service, odds ratio (OR) = 4.05, 95% CI [1.62, 10.08], and distal minority stress during military service, OR = 2.98, 95% CI [1.28, 6.91]. With respect to health outcomes, MSA was associated with past-month posttraumatic stress disorder (PTSD) symptom severity, B = 10.18, 95% CI [3.45, 16.91]; current depression symptom severity, B = 3.71, 95% CI [1.11, 6.30]; and past-year drug use, OR = 3.17, 95% CI [1.36, 7.40]. Results highlight the vulnerability of transgender veterans to MSA, and the need for military prevention programs that acknowledge transgender individuals' heightened risk. Furthermore, clinicians should consider clinical screening for PTSD, depression, and drug use in transgender veterans who have a history of MSA. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Resumen: Abuso sexual militar en veteranos transgénero: resultados de una Encuesta Nacional ABUSO SEXUAL MILITAR EN VETERANOS TRANSGÉNERO Existe una comprensión limitada sobre la frecuencia de agresión sexual militar (MSA en su sigla en inglés) en veteranos transgénero, características asociadas con MSA, o los subsecuentes problemas de salud mental y conductual. Para abordar esta brecha, utilizamos una encuesta nacional en línea de 221 veteranos transgénero para identificar la prevalencia de MSA, y para evaluar su asociación con las características demográficas, historial de victimización sexual y factores relacionados con el estigma. También evaluamos la asociación entre MSA y varios problemas de salud mental y del comportamiento. En general, el 17.2% de los veteranos transgénero experimentaron MSA, pero las tasas difirieron significativamente entre mujeres transgénero (15.2%) y hombres transgénero (30.0%). Usando modelos de regresión ajustados, el MSA se asoció con agresión sexual adulta previa al servicio militar, proporción de probabilidades (OR) = 4.05, IC 95% [1.62, 10.08], y estrés minoritario distal durante el servicio militar, OR = 2.98, IC 95% [1.28, 6.91]. Con respecto a los resultados de salud, MSA se asoció con la severidad de los síntomas del trastorno de estrés postraumático (TEPT) en el último mes, B = 10.18, IC del 95% [3.45 a 16.91]; severidad actual de la sintomatología depresiva, B = 3.71, 95% CI [1.11, 6.30]; y el consumo de drogas en el último año, OR = 3.17, IC del 95% [1.36, 7.40]. Los resultados ponen de manifiesto la vulnerabilidad de los veteranos transgénero al MSA, y la necesidad de programas de prevención militar que reconozcan a las personas transgénero como de mayor riesgo. Además, los médicos (clínicos) deberían considerar el cribado clínico para el TEPT, depresión, y uso de drogas en veteranos transgénero que tienen un historial de MSA. [ABSTRACT FROM AUTHOR]
Abstract (Chinese): 抽象: Military Sexual Assault in Transgender Veterans: Results from a Nationwide Survey Traditional Chinese 標題: 跨性別退役軍人遭受軍事性侵犯:一項全國調查結果 撮要: 我們對跨性別退役軍人曾遭受軍事性侵犯(MSA)的頻率、與MSA相關的特徵和隨後的心理及行為問題了解不足。為加強對以上的理解, 我們透過全國性的網上調查, 訪問了221名跨性別退役軍人, 找出他們當中MSA的普遍度, 並評估MSA跟人口特徵、過往的性受害經歷及污名相關因素的關連。我們亦評估MSA與數個心理及行為問題之間的關連。整體而言, 17.2%的跨性別退役軍人曾遭受MSA, 但比率在跨性別女性(15.2%)與跨性別男性(30.0%)之間有顯著差異。已調節的迴歸模型顯示, MSA跟服役前遭受成年性侵犯有關, 勝算比(OR) = 4.05, 95% CI [1.62, 10.08], 亦跟服役時承受遠距的少數壓力有關(OR = 2.98, 95% CI [1.28, 6.91])。健康方面, MSA跟樣本於過去一個月的創傷後壓力症(PTSD)症狀嚴重度有關(B = 10.18, 95% CI [3.45‐ 16.91]), 亦跟當前的抑鬱症狀嚴重度(B = 3.71, 95% CI [1.11, 6.30])及過去一年濫用藥物(OR = 3.17, 95% CI [1.36, 7.40])有關。結果反映跨性別退役軍人遭受MSA的可能性, 而軍隊的預防計劃應考慮到跨性別人士面對較高風險。臨床治療師亦應考慮對過往有MSA經歷的跨性別退役軍人, 進行臨床的PTSD、抑鬱症與濫用藥物篩查。 Simplified Chinese 标题: 跨性别退役军人遭受军事性侵犯:一项全国调查结果 撮要: 我们对跨性别退役军人曾遭受军事性侵犯(MSA)的频率、与MSA相关的特征和随后的心理及行为问题了解不足。为加强对以上的理解, 我们透过全国性的网上调查, 访问了221名跨性别退役军人, 找出他们当中MSA的普遍度, 并评估MSA跟人口特征、过往的性受害经历及污名相关因素的关连。我们亦评估MSA与数个心理及行为问题之间的关连。整体而言, 17.2%的跨性别退役军人曾遭受MSA, 但比率在跨性别女性(15.2%)与跨性别男性(30.0%)之间有显著差异。已调节的回归模型显示, MSA跟服役前遭受成年性侵犯有关, 胜算比(OR) = 4.05, 95% CI [1.62, 10.08], 亦跟服役时承受远距的少数压力有关(OR = 2.98, 95% CI [1.28, 6.91])。健康方面, MSA跟样本于过去一个月的创伤后压力症(PTSD)症状严重度有关(B = 10.18, 95% CI [3.45‐ 16.91]), 亦跟当前的抑郁症状严重度(B = 3.71, 95% CI [1.11, 6.30])及过去一年滥用药物(OR = 3.17, 95% CI [1.36, 7.40])有关。结果反映跨性别退役军人遭受MSA的可能性, 而军队的预防计划应考虑到跨性别人士面对较高风险。临床治疗师亦应考虑对过往有MSA经历的跨性别退役军人, 进行临床的PTSD、抑郁症与滥用药物筛查。 [ABSTRACT FROM AUTHOR]
Copyright of Journal of Traumatic Stress is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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Items – Name: Title
  Label: Title
  Group: Ti
  Data: Military Sexual Assault in Transgender Veterans: Results From a Nationwide Survey.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Beckman%2C+Kerry%22">Beckman, Kerry</searchLink><br /><searchLink fieldCode="AR" term="%22Shipherd%2C+Jillian%22">Shipherd, Jillian</searchLink><br /><searchLink fieldCode="AR" term="%22Simpson%2C+Tracy%22">Simpson, Tracy</searchLink><br /><searchLink fieldCode="AR" term="%22Lehavot%2C+Keren%22">Lehavot, Keren</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Traumatic+Stress%22">Journal of Traumatic Stress</searchLink>. Apr2018, Vol. 31 Issue 2, p181-190. 10p. 5 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Post-traumatic+stress+disorder%22">Post-traumatic stress disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: There is limited understanding about the frequency of military sexual assault (MSA) in transgender veterans, characteristics associated with MSA, or subsequent mental and behavioral health problems. To address this gap, we used an online national survey of 221 transgender veterans to identify prevalence of MSA and to assess its association with demographic characteristics, past history of sexual victimization, and stigma-related factors. We also evaluated the association between MSA and several mental and behavioral health problems. Overall, 17.2% of transgender veterans experienced MSA, but rates differed significantly between transgender women (15.2%) and transgender men (30.0%). Using adjusted regression models, MSA was associated with adult sexual assault prior to military service, odds ratio (OR) = 4.05, 95% CI [1.62, 10.08], and distal minority stress during military service, OR = 2.98, 95% CI [1.28, 6.91]. With respect to health outcomes, MSA was associated with past-month posttraumatic stress disorder (PTSD) symptom severity, B = 10.18, 95% CI [3.45, 16.91]; current depression symptom severity, B = 3.71, 95% CI [1.11, 6.30]; and past-year drug use, OR = 3.17, 95% CI [1.36, 7.40]. Results highlight the vulnerability of transgender veterans to MSA, and the need for military prevention programs that acknowledge transgender individuals' heightened risk. Furthermore, clinicians should consider clinical screening for PTSD, depression, and drug use in transgender veterans who have a history of MSA. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Resumen: Abuso sexual militar en veteranos transgénero: resultados de una Encuesta Nacional ABUSO SEXUAL MILITAR EN VETERANOS TRANSGÉNERO Existe una comprensión limitada sobre la frecuencia de agresión sexual militar (MSA en su sigla en inglés) en veteranos transgénero, características asociadas con MSA, o los subsecuentes problemas de salud mental y conductual. Para abordar esta brecha, utilizamos una encuesta nacional en línea de 221 veteranos transgénero para identificar la prevalencia de MSA, y para evaluar su asociación con las características demográficas, historial de victimización sexual y factores relacionados con el estigma. También evaluamos la asociación entre MSA y varios problemas de salud mental y del comportamiento. En general, el 17.2% de los veteranos transgénero experimentaron MSA, pero las tasas difirieron significativamente entre mujeres transgénero (15.2%) y hombres transgénero (30.0%). Usando modelos de regresión ajustados, el MSA se asoció con agresión sexual adulta previa al servicio militar, proporción de probabilidades (OR) = 4.05, IC 95% [1.62, 10.08], y estrés minoritario distal durante el servicio militar, OR = 2.98, IC 95% [1.28, 6.91]. Con respecto a los resultados de salud, MSA se asoció con la severidad de los síntomas del trastorno de estrés postraumático (TEPT) en el último mes, B = 10.18, IC del 95% [3.45 a 16.91]; severidad actual de la sintomatología depresiva, B = 3.71, 95% CI [1.11, 6.30]; y el consumo de drogas en el último año, OR = 3.17, IC del 95% [1.36, 7.40]. Los resultados ponen de manifiesto la vulnerabilidad de los veteranos transgénero al MSA, y la necesidad de programas de prevención militar que reconozcan a las personas transgénero como de mayor riesgo. Además, los médicos (clínicos) deberían considerar el cribado clínico para el TEPT, depresión, y uso de drogas en veteranos transgénero que tienen un historial de MSA. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Chinese)
  Group: Ab
  Data: 抽象: Military Sexual Assault in Transgender Veterans: Results from a Nationwide Survey Traditional Chinese 標題: 跨性別退役軍人遭受軍事性侵犯:一項全國調查結果 撮要: 我們對跨性別退役軍人曾遭受軍事性侵犯(MSA)的頻率、與MSA相關的特徵和隨後的心理及行為問題了解不足。為加強對以上的理解, 我們透過全國性的網上調查, 訪問了221名跨性別退役軍人, 找出他們當中MSA的普遍度, 並評估MSA跟人口特徵、過往的性受害經歷及污名相關因素的關連。我們亦評估MSA與數個心理及行為問題之間的關連。整體而言, 17.2%的跨性別退役軍人曾遭受MSA, 但比率在跨性別女性(15.2%)與跨性別男性(30.0%)之間有顯著差異。已調節的迴歸模型顯示, MSA跟服役前遭受成年性侵犯有關, 勝算比(OR) = 4.05, 95% CI [1.62, 10.08], 亦跟服役時承受遠距的少數壓力有關(OR = 2.98, 95% CI [1.28, 6.91])。健康方面, MSA跟樣本於過去一個月的創傷後壓力症(PTSD)症狀嚴重度有關(B = 10.18, 95% CI [3.45‐ 16.91]), 亦跟當前的抑鬱症狀嚴重度(B = 3.71, 95% CI [1.11, 6.30])及過去一年濫用藥物(OR = 3.17, 95% CI [1.36, 7.40])有關。結果反映跨性別退役軍人遭受MSA的可能性, 而軍隊的預防計劃應考慮到跨性別人士面對較高風險。臨床治療師亦應考慮對過往有MSA經歷的跨性別退役軍人, 進行臨床的PTSD、抑鬱症與濫用藥物篩查。 Simplified Chinese 标题: 跨性别退役军人遭受军事性侵犯:一项全国调查结果 撮要: 我们对跨性别退役军人曾遭受军事性侵犯(MSA)的频率、与MSA相关的特征和随后的心理及行为问题了解不足。为加强对以上的理解, 我们透过全国性的网上调查, 访问了221名跨性别退役军人, 找出他们当中MSA的普遍度, 并评估MSA跟人口特征、过往的性受害经历及污名相关因素的关连。我们亦评估MSA与数个心理及行为问题之间的关连。整体而言, 17.2%的跨性别退役军人曾遭受MSA, 但比率在跨性别女性(15.2%)与跨性别男性(30.0%)之间有显著差异。已调节的回归模型显示, MSA跟服役前遭受成年性侵犯有关, 胜算比(OR) = 4.05, 95% CI [1.62, 10.08], 亦跟服役时承受远距的少数压力有关(OR = 2.98, 95% CI [1.28, 6.91])。健康方面, MSA跟样本于过去一个月的创伤后压力症(PTSD)症状严重度有关(B = 10.18, 95% CI [3.45‐ 16.91]), 亦跟当前的抑郁症状严重度(B = 3.71, 95% CI [1.11, 6.30])及过去一年滥用药物(OR = 3.17, 95% CI [1.36, 7.40])有关。结果反映跨性别退役军人遭受MSA的可能性, 而军队的预防计划应考虑到跨性别人士面对较高风险。临床治疗师亦应考虑对过往有MSA经历的跨性别退役军人, 进行临床的PTSD、抑郁症与滥用药物筛查。 [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Traumatic Stress is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/jts.22280
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        Text: English
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        PageCount: 10
        StartPage: 181
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        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Post-traumatic stress disorder
        Type: general
      – SubjectFull: Mental health services
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      – SubjectFull: Quality of life
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      – TitleFull: Military Sexual Assault in Transgender Veterans: Results From a Nationwide Survey.
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            NameFull: Shipherd, Jillian
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            NameFull: Simpson, Tracy
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              M: 04
              Text: Apr2018
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