@article{ref1,
title="Mental health of transgender veterans in US states with and without discrimination and hate crime legal protection",
journal="American journal of public health",
year="2016",
author="Blosnich, John R. and Marsiglio, Mary C. and Gao, Shasha and Gordon, Adam J. and Shipherd, Jillian C. and Kauth, Michael and Brown, George R. and Fine, Michael J.",
volume="106",
number="3",
pages="534-540",
abstract="OBJECTIVES: To examine whether indicators of community- and state-level lesbian, gay, bisexual, and transgender equality are associated with transgender veterans' mental health. <br><br>METHODS: We extracted Veterans Administration data for patients who were diagnosed with gender identity disorder, had at least 1 visit in 2013, and lived in a zip code with a Municipality Equality Index score (n = 1640). We examined the associations of whether a state included transgender status in employment nondiscrimination laws and in hate crimes laws with mood disorders; alcohol, illicit drug, and tobacco use disorders; posttraumatic stress disorder; and suicidal ideation or attempt. <br><br>RESULTS: Nearly half (47.3%) of the sample lived in states with employment discrimination protection, and 44.8% lived in states with hate crimes protection. Employment nondiscrimination protection was associated with 26% decreased odds of mood disorders (adjusted odds ratio [AOR] = 0.74; 95% confidence interval [CI] = 0.59, 0.93) and 43% decreased odds of self-directed violence (AOR = 0.57; 95% CI = 0.34, 0.95). <br><br>CONCLUSIONS: Understanding lesbian, gay, bisexual, and transgender social stressors can inform treatment and care coordination for transgender populations. (Am J Public Health. Published online ahead of print January 21, 2016: e1-e7. doi:10.2105/AJPH.2015.302981).<p /> <p>Language: en</p>",
language="en",
issn="0090-0036",
doi="10.2105/AJPH.2015.302981",
url="http://dx.doi.org/10.2105/AJPH.2015.302981"
}