The mental health of transgender and gender non-conforming people in China: a systematic review

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dc.contributor.authorLin, Yezheen
dc.contributor.authorXie, Huien
dc.contributor.authorHuang, Zimoen
dc.contributor.authorZhang, Quanen
dc.contributor.authorWilson, Amandaen
dc.contributor.authorHou, Jiaojiaoen
dc.contributor.authorZhao, Xudongen
dc.contributor.authorWang, Yuanyuanen
dc.contributor.authorPan, Bailinen
dc.contributor.authorLiu, Yeen
dc.contributor.authorHan, Mengen
dc.contributor.authorChen, Runsenen
dc.coverage.countryChinaen
dc.date.accessioned2022-09-09T18:31:39Zen
dc.date.available2022-09-09T18:31:39Zen
dc.date.issued2021-12en
dc.description.abstractTransgender and gender non-conforming (TGNC) individuals are at a high risk of adverse mental health outcomes due to minority stress-the stress faced by individuals categorised as stigmatised social minority groups. This systematic review sought to summarise the key mental health findings of the research on TGNC individuals in mainland China. We also aimed to consolidate research on the topic, identify specific mental health disparities, and offer new perspectives for future research to inform both policy and dinical practice. An extensive search of the literature, published in English and Chinese, was done between jan 1, 1990, and Aug 1, 2021, using PubMed, PsycINFO, Scopus, Wanfang (in Chinese), and CNKI (in Chinese). Overall, two qualitative and 28 quantitative articles were identified. The quantitative findings showed a high prevalence of mental health problems, such as depression, anxiety, substance use disorders, and stress-related issues, and greater disparities in psychological wellbeing. High prevalence is also reported in suicidality and self-harm behaviours in this group. Across the two qualitative studies, attributable factors included gender-related discrimination, barriers to accessing health services, low social support, decreased knowledge and awareness of HIV prevention, and demographic characteristics-such as marital status, educational level, and gender identity. This Review also found little evidence of gender-affirming care and mental health interventions in mainland China. Following from these results, the next step is to integrate multi-level, social-psychological interventions with education to reduce cultural stereotypes and transphobia in mainland China. Political and social implications are also discussed to inform a standard set of guidelines for transgender-indusive health-care services, including advocating for funding to create these special care programmes and services.en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.issn2468-2667en
dc.identifier.issue12en
dc.identifier.pmid34838199en
dc.identifier.urihttp://hdl.handle.net/10919/111780en
dc.identifier.volume6en
dc.language.isoenen
dc.publisherElsevieren
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectquality-of-lifeen
dc.subjectsuicidal ideationen
dc.subjectanxiety symptomsen
dc.subjectwomenen
dc.subjectdiscriminationen
dc.subjectprevalenceen
dc.subjectpopulationsen
dc.subjectresilienceen
dc.subjectdepressionen
dc.subjectdisordersen
dc.titleThe mental health of transgender and gender non-conforming people in China: a systematic reviewen
dc.title.serialLancet Public Healthen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten

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