4.2 Article

A Comparison of Mental Health, Substance Use, and Sexual Risk Behaviors Between Rural and Non-Rural Transgender Persons

Journal

JOURNAL OF HOMOSEXUALITY
Volume 61, Issue 8, Pages 1117-1130

Publisher

ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/00918369.2014.872502

Keywords

transgender; rural; urban; online survey

Funding

  1. EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT [R01HD057595] Funding Source: NIH RePORTER
  2. NATIONAL INSTITUTE OF MENTAL HEALTH [P30MH043520] Funding Source: NIH RePORTER
  3. NATIONAL INSTITUTE ON DRUG ABUSE [R01DA015269] Funding Source: NIH RePORTER
  4. NICHD NIH HHS [9R01HD057595, R01 HD057595] Funding Source: Medline
  5. NIDA NIH HHS [1R01DA015269, R01 DA015269] Funding Source: Medline
  6. NIMH NIH HHS [P30 MH043520] Funding Source: Medline

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The aim of this study was to compare the mental health, substance use, and sexual risk behaviors of rural and non-rural transgender persons. Online banner advertisements were used to recruit 1,229 self-identified rural and non-rural transgender adults (18+ years) residing in the United States. Primary findings include significant differences in mental health between rural and non-rural transmen; relatively low levels of binge drinking across groups, although high levels of marijuana use; and high levels of unprotected sex among transwomen. The results confirm that mental and physical health services for transgender persons residing in rural areas are urgently needed.

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