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トランスジェンダー集団の世界的な健康負担とニーズ:レビュー
Sari L Reisner1, Tonia Poteat2, JoAnne Keatley3
1Division of General Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA; Department of Epidemiology, Harvard T H Chan School of Public Health, Boston, MA, USA; Fenway Institute, Fenway Health, Boston, MA, USA.
Lancet (London, England)
|June 22, 2016
まとめ
トランスジェンダーの人々は HIV,精神的苦痛,薬物乱用などの高い健康格差に直面しています. これに対処するには ジェンダーアファメーション 医療の改善 地域社会のパートナーシップが必要です
科学分野:
- 公衆衛生
- 流行病学について
- 健康 の 格差
背景:
- トランスジェンダーの人たちは 世界的に不良な健康状態を 経験しています
- 現存する研究は,人口ベースのデータと研究不足の健康分野によって制限されています.
- 一般的な調査でトランスジェンダーの回答者を特定することはしばしば不可能であり,データ収集を妨げています.
研究 の 目的:
- トランスジェンダーの人たちが直面する健康上の課題を 強調するためです
- 健康リスクの軽減と回復力の促進のための包括的な戦略の必要性を強調する.
- トランスジェンダーの健康に関する考慮事項を,より広範な公衆衛生の監視に含めるよう提唱する.
主な方法:
- トランスジェンダーの健康に関する既存の文献とデータのレビュー
- 健康に影響を与える生物学的,行動的,社会的,構造的要因の分析
- 現在の研究と監視方法の欠陥を特定する.
主要な成果:
- トランスジェンダー集団におけるHIV,性感染症,精神的健康障害,薬物使用の高い流行
- 一般的な調査における識別方法の欠如による重要なデータ制限.
- リスクとレジリエンス要因に関する十分な証拠がある.
結論:
- ジェンダーアファメーションと医療へのアクセスを改善する包括的な公衆衛生アプローチが不可欠です.
- 高品質のデータとトランスジェンダーコミュニティとの強力なパートナーシップは 効果的なプログラムに不可欠です
- 流行病学の研究と公衆衛生の監視は 性別とジェンダーの経路を明確に考慮する必要があります.
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