全球跨性别人口的健康负担和需求:一篇综述
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
概括
跨性别人口面临着严重的健康差异, 包括更高的艾滋病毒率,精神困扰和药物滥用. 解决这些问题需要性别肯定,改善医疗保健和社区伙伴关系.
科学领域:
- 公共卫生
- 流行病学
- 健康上的差异
背景情况:
- 跨性别者在全球范围内出现不成比例的不良健康状况.
- 现有研究受到人口数据的稀缺和健康领域的不足所限制.
- 在一般调查中识别跨性别受访者往往是不可能的,这阻碍了数据收集.
研究的目的:
- 突出跨性别人口面临的健康挑战.
- 强调需要制定全面的策略来减轻健康风险和促进恢复力.
- 倡导将跨性别健康问题纳入更广泛的公共卫生监测.
主要方法:
- 对跨性别健康的现有文献和数据的审查.
- 对影响健康的生物,行为,社会和结构因素的分析.
- 发现当前研究和监测方法的缺陷.
主要成果:
- 跨性别人口中艾滋病毒,性传播疾病,心理健康困扰和物质使用的高发病率.
- 由于一般调查中缺乏识别方法,数据存在重大限制.
- 有足够的证据证明独特的风险和弹性因素.
结论:
- 综合性公共卫生方法至关重要,
- 高质量的数据和与跨性别社区的强有力的伙伴关系对于有效的规划至关重要.
- 流行病学研究和公共卫生监测必须明确考虑性别和性别路径.
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