在制定临床预防服务建议时,USPSTF应考虑性别问题
Aaron B Caughey1, Alex H Krist2, Tracy A Wolff3
1Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland.
JAMA
|October 25, 2021
概括
美国预防服务工作组 (USPSTF) 正在更新其方法,将性别和性别多样性纳入临床预防服务指南. 这确保了建议更好地服务于所有人,解决了不同人群的证据缺口.
科学领域:
- 公共卫生
- 临床指南
- 医疗公平
背景情况:
- 临床预防服务建议的目标是广泛适用.
- 提供指导意见的研究往往忽视了生物性和性别认同,给不同的人群带来了挑战.
- 现有的建议可能无法充分满足跨性别,非双性性别和性别不合规个体的需求.
研究的目的:
- 概述美国预防服务工作组 (USPSTF) 的最新方法,以将性别和性别多样性纳入临床预防服务指南.
- 应对评估和传达各种性别认同建议的挑战.
- 加强预防性护理指南的包容性和适用性.
主要方法:
- 对过去关于性别和性别的USPSTF建议进行系统审查.
- 分析其他指南制定机构所采用的方法.
- 在制定指南时试验应对性别和性别多样性的策略.
- 在指南制定过程中,制定一个包容性的方法来识别和评估与性别有关的问题.
主要成果:
- 在制定指南的初期,USPSTF将主动确定性别和性别考虑因素.
- 证据审查将专门评估性别和性别的适用性,变异性和质量.
- 美国PSTF将使用清晰,包容的语言,包括适当的性别中立术语,并说明何时建议适用于特定的生物性别或性别认同.
- 与预防性护理中的性别认同相关的证据缺口.
结论:
- 美国公共卫生服务团队正在采用更具包容性的方法,以确保临床预防服务建议适用于所有个人,无论性别认同如何.
- 清晰的语言和有针对性的证据评估将提高对不同人群的指导方针的有用性.
- 需要进一步研究以解决基于性别认同的人口预防护理的有限证据.
相关概念视频
Preventive Healthcare Services
1.2K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.2K
Sexually Transmitted Infections
467
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
467
Strategies for Assessing and Addressing Confounding
174
Confounding is a critical issue in epidemiological studies, often leading to misleading conclusions about associations between exposures and outcomes. It occurs when the relationship between the exposure and the outcome is mixed with the effects of other factors that influence the outcome. Given that, addressing confounding is of high importance for drawing accurate inferences in research.
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
174
Cancer Prevention
6.4K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
6.4K
Standard Precaution
2.3K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
2.3K
Sex-linked Disorders
103.7K
Like autosomes, sex chromosomes contain a variety of genes necessary for normal body function. When a mutation in one of these genes results in biological deficits, the disorder is considered sex-linked.
103.7K


