测量德克萨斯州对跨性别激素治疗的地理准入:三步浮动流域区域分析
Avery R Everhart1, Laura Ferguson2, John P Wilson3
1Center for Applied Transgender Studies, Chicago, IL, USA; School of Information, University of Michigan, Ann Arbor, MI, USA; Department of Health Behavior & Health Education, School of Public Health, University of Michigan, Ann Arbor, MI, USA.
Spatial and spatio-temporal epidemiology
|June 10, 2023
概括
变性人面临着独特的医疗保健接入挑战. 这项研究揭示了获得性别肯定激素治疗 (GAHT) 的空间差异,突出了针对性干预的必要性.
科学领域:
- 医疗保健获取研究研究
- 公共卫生中的空间分析
- 跨性别者健康公平性.
背景情况:
- 变性人群在获得医疗保健方面遇到重大障碍.
- 现有的文献缺乏对跨特定护理准入的明确空间分析.
- 性别确认激素治疗 (GAHT) 是跨性别医疗保健的关键组成部分.
研究的目的:
- 在德克萨斯州对获得性别肯定激素治疗 (GAHT) 的空间分析.
- 为了确定跨性别个人在GAHT获取的地理差异.
- 为制定有针对性的医疗保健规划和资源分配提供信息.
主要方法:
- 使用三步浮动流域 (3SFCA) 方法进行空间访问量化.
- 从事人口普查部门一级的人口数据,根据家庭脉冲调查对跨性别身份识别率进行了调整.
- 创建了GAHT提供商的空间数据库,并进行了热点分析.
主要成果:
- 对GAHT的空间访问并不反映一般初级保健的访问模式.
- 确定了有限的GAHT接入的特定地理区域,特别是在农村或服务不足的地区.
- 热点分析确定了潜在的服务规划地点,以改善跨性别者获得医疗保健的机会.
结论:
- 跨性别人士进入GAHT的过程显示出不同的空间模式,需要专门的调查.
- 对跨性别人口的医疗保健规划必须考虑独特的地理和与访问有关的因素.
- 进一步的研究是有必要的,以解决和改善跨特定医疗保健的空间访问.
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