对跨性别和非二进制人群中艾滋病毒/性传播疾病预防和医疗保健准入的定量交叉性分析
Diana M Tordoff1, Atlas Fernandez2, Nicole Lynn Perry3
1From the Department of Epidemiology, University of Washington, Seattle, WA.
Epidemiology (Cambridge, Mass.)
|September 27, 2023
概括
种族和民族少数民族的跨性别女性在获得医疗保健方面面临重大差异,艾滋病毒/性传播感染率更高. 解决结构性不平等问题和促进跨包容性HIV/STI预防至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 社会医学科学 社会医学科学
背景情况:
- 跨性别者和非二进制个体遇到严重的医疗保健接入障碍,特别是在艾滋病毒/性传播疾病预防方面,这些障碍源于结构性不平等.
- 这些障碍是由性别认同,种族和种族的交叉因素加剧的.
研究的目的:
- 为了检查保险覆盖的差异,艾滋病毒/性传播疾病的流行,测试和暴露前预防 (PrEP) 在华盛顿州的跨性别和非二进制个体中使用.
- 分析基于种族和种族以及性别认同的这些差异.
主要方法:
- 来自华盛顿州五个HIV/STI监测来源 (2019-2021) 的数据被汇总为1648名跨性别和非二进制参与者的样本.
- 风险差异 (RD) 和可归因比例 (AP) 被计算出来,以评估性别和种族/种族经验交叉对健康结果的影响.
主要成果:
- 报告了高贫困率 (29%<15,000美元收入) 和住房不稳定性 (7%).
- 与其他群体相比,种族/少数民族跨性别女性的HIV/STI患病率不成比例地高 (RDs 20-43%,APs 50-85%) 和保险率较低 (RDs 25-39%,APs 74-93%).
结论:
- 跨性别社区在获得保险,艾滋病毒/性传播感染率和预防工具的使用方面存在显著的异质性.
- 性别和种族/种族的交集大大有助于增加种族/少数民族跨性别女性的艾滋病毒/性传播感染率.
- 解决性别歧视和结构性种族主义的跨包容性HIV/STI预防模式至关重要.
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