在被监禁的跨性别者中,性别确认护理的挑战
Rana Malek1, Mauro Sarmiento2, Elizabeth Lamos1
1University of Maryland School of Medicine, 800 Linden Avenue, 8th Floor UMCDE, Baltimore, MD 21201, USA.
Endocrinology and metabolism clinics of North America
|October 21, 2023
概括
社会和健康差异增加了跨性别者的监禁,特别是黑人跨性别女性. 这篇文章讨论了在惩戒设施内提供性别肯定护理的挑战.
科学领域:
- 医学和社会科学 医学和社会科学
- 公共卫生 公共卫生
- 内分泌学 在内分泌学.
背景情况:
- 变性人面临着重大的社会和健康差异,导致更高的监禁率.
- 黑人跨性别女性不成比例地受到这些差距和监禁的影响.
- 世界跨性别健康专业协会 (WPATH) 护理标准-8规定,所有人,包括机构人员,都应获得平等的性别肯定护理.
研究的目的:
- 检查在惩戒医疗保健系统内提供性别肯定护理的结构性挑战和障碍.
- 为内分泌学家提供所需的理解,以应对跨性别患者惩戒医疗保健的复杂性.
- 突出特定的障碍,以获取性别确认的护理和手术干预被监禁的跨性别人士.
主要方法:
- 这篇文章是对现有文献和指导方针的审查和分析.
- 它综合了有关跨性别者在惩戒机构中面临的独特挑战的信息.
- 它侧重于护理的实际和系统障碍.
主要成果:
- 监禁的跨性别者遇到实质性障碍,无法获得性别确认的护理.
- 对内分泌学家和患者来说,导航惩戒医疗保健系统存在独特的困难.
- 对于非手术和手术性别确认治疗的特殊障碍是普遍存在的.
结论:
- 解决结构性障碍对于确保在惩教设施中为跨性别者提供公平的性别肯定护理至关重要.
- 内分泌学家必须意识到并准备好克服这些系统性挑战.
- 改善对监狱中性别确认护理的准入对于跨性别者的福祉至关重要.
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