心脏病学中的敌意和歧视的组成部分
José L Leiva-Pons1,2, Romina Rivera-Reyes3
1Hospital Central Dr. Ignacio Morones Prieto, San Luís de Potosí.
Archivos de cardiologia de Mexico
|November 22, 2023
概括
墨西哥的跨性别和性别多元 (TGD) 个人由于歧视和有限的医疗保健机会,经历了严重的心血管健康差异. 解决这些问题需要包容性政策,改善医学教育和有针对性的研究,以确保公平的心脏护理.
科学领域:
- 公共卫生 公共卫生
- 心脏病学 心脏病学
- 社会学 社会学 社会学
背景情况:
- 跨性别和性别多样性 (TGD) 的人群面临着独特的健康挑战,包括有限的医疗保健准入和更高的不良健康状况率.
- 由于心血管疾病 (CVD) 风险因素的增加和TGD社区内的患病率,心脏病学特别重要.
- 像耻辱和歧视这样的社会文化障碍加剧了健康问题,并阻碍了获得必要的医疗治疗.
研究的目的:
- 突出墨西哥TGD人口专业心血管护理的急需.
- 确定TGD个体面临的关键挑战,包括风险因素,激素使用和医疗保健准入障碍.
- 提出改善健康结果的策略,减少TGD患者心脏护理方面的差异.
主要方法:
- 这项研究是对墨西哥TGD健康现有知识的审查和综合,重点关注心血管方面.
- 它结合了少数民族压力理论来解释慢性心理社会压力因素对TGD健康的影响.
- 分析估计的TGD人口患病率 (0.5-1.5%) 和相关的健康问题.
主要成果:
- 墨西哥的TGD个体在医疗保健方面遇到重大障碍,导致未满足的医疗需求.
- 心血管风险因素很普遍,加上诸如激素自我管理和系统性歧视等因素.
- 少数民族压力对TGD人口的身体和精神健康产生重大影响,影响心血管健康.
结论:
- 必须采取全面的,多方面的方法来解决墨西哥TGD患者所面临的心脏护理差异.
- 关键战略包括加强医学教育,实施包容性卫生政策,促进研究和制定具体的临床指南.
- 将TGD特定需求整合到更广泛的心脏病学服务中,并促进性,对于改善健康公平至关重要.
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