"用我自己的方式做":跨性别和非二进制成年人与HPV自行抽样家庭测试套件的经验
Shanna K Kattari1, Emma B Gross2, Vern Harner3
1School of Social Work & Department of Women's and Gender Studies, University of Michigan, Ann Arbor, MI, USA.
Women's reproductive health (Philadelphia, Pa.)
|December 18, 2023
概括
变性人和非二进制个体面临的人类乳头瘤病毒 (HPV) 测试的障碍. 在家使用的HPV自取样套件提供了一种有希望的以患者为中心的方法,以改善这个社区的宫癌查.
科学领域:
- 性健康 性健康 性健康
- 公共卫生 公共卫生
- 跨性别者健康问题
背景情况:
- 人类乳头瘤病毒 (HPV) 构成健康风险,特别是对于宫患者.
- 跨性别和非二进制个体在获得HPV检测和治疗时遇到独特的挑战和创伤.
- 现有的医疗保健系统往往缺乏对跨性别和非二进制患者的性健康需求的包容性.
研究的目的:
- 探索跨男性和非二进制个体在家用HPV自行抽样套件的经验.
- 评估跨性别和非二进制人群对HPV传播和查的知识.
- 确定跨性别和非二进制社区对HPV查的障碍和促进因素.
主要方法:
- 使用虚拟访谈进行的定性现象学研究.
- 采访了10名具有子宫的跨男性和非二进制参与者 (23-59岁).
- 数据分析涉及独立编码和桌面主题化方法.
主要成果:
- 出现了四个关键主题:多层次的障碍,通过测试获得安全的愿望,对照的护理偏好和社区驱动的变革呼吁.
- 参与者报告说,传统的HPV查方法存在重大障碍.
- 在家中自行扫描被视为积极的手段,以确保个人健康和安全.
结论:
- 在家使用的HPV自取样套件代表了一种可行的以患者为中心的策略,以提高查遵守率.
- 解决多层次障碍对于提高跨性别和非二进制个体的性健康护理可访问性至关重要.
- 调查结果强调需要针对性,包容性性健康服务以及跨性别和非二元社区的进一步研究.
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