药物过度使用管理中的问题 跨性别者和性别不符合人群中的头痛
Cameron I Martinez1, Erika Liktor-Busa1, Tally M Largent-Milnes1
1Department of Pharmacology, College of Medicine, University of Arizona, Tucson, AZ, United States.
Frontiers in neurology
|February 14, 2024
概括
偏头痛和其他初级头痛疾病会导致严重的残疾. 变性人和性别不符合的个人在管理头痛和获得适当护理方面面临着独特的挑战,恶化了健康结果.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
背景情况:
- 主要头痛疾病,如偏头痛,是全球残疾的主要原因.
- 不充分的疼痛管理和情绪支持加剧了诸如高血压,糖尿病,抑郁症和焦虑症等并发症.
- 缺乏意识和与疼痛相关的偏见阻碍了患者的自我倡导和医疗保健参与.
研究的目的:
- 检查跨性别和性别不合规 (跨*) 个体在管理初级头痛障碍时所面临的挑战.
- 要突出在接受激素治疗的跨性别患者中偏头痛症状恶化的风险增加.
- 为了强调跨性别者在获得适当的疼痛管理方面遇到的障碍.
主要方法:
- 对原发性头痛疾病,药物过度使用头痛 (MOH),物质使用障碍 (SUD) 和LGBTQ+健康现有文献的综述.
- 对性别肯定性激素治疗对偏头痛进展的影响分析.
- 检查跨性别人口获得医疗保健的差异.
主要成果:
- 原发性头痛疾病对全球残疾有着显著的贡献.
- 药物过度使用头痛 (MOH) 与物质使用障碍 (SUD) 共享大脑变化,暗示了止痛药的滥用.
- 变性人和性别不符合的个人经历了更高的精神疾病和药物滥用率.
- 性别确认激素治疗可以影响偏头痛,增加跨性别患者的症状严重程度.
- 变性患者往往无法获得足够的疼痛管理,这阻碍了积极的健康结果.
结论:
- 对于初级头痛疾病,特别是对弱势群体来说,急需改进,可访问和量身定制的疼痛管理策略.
- 解决跨性别和性别不符合个人的独特医疗保健需求对于减轻残疾和改善健康结果至关重要.
- 需要进一步的研究,以了解和减轻跨性别社区内头痛疾病的具体负担.
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