为老年跨性别和性别多样性成年人提供性别确认护理
Asa E Radix1, Loren Schechter2, Alexander B Harris3
1Callen-Lorde Community Health Center, 356 West 18th Street, New York, NY 10011, USA; Department of Epidemiology, Mailman School of Public Health, 722 West 168th Street, New York, NY 10032, USA; Department of Medicine, NYU Grossman School of Medicine, NY, USA.
近172,000名美国老年人是跨性别者,面临着健康差距和社会隔离等独特挑战. 以患者为中心,以创伤为导向的护理对于他们的福祉和优质医疗保健至关重要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 据估计,在65岁以上的美国人中,有0.3%的人认为自己是跨性别者,总数接近172,000人.
- 这种人口群体面临着不同的挑战,包括医疗保健差距,心理健康问题和社会隔离.
- 了解这些特定需求对于改善老龄化跨性别人口的健康结果至关重要.
研究的目的:
- 突出美国老年跨性别成年人面临的独特健康和社会挑战.
- 强调为这些服务不足的人群提供量身定制,以患者为中心的护理的重要性.
- 倡导基于证据的医疗保健策略和对老年跨性别者的法律保护.
主要方法:
- 这项研究综合了现有的数据和关于老年跨性别成年人的人口统计和经验的研究.
- 它审查了关于医疗保健差异,心理健康问题和健康的社会决定因素的文献.
- 该分析的重点是确定临床护理和政策建议的最佳实践.
主要成果:
- 年长的跨性别成年人面临着获得肯定医疗保健的重大障碍,导致预防性查和治疗的差异.
- 心理健康问题,包括抑郁和焦虑,由于歧视和缺乏社会支持而普遍存在.
- 社会孤立是一个主要问题,由家庭拒绝和难以找到包容性社区空间而加剧.
结论:
- 临床医生必须采取以患者为中心和创伤为基础的方法,为老年跨性别者提供公平的护理.
- 综合护理应包括预防性卫生服务,心理健康支持和倡导法律保护.
- 解决系统性障碍和促进包容性环境对于提高这一群体的福祉至关重要.
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