密歇根州的跨性别和性别多样性成年人目前正在使用性别确认激素治疗,非用户报告对未来使用感兴趣
Deirdre A Shires1, Leonardo Kattari1, Haley Hill1
1School of Social Work, Michigan State University, East Lansing, Michigan, USA.
LGBT health
|May 16, 2024
概括
对激素疗法 (HT) 感兴趣的跨性别和性别多样化的个人经常面临障碍. 非二进制和黑人个人,以及那些缺乏保险的人,表现出更高的兴趣,这表明在性别肯定护理中的获得差异.
科学领域:
- 社会学 社会学 社会学
- 公共卫生 公共卫生
- 内分泌学 在内分泌学.
背景情况:
- 变性人和性别多样性 (TGD) 个体经历了独特的医疗保健需求.
- 激素治疗 (HT) 是性别肯定护理的关键组成部分.
- 了解影响HT接入和兴趣的因素对于解决健康差异至关重要.
研究的目的:
- 探索目前使用HT的TGD个体和对未来HT感兴趣的人之间的社会人口统计,保险覆盖和物质使用差异.
- 在TGD个体中确定对未来HT感兴趣的预测因素.
主要方法:
- 2018年在密歇根州对536名TGD个人的横截面调查.
- 后勤回归模型用于分析当前HT用户和对未来HT感兴趣的人之间的差异.
- 收集关于社会人口统计,保险覆盖和物质使用的数据.
主要成果:
- 非二进制参与者 (OR=6.91) 和黑人参与者 (OR=8.79) 对未来的HT感兴趣的几率显著更高.
- 缺乏或对跨特定保险覆盖的不确定性强烈预测了对未来HT的兴趣 (分别为OR=42.39和OR=4.50).
- 沉重的大麻使用和高等教育水平 (学士学位) 与未来HT兴趣的几率较低有关.
结论:
- 在TGD个体中获得HT的差异很明显,特别是在非二进制和黑人个体中.
- 保险覆盖是获得性别确认HT的重要障碍.
- 标准化和全面的保险覆盖性别肯定护理对于改善TGD人口的健康平等至关重要.
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