在美国现役服役的服役人员中,激素治疗的时间与性别的变化
David A Klein1,2,3, Xenia B Gonzalez3, Krista B Highland4
1Department of Family Medicine, Uniformed Services University, Bethesda, MD.
Medical care
|May 18, 2024
概括
对于美国军人服务人员来说,性别确认激素治疗的启动有显著的差异. 根据性别认同和种族,观察到及时获取的不平等现象,突出了政策变革的必要性.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 军队的医疗卫生.
背景情况:
- 美国军方政策在2016年7月发生了变化,允许跨性别服务人员获得性别确认医疗护理.
- 这项研究重点是针对被诊断患有性别失调症的现役军人启动激素治疗.
研究的目的:
- 评估在被诊断为性别失调症后,在现役军人中启动激素治疗时间的变化.
- 在军事卫生系统内确定影响性别肯定激素治疗启动及时性的因素.
主要方法:
- 一项回顾性队列研究,使用来自TRICARE Prime入学者的数据 (2016年7月至2021年12月).
- 包括具有有关国际疾病分类 (ICD-9/10) 性别障碍症诊断代码的美国服务人员.
- 在诊断后分析了时间到性别确认激素的启动.
主要成果:
- 在2439名服务人员中,分别有41%和52%在诊断后1年和3年内开始激素治疗.
- 与女性相比,在出生时具有男性指定的性别标记的服务成员的启动时间更长.
- 黑人和亚洲/太平洋岛民服务人员的启动时间比白人服务人员的启动时间更长.
结论:
- 美国军事服务人员在获得性别肯定激素治疗方面存在显著的差异和不平等.
- 数据凸显出需要数据驱动的政策修改,以确保公平及时获得护理.
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