等待跨性别护理及其对健康和平等的影响:荷兰的一项混合方法人口研究
Tim C van de Grift1,2,3, Casper Martens3,4,5,6, Lisa van Ginneken5
1Department of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, Location VUmc, Amsterdam, the Netherlands.
EClinicalMedicine
|June 14, 2024
概括
长期等待性别肯定医疗保健会对跨性别和性别多样性 (TGD) 个体的健康产生负面影响,并增加不平等. 过度的等待期,通常超过一年,导致TGD患者的社会心理困扰和较差的健康结果.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 对跨性别和性别多样性 (TGD) 个体来说,性别确认的医疗保健至关重要.
- 越来越多的护理需求导致了大量的等待时间.
- 本研究调查了这些等待期的持续时间和影响.
研究的目的:
- 评估性别确认医疗护理等待时间的持续时间.
- 评估这些等待期对TGD个体健康的影响.
- 识别护理获取和结果中的差异.
主要方法:
- 在荷兰 (2019年6月至8月) 进行混合方法横截面研究.
- 调查了975名TGD个体的人口统计数据,寻求护理和等待效应.
- 分析了等待护理的参与者的数据,将他们与已经接受护理的人进行了比较.
主要成果:
- 44.2%的参与者等待治疗;10/20治疗的中位数等待时间超过一年.
- 等待与显著的心理社会痛苦和更差的健康状况有关.
- 较长的等待时间增加了医疗保健消费和TGD个体之间的不平等.
结论:
- 在各种性别肯定护理阶段,TGD患者面临长期的等待时间.
- 等待对身体和心理社会福祉都有负面影响.
- 这些延迟加剧了边缘化群体现有的不平等现象.
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