对加泰罗尼亚跨性别医疗保健模式的比较研究
Maria Presague-Peciña1,2, Pepita Giménez-Bonafé2
1Faculty of Medicine and Life Sciences, Dr Aiguader Building, Pompeu Fabra University, 08003, Barcelona, Spain.
Heliyon
|September 23, 2024
概括
与生物医学模型 (BMM) 相比,针对跨性别人士的生物心理社会模型 (BPSM) 显示出较低的情感痛苦. 这两种模型都有很高的心理健康问题率,表明需要社会变革.
科学领域:
- 跨性别者健康 跨性别者健康
- 心理健康研究 心理健康研究
- 卫生社会学 卫生社会学
背景情况:
- 耻辱和歧视会对跨性别社区的心理健康产生负面影响.
- 针对跨性别者的传统生物医学模型 (BMM) 与较新的生物心理社会模型 (BPSM) 相比较.
- 加泰罗尼亚临床医院的性别认同部门以前使用BMM,而过境服务部门采用了BPSM.
研究的目的:
- 为了比较BMM和BPSM下的跨性别者的心理健康结果.
- 调查生物心理社会模型在缓解跨性别社区内心理健康问题的有效性.
主要方法:
- 使用了观察性队列研究设计.
- 数据是通过基于网络的调查收集的,包括社会人口统计和心理健康结果.
- 分析包括来自BPSM组的81名参与者和来自BMM组的21名参与者.
主要成果:
- 在BPSM群体中,经历情绪困扰的几率较低,统计学上显著 (p < 0.001).
- 在BPSM组中观察到其他心理健康问题的几率较低的趋势.
- 这两个群体的抑郁和焦虑率都高于加泰罗尼亚普通人口.
结论:
- 生物心理社会模型 (BPSM) 似乎比生物医学模型 (BMM) 更有效地减少跨性别者的情感痛苦.
- 心理健康问题的高患病率强调需要解决社会因素而不是个人病理.
- 转向知情决策,患者自主权和纳入研究中的跨性别声音至关重要.
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