二进制和非二进制的跨性别患者体验 获得性别确认的顶部手术
Gavin A Raner1, Jordan S Shapiro1, Tiffany Tse2
1From the Schulich School of Medicine and Dentistry, Western University, London, Canada.
Plastic and reconstructive surgery. Global open
|October 7, 2024
概括
寻求顶部手术的跨性别和性别多样性 (TGD) 个体面临重大障碍. 非二进制患者遇到独特的挑战,包括缺乏TGD友好的外科医生和增加的偏见,以及与二进制患者相比不同的外科目标.
科学领域:
- 医学研究 医学研究
- 外科手术的结果
- 肯定性别的护理.
背景情况:
- 变性人和性别多样性 (TGD) 个体经历了顶部手术的障碍,影响了健康结果.
- 目前的文献往往没有区分非二元和二元TGD患者的经验.
研究的目的:
- 了解进行顶部手术的非二进制与二进制TGD患者所面临的差异性经验和障碍.
- 在这些独特的TGD群体中确定特定的挑战和外科目标.
主要方法:
- 一个单中心,混合方法调查研究,从2022-2023年进行.
- 包括所有连续接受顶部手术的TGD患者.
- 数量数据的统计分析和自由文本答案的内容分析.
主要成果:
- 37名二进制和71名非二进制患者完成了调查.
- 两个组的共同障碍包括资金,医疗保健系统等待时间和手术准入延迟.
- 非二进制患者报告说,由于缺乏TGD友好的提供者,偏见和就业担忧的影响更大,胸部尺寸目标各不相同.
结论:
- 二进制和非二进制TGD患者都面临顶部手术的障碍,但非二进制个体遇到不同的挑战并具有不同的手术目标.
- 医疗保健提供者应该讨论个别的手术目标,并考虑除了双边乳房切除与乳头移植之外的顶部手术选择,特别是对于非二进制患者.
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