变性人和体现子宫内膜异位症的性别多样性个体:系统性审查
Maddalena Giacomozzi1,2, Jip Bouwens1,2,3, Stéphane Guy Aubin2
1Department of Obstetrics and Gynaecology, Radboud University Medical Center, Nijmegen, Netherlands.
Frontiers in medicine
|December 4, 2024
概括
由于生物医学,心理和环境因素的复杂相互作用,变性人和性别多样性 (TGD) 个体患子宫内膜异位症的患病率更高. 这突显了除了 cisgender 女性之外,在医疗保健获取和对子宫内膜异位症的理解方面的差异.
科学领域:
- 生殖健康 生殖健康
- 性别研究是性别研究.
- 健康差异 在健康上的差异
背景情况:
- 变性人和性别多样性 (TGD) 个体面临着严重的健康不平等.
- 子宫内膜异位症影响5-10%的女性,但TGD个体接受性别确认手术的患病率为25.14%.
研究的目的:
- 调查TGD社区与 cisgender人口相比,子宫内膜异位症患病率更高的原因.
- 分析导致这种流行差距的因素的相互作用.
主要方法:
- 对32个同行评审的来源进行了系统审查和适合框架的分析.
- 分析结果使用调整的发展框架进行实施,采用交叉方法.
- 在多层次上对源进行分类:表达,塑造,交互和整合.
主要成果:
- 从主要数据库中确定了2001-2024年间出版的423项英语和西班牙语研究.
- 患病率差距与生物医学,心理和环境因素有关,这些因素在整个生命周期中相互作用.
- 在TGD患者中,与子宫内膜异位症相关的因素比较普遍,如创伤史,低自我形象和肥胖.
结论:
- 在TGD患者中,子宫内膜异位症的发病率较高是一个复杂的现象,受个人特征和环境因素的影响.
- 医疗保健障碍和将子宫内膜异位症视为"女性疾病"的看法加剧了TGD个体的问题.
- 在性别肯定疗法中使用丸激素可能会刺激子宫内膜异位症,需要进一步调查.
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