探索印度Uttarakhand的跨性别人士利用有针对性的干预服务:一项定性研究
Meenakshi Khapre1, Krushna Sahoo2, Vartika Saxena1
1All India Institute of Medical Sciences, Rishikesh, India.
Frontiers in public health
|December 19, 2024
概括
像耻辱和低健康素养等障碍,阻止了Uttarakhand的跨性别女性获得重要的医疗服务. 改善医疗接入需要解决社会和与服务相关的因素,以获得更好的医疗保健结果.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 跨性别女性在医疗保健方面遇到重大障碍,包括暴力,歧视和耻辱.
- 这些挑战会对心理健康产生负面影响,并增加艾滋病毒/性传播感染的风险.
- 印度,特别是乌塔拉罕德邦的跨性别女性在医疗保健服务中的使用情况未得到充分研究.
研究的目的:
- 探索Uttarakhand跨性别社区利用有针对性的干预 (TI) 服务.
- 识别该地区跨性别女性获得IT服务的障碍和促进者.
主要方法:
- 定性研究涉及24名跨性别女性的焦点小组讨论 (FGD) 和9名非政府组织工作人员的深入访谈 (IDI).
- 该研究于2023年9月至2024年1月在乌塔拉罕德邦哈里德瓦和鲁尔基进行.
- 采用安德森和纽曼医疗保健利用模式指导的主题分析.
主要成果:
- 确定的主要障碍包括仪式信仰,低健康素养,耻辱,社会隔离,财务不安全,隐私问题和效率低下的服务提供.
- 报道了STI计划实施中的挑战和卫生设施的疏忽.
- 促成因素包括值得信赖的提供商,支持性的法律,以及非政府组织/政府的倡议.
结论:
- 跨性别女性获得医疗保健受到个人,社会和服务相关因素的复杂相互作用的影响.
- 包容性和高质量的医疗保健服务对于解决影响跨性别女性健康的社会文化方面至关重要.
- 需要更多关于性别肯定服务和其他跨性别女性社区中普遍存在的健康问题的信息.
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