长期COVID在美国的跨性别和性别非二元人群中
Andrea L Wirtz1, Sari L Reisner2, S Wilson Cole3
1Department of Epidemiology, Center for Public Health and Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Scientific reports
|January 3, 2025
概括
百分之十的跨性别和非二进制的人经历了长期的COVID症状超过三个月. 长期COVID最常见的是跨男性和非二进制个体,在出生时被分配为女性,不受激素治疗的影响.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康 公平 卫生 公平
背景情况:
- 在长期COVID研究和监测中,性别认同报告不足,阻碍了有效的公共卫生计划和临床护理.
- 跨性别和非二进制 (TNB) 人群面临着独特的健康挑战,可能会受到长期COVID的不成比例影响.
- 现有的健康差异可能会被长期COVID等疾病所加剧,这凸显了包容性研究的必要性.
研究的目的:
- 估计美国跨性别和非二进制个体中长期COVID的流行率.
- 检查性别认同,激素治疗和长期COVID流行之间的关联.
- 强调在长期COVID研究中对TNB人群进行包容性数据收集和报告的重要性.
主要方法:
- 一项涉及2134名跨性别和非二进制个体的横截面研究的分析,该研究在2021年6月至2022年5月期间进行了调查.
- 数据仅限于817名确诊或疑似COVID-19的参与者,以评估长期COVID流行 (症状≥3个月).
- 检查跨不同性别认同的流行率以及与激素治疗使用的相关性.
主要成果:
- 有COVID-19病史的TNB参与者中有10%报告了与长期COVID相一致的症状.
- 患病率因性别认同而异,从4.8%到12.9%不等,跨男性和非二进制个体的患病率最高,出生时被分配为女性.
- 在激素治疗使用和长期COVID之间没有发现显著的关联,支持继续提供性别肯定护理.
结论:
- 长期的COVID影响了跨性别和非二进制人口的很大一部分,可能会加剧现有的健康不平等.
- 研究和监测必须包括并按性别认同分类数据,以确保对TNB个人的公平照顾.
- 优先考虑性别肯定护理至关重要,在长期COVID治疗期间不应中断.
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