葡萄牙的性别肯定激素治疗:知识,安全性和遵守性
Rafael Baptista Santos1, Carolina Lemos2, Miguel Saraiva3
1Instituto de Ciências Biomédicas de Abel Salazar, Porto, Portugal.
International journal of transgender health
|February 21, 2025
概括
变性人经常依靠互联网获取性别肯定激素治疗 (GAHT) 信息,面临访问障碍和缺乏指导. 改善医疗保健专业人员的参与对于安全,遵守和全面护理至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 跨性别者健康 跨性别者健康
背景情况:
- 对跨性别者来说,了解知识,经验,安全性和遵守性别肯定激素治疗 (GAHT) 是至关重要的.
- 葡萄牙国家卫生系统在GAHT启动中的作用需要审查.
研究的目的:
- 评估葡萄牙跨性别人口对GAHT的了解.
- 检查通过葡萄牙国家卫生系统启动GAHT的经验.
- 评估安全性,监测和遵守GAHT.
主要方法:
- 涉及葡萄牙跨性别成年人接受GAHT的横截面研究.
- 原始调查问卷使用利克尔特式 (0-6) 量表来评估GAHT的各个方面.
- 用于数据分析的描述性统计和非参数测试 (显著程度p<0.05).
主要成果:
- 参与者评价他们的GAHT知识很高 (中位数为5/6),但主要使用互联网,14.1%的受访者感到不知情.
- 71.2%的人面临获得GAHT的障碍,主要是长时间的等待时间;女性化治疗更昂贵.
- 有知情同意 (43.3%) 和治疗前血液检查 (11.3%) 往往缺乏;生育性讨论很少 (53.2%),吸收率低 (8.0%).
- 定期监测 (79.6%) 和内分泌科医生随访 (87.3%) 是常见的,但由于不良反应或接入问题,6.3%的人停止治疗.
结论:
- 互联网是GAHT信息的主要来源,强调医疗保健专业人员需要指导患者找到可靠的资源.
- 供应商知识有限和访问障碍,包括初级保健医生的参与不足,引发了安全问题.
- 不足够的生育咨询和随访需要全面的护理模式来提高GAHT安全性和坚持.
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