作为根本原因的交叉结构性压迫:对实施医疗法律伙伴关系项目进行反思
Kristi E Gamarel1, Wesley M Correll-King1, Laura Jadwin-Cakmak1
1Department of Health Behavior and Health Equity, University of Michigan School of Public Health.
概括
法律障碍,包括来自货币制裁的高成本,严重阻碍了有犯罪记录的有色人种跨性别女性的法律性别肯定. 解决结构性压迫需要多部门合作和法律素养,以改善跨性别健康结果.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 健康的社会决定因素
背景情况:
- 跨性别者和性别多样化 (跨) 的人口面临着严重的健康不平等.
- 交叉和结构性干预对于解决这些差异至关重要.
- 法律性别肯定是改善跨性别者的健康结果的关键组成部分.
研究的目的:
- 反思社区主导的医疗法律伙伴关系的实施.
- 为了解决底特律有犯罪记录的有色人种跨性别女性合法性别肯定的障碍.
- 改善这一脆弱群体的健康结果.
主要方法:
- 社区卫生中心和一个法律倡导组织之间建立了合作伙伴关系.
- 为满足法律需求,提供了律师支持和财政援助.
- 该项目专注于五名具有犯罪记录的有色人种跨性别女性.
主要成果:
- 四名参与者被录取,其中两人成功获得了法律名称的更改.
- 低的成功率主要是由于法律费用超过了可用的资源.
- 对轻微民事违法行为的加重货币制裁对这些成本做出了重大贡献.
结论:
- 干预强调了结构性的交叉压迫.
- 货币制裁和密歇根州的更名政策对法律性别肯定造成了实质性障碍.
- 开发干预措施需要建立结构能力,法律素养和多部门合作.
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