跨性别男性使用性别确认激素治疗的头痛:一项病例对照研究
Erik Trovão Diniz1, Jardelina Brena Rocha Leite1, Camila Ribeiro Coutinho Madruga1
1Hospital das Clínicas, Federal University of Pernambuco (UFPE), Recife, Brazil.
Headache
|April 19, 2025
概括
跨性别男性 (TM) 与 cisgender男性 (CM) 相比,总体头痛和紧张型头痛 (TTH) 较少. 然而,TM显示了偏头痛的更高患病率,在TM和 cisgender妇女 (CW) 之间,头痛严重程度或影响没有显著差异.
科学领域:
- 神经学 神经学
- 性别研究是性别研究.
- 公共卫生 公共卫生
背景情况:
- 主要的头痛研究往往忽略了性别,主要集中在性别上.
- 性别是一个复杂的社会结构,受到文化和环境因素的影响.
- 了解不同性别认同的头痛患病率对于全面的医疗保健至关重要.
研究的目的:
- 为了比较跨性别男性 (TM), cisgender男性 (CM) 和 cisgender女性 (CW) 的初级头痛的频率,特征和影响.
- 为了研究性别认同对头痛疾病的影响,超越生物性别.
- 为更包容的头痛管理策略提供数据.
主要方法:
- 一项涉及50名跨性别男性 (TM),50名半性别男性 (CM) 和50名半性别女性 (CW) 的病例对照研究.
- 数据采集使用半结构化问卷,头痛影响测试 (HIT-6) 和医院焦虑和抑郁量表.
- 分析包括条件后勤回归,调整相关的人口和心理因素.
主要成果:
- 跨性别男性 (TM) 与 cisgender男性 (CM) 相比,总体头痛和紧张型头痛 (TTH) 率显著降低.
- 与CM相比,TM显示了偏头痛的明显更高的患病率,特别是没有光环的偏头痛.
- 在TM和 cisgender女性 (CW) 之间,没有发现头痛类型,频率或严重性的显著差异.
结论:
- 跨性别男性和 cisgender男性的头痛模式不同,TM 经历的头痛不那么频繁,但偏头痛更多.
- 跨性别男性和 cisgender 女性之间没有观察到头痛特征或严重程度的显著差异.
- 这些发现强调了在头痛研究和临床实践中考虑性别认同的重要性.
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