跨性别人口的医疗保健回避和延迟:一项系统性审查,探索与少数群体压力相关的关联
Siobhan D Thomas1, Maria Dempsey1, Robert J King1
1School of Applied Psychology, University College Cork, Cork, Ireland.
Transgender health
|May 1, 2025
概括
由于少数民族压力,变性人经常避免或推迟医疗保健. 这次审查发现,医疗保健回避和延迟 (HAD) 与各种少数群体压力因素,特别是医疗保健机构内的压力因素之间存在显著的关联.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 社会学 社会学 社会学
- 心理学 心理学 心理学
背景情况:
- 避免和延迟医疗保健 (HAD) 是跨性别人士的一个重要问题.
- 少数压力模型经常用于探索导致HAD的因素.
研究的目的:
- 审查跨性别人口中HAD和少数民族压力之间的联系的证据.
- 检查少数群体压力的各个方面及其与HAD的联系.
- 调查HAD操作化如何影响研究成果.
主要方法:
- 对五个数据库进行了系统的搜索.
- 应用了包括和排除标准.
- 四名审查员在标题,摘要和全文阶段对研究进行了选.
- 由于方法异质性,使用了叙事综合.
主要成果:
- 18项研究将HAD与各种少数族裔压力因素联系在一起.
- 在医疗保健机构中,远端压力因素与HAD有着显著的关联.
- 对许多变量存在研究差距,一些研究共享数据源.
- HAD测量通常是二进制的,调解/适度分析研究不足.
结论:
- 对跨性别人口中HAD和少数民族压力的研究至关重要.
- 未来的研究应该解决识别的理解差距.
- 需要进一步调查HAD的运行情况.
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