针对跨性别和非二进制年轻人的个性化和创新的性别医疗保健
Drew B A Clark1,2, Daniel L Metzger2,3, Ken C Pang4,5,6
1School of Nursing, The University of British Columbia, Vancouver, British Columbia, Canada.
Nature reviews. Endocrinology
|May 7, 2025
概括
包括标准和新型疗法在内的性别确认医疗保健可以在道德上支持跨性别和非二元年轻人直到18岁. 个性化护理计划确保性别体现的安全性和有效性.
科学领域:
- 内分泌学和青少年医学
- 确认性别的护理
- 医学伦理 医学伦理
背景情况:
- 越来越多的跨性别和非二进制年轻人正在寻求医疗干预以确认性别.
- 这些干预措施被证明可以提高年轻人的健康和福祉.
- 个性化护理对于解决跨性别和非二进制青年的独特需求至关重要.
研究的目的:
- 为跨性别和非二进制年轻人制定个性化的性别体现护理策略,直到18岁.
- 审查建立和新兴的医学疗法,以确认性别.
- 为使用标准和新型治疗方法提供道德指导.
主要方法:
- 标准医学疗法的审查:淋巴激素释放激素类似物,17β-雌激醇,,类固醇抗雄激素和孕激素.
- 新方法的介绍:选择性雌激素受体调节剂,5α-减少酶抑制剂,5α-减少酶抑制剂,芳香酶抑制剂和非类固醇抗雄激素.
- 将伦理原则 (证据,益处,安全,尊重,关怀,沟通,透明,公平,创新) 应用于临床场景,包括非标签处方.
主要成果:
- 对于跨性别和非二进制年轻人来说,性别肯定的标准医学疗法在伦理上是合理的.
- 当被整合到个性化护理计划中时,新型疗法可以在道德上被接受.
- 考虑理论,临床和研究证据,以及潜在的益处和风险,对于新疗法至关重要.
结论:
- 个性化性别肯定护理,利用标准和新的医疗干预措施,在伦理上支持跨性别和非二元年轻人.
- 伦理考虑至关重要,特别是在使用非标签处方用于新疗法时.
- 鼓励临床医生和研究人员分享有关医疗创新的证据,以支持青年性别健康.
相关概念视频
01:26Sexually Transmitted Infections
200
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
200
01:30Socioemotional Experience and Gender Development
16
Social-emotional experiences and cultural influences play significant roles in shaping gender development. During middle childhood, from ages 6 to 11, peer groups become dominant in reinforcing gender norms. Children in this age group often align with same-gender peer groups, which actively encourage behaviors that conform to traditional gender roles. For instance, boys may be discouraged from engaging in activities perceived as feminine, reinforcing culturally dictated norms about masculinity...
16
01:30Primary Healthcare Services
1.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.3K
01:15External Female Genitals
2.2K
The vulva encompasses the external structures of the female reproductive system. At the forefront is the monpubis, a cushion of fatty tissue atop the pubic bone. Once puberty sets in, this area typically grows hair. Extending from just behind the mons pubis are the labia majora (labia = 'lips'; majora = 'larger'), which are larger skin fs olds coated with hair. Nestled within are the labia minora (labia = 'lips'; minora = 'smaller'), which are thinner, more...
2.2K
01:11Secondary Healthcare System
1.4K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.4K
01:21Tertiary Healthcare System
1.7K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
1.7K