加拿大跨性别和非二进制人群的性传播和血液感染:一个范围审查
Jacob Bigio1, Megan Butler1, Swati Sood2
1Sexually Transmitted and Blood-Borne Infections Surveillance Division, Public Health Agency of Canada, Montreal, Québec, Canada.
PloS one
|May 20, 2025
概括
在加拿大的跨性别和非二进制个体中,有关性传播和血液传播感染 (STBBIs) 的数据有限. 需要更多的研究和公共卫生监测,以了解STBBI的患病率,并改善这些关键人群的医疗保健.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康 公平 卫生 公平
背景情况:
- 跨性别者和非二进制个体在全球面临性传播和血液感染 (STBBIs) 的不成比例负担.
- 关于加拿大的跨性别者和非二进制人口的STBBI患病率和相关医疗保健准入的数据有限.
- 这些种群被认定为STBBI行动计划2024-2030中的关键种群.
研究的目的:
- 对加拿大跨性别和非二进制人群中STBBI患病率,风险暴露和服务利用的证据进行范围审查.
- 识别这些人群中有关STBBI的数据和研究的差距.
- 为未来的公共卫生监督和政策提供信息.
主要方法:
- 在六个数据库中搜索了2013年1月1日至2023年9月1日之间发表的文章.
- 进行了省/地区公共卫生网站和社区组织的灰色文献搜索.
- 包括934个选的26个记录,包括五个省级监控报告.
主要成果:
- 在加拿大的跨性别者和非二进制人群中量化STBBI的患病率是很困难的,因为缺乏大多数省和地区的分类数据.
- 现有的同行评审文献为特定的跨性别子组提供有限的艾滋病毒流行数据,往往缺乏用于流行估计的强大设计.
- 变性人可能会遇到医疗保健,测试和治疗STBBIs的障碍,对非二进制人群的研究很少.
结论:
- 目前的证据不足以提出有关加拿大跨性别和非二进制人口中STBBI的具体公共政策建议.
- 需要加强公共卫生监测和研究,与跨性别和非二进制社区合作开发.
- 改善数据收集和研究对于了解国家STBBI负担和解决这些关键人群的健康不平等至关重要.
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