跨性别成年人的性别确认手术史,满意度和未满足的需求
David R Pletta1,2, Meg Quint2,3, Asa E Radix4,5
1Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor.
JAMA network open
|September 18, 2025
概括
跨性别,非二进制和性别多样性个体对性别确认手术 (GAS) 感到高度满意,但面临着很大的进入障碍. 改善对GAS的获取对于这一群体至关重要.
科学领域:
- 医学研究 医学研究
- 外科手术的结果
- 卫生公平性健康公平性
背景情况:
- 性别确认手术 (GAS) 是对跨性别,非二进制和性别多样性 (TGD) 个体的性别障碍症的重要治疗方法.
- 了解GAS的流行,满意度和接入障碍对于改善护理至关重要.
研究的目的:
- 评估GAS的患病率,手术满意度以及TGD成年人遇到的障碍.
- 确定与GAS接收,满意度和接入挑战相关的因素.
主要方法:
- 使用电子调查数据对2176名TGD初级保健患者进行横截面研究.
- 用描述性分析和物流回归模型来检查结果.
主要成果:
- 43.5%的患者接受了GAS,其中82%报告高满意度.
- 大多数患者 (94.4%) 遇到障碍,主要是成本 (66.9%).
- 年龄较小与更低的GAS几率和更高的障碍几率有关;性别标志物变化和荷尔蒙使用增加了GAS几率.
结论:
- 虽然TGD患者对GAS的满意度很高,但他们面临着大量未满足的需求和进入障碍.
- 需要进行干预,以提高TGD个人的GAS可访问性.
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