生殖之旅:对2S/LGBTQIA+和混合性别/性别夫妇进行医疗辅助生殖的以患者为中心的护理和幸福感进行比较分析
Journal of homosexuality
|October 11, 2025
概括
接受医疗辅助生殖 (MAR) 的2S/LGBTQIA+夫妇报告了比混合性夫妇更高的关系满意度和双边应对能力,尽管他们有类似的焦虑和感知关怀. 这突显了2S/LGBTQIA+关系在生育治疗期间的独特优势.
科学领域:
- 生殖医学 生殖医学
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 医疗辅助生殖 (MAR) 对混合性夫妇的幸福感产生影响.
- 有限的定量数据存在于2S/LGBTQIA+ (双灵,女同性恋,同性恋,双性恋,跨性别,酷儿,互性恋,无性恋和其他) 经历MAR的夫妇,特别是在社会不孕症方面.
- 定性研究表明,2S/LGBTQIA+个体在生育护理方面面临着独特的障碍.
研究的目的:
- 量化比较2S/LGBTQIA+和经历MAR的混合性/性别夫妇之间的个人和关系幸福感.
- 评估这些群体之间对患者为中心的护理的差异.
- 确定2S/LGBTQIA+夫妇在生育治疗方面的独特挑战和优势.
主要方法:
- 一项比较研究涉及345名加拿大和美国夫妇 (80名2S/LGBTQIA+,265名混合性别/性别) 从生育诊所和在线招募.
- 使用了经过验证的问卷:以患者为中心的问卷-不孕不育,医院焦虑和抑郁量表,简要的双调整量表和双应对库存.
- 采用混合效应模型来分析数据,调整社会人口统计因素.
主要成果:
- 在焦虑水平或感知以患者为中心的护理方面没有发现任何显著的群体差异.
- 混合性/性别夫妇报告了更高的抑郁症状 (p=.008,d=0.33).
- 2S/LGBTQIA+夫妇报告了明显更高的关系满意度 (p=.004,d=-0.33) 和更多地使用双向应对策略 (p=.016,d=-0.31).
结论:
- 2S/LGBTQIA+夫妇在医疗辅助生殖过程中表现出关系强度,包括更高的满意度和应对能力.
- 尽管存在潜在的接入障碍,但这些夫妇在他们的关系中表现出性.
- 需要进一步的研究,以了解多样化的MAR经验,并促进所有夫妇的包容性,公平的生育护理.
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