种族和民族差异在利用上下两性肯定手术在符合条件的跨性别成年人中
Amani R Patterson1, Joshua E Lewis1, Carolyn Henein1
1John Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA.
Plastic surgery (Oakville, Ont.)
|October 28, 2025
概括
与白人患者相比,性别确认手术 (GAS) 接入的种族和民族差异仍然存在,非洲裔美国人和西班牙裔患者在上下两层手术的几率较低. 有针对性的干预对于公平的外科护理至关重要.
科学领域:
- 医学研究 医学研究
- 卫生公平性健康公平性
- 外科手术的结果
背景情况:
- 性别确认手术 (GAS) 对于跨性别者的福祉至关重要.
- 在GAS接入方面存在的种族和民族差异并未得到充分理解.
- 这项研究解决了有关GAS获取不平等的知识差距.
研究的目的:
- 调查进入顶部和底部性别确认手术的种族和民族差异.
- 为了比较不同种族和种族群体的外科手术接入率.
- 为了确定GAS接入的具体差异.
主要方法:
- 对TrinetX数据库 (2014-2024) 的回顾性队列分析.
- 包括18岁以上的患有性别失调症的患者和6个月以上的激素治疗.
- 根据种族/族裔分层和倾向性得分匹配进行分析.
主要成果:
- 与白人患者相比,非洲裔美国人和西班牙裔患者经历上下GAS的几率明显较低.
- 亚洲患者的接受上下两种GAS的几率更高.
- 这些差异在6个月和1年的随访点都是一致的.
结论:
- 显而易见的是,在性别确认手术的获取方面存在显著的种族和民族差异.
- 有针对性的干预措施是必要的,以确保所有跨性别者获得公平的外科护理.
- 解决这些差异对于改善健康结果和肯定性别认同至关重要.
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