跨性别和性别多元的人在瑞典的初级保健体验 - - 定性研究
1Department of Epidemiology and Global Health, Umeå University, Umeå, 901 87, SE, Sweden.
BMC primary care
|November 15, 2025
概括
瑞典的跨性别和性别多元化个体在初级保健中面临着严重的障碍,原因是 cisnormativity 和 transphobia,导致未满足的医疗保健需求. 提高跨能力和爱好是平等获取的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生社会学 卫生社会学
- 性别研究是性别研究.
背景情况:
- 跨性别和性别多元的人面临着严重的健康差异和医疗保健获取障碍.
- 初级保健机构对于确保所有人口获得公平的健康成果至关重要.
- 这项研究调查了瑞典跨性别和性别多样性个人的初级保健经验.
研究的目的:
- 探索瑞典初级保健系统中跨性别和性别多样性人的生活经验.
- 识别障碍物和促进者,以获得合格和肯定的初级保健.
- 为改善性别多样性人口的医疗保健平等策略提供信息.
主要方法:
- 在瑞典,与12名跨性别或性别多元 (15岁以上) 个人进行了半结构化访谈,他们有初级保健经验.
- 通过已建立的跨社区组织招募参与者.
- 分析了采访数据,使用反射主题分析来识别反复出现的模式和主题.
主要成果:
- 确定了五个关键主题:"准备和低期望"",尝试跨能力护理"",当跨体验不存在时 - 从平滑到被排除"",当变性人成为问题时 - 从摩擦到公开违规",以及"医疗保健遭遇的影响 - 从不舒服到转移责任.
- 经验是由 cisnormativity 塑造的,导致不可见性,排斥,错误的性别和提供者知识差距.
- 变性恐惧症表现为不适,嘲笑,不尊重和拒绝护理,侵蚀信任并阻碍医疗保健需求的满足.
结论:
- 异性规范性和变性恐惧症在瑞典的初级保健中造成了重大障碍,导致跨性别和性别多样性个体的负面医疗体验.
- 这些障碍导致缺乏信任,缺乏支持的护理导航和未满足的健康需求.
- 为了实现平等的医疗保健,必须紧急实施与跨性别组织合作开发的增强跨性别能力和盟友关系.
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