厄瓜多尔卫生系统中的歧视,排斥和暴力:跨性别者与cisgender者的比较
Victoria Jácome-Vallejo1, Diego Rosado1, Belén Intriago1
1Facultad de Ciencias de la Salud, Universidad Espíritu Santo, Samborondón, Guayas, Ecuador.
Global public health
|November 17, 2025
概括
厄瓜多尔的跨性别成年人在医疗保健中遭受歧视,排斥和暴力的比例明显高于 cisgender 成年人. 这些差异凸显了政策变革的迫切需要,以确保跨性别人士平等获得健康服务.
科学领域:
- 健康 公平 卫生 公平
- 健康的社会决定因素
- 跨性别者健康 跨性别者健康
背景情况:
- 医疗保健的可接受性对于公平的健康结果至关重要.
- 在全球范围内,跨性别者在获得医疗保健方面面临重大障碍.
- 了解厄瓜多尔的这些差异对于有针对性的干预至关重要.
研究的目的:
- 评估厄瓜多尔跨性别和 cisgender 成年人之间的医疗保健接受度差异.
- 分析医疗保健系统中歧视,排斥和暴力的经历.
- 确定加剧这些不平等的风险因素.
主要方法:
- 2012年厄瓜多尔"GLBTI"生活条件调查的回顾性分析.
- 后勤回归用于比较跨性别和 cisgender 参与者之间的结果.
- 调整为人口和社会经济因素的混.
主要成果:
- 与 cisgender 个人相比,变性人报告的歧视 (OR=11.56),排斥 (OR=7.61) 和暴力 (OR=8.89) 的几率要高得多.
- 居住在沿海地区和从事性工作是额外的风险因素.
- 在所有结果中观察到显著差异 (p<0.001).
结论:
- 厄瓜多尔的跨性别成年人面临着在医疗保健机构中遭受歧视,排斥和暴力的不成比例高风险.
- 结构性不平等破坏了平等的机会,加剧了跨性别人口的健康脆弱性.
- 紧急的政策关注,包括提供者培训和减少耻辱感,是包容性医疗保健所必需的.
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