老年跨性别者在医疗保健中的歧视:一个全面的审查
Costas S Constantinou1, Monika Nikitara2
1Department of Basic and Clinical Sciences, Medical School, University of Nicosia, Nicosia 1700, Cyprus.
Geriatrics (Basel, Switzerland)
|November 24, 2025
概括
年长的跨性别成年人面临着严重的医疗保健歧视,导致服务回避和健康状况不佳. 解决这个问题需要政策改革,包容性实践,以及社区支持公平的护理.
科学领域:
- 老年学是一门学科.
- 健康 公平 卫生 公平
- 在LGBTQ+研究研究.
背景情况:
- 老年人,特别是那些认同LGBTQ+的人,面临着独特的医疗保健挑战.
- 医疗保健机构中的歧视对年长的跨性别者产生了重大影响.
- 了解这些经验对于改善健康结果至关重要.
研究的目的:
- 对现有的关于65岁及以上跨性别成年人在医疗保健机构中遭受歧视的文献进行范围审查.
- 确定关键主题并绘制当前的研究格局.
主要方法:
- 遵守PRISMA指导方针进行范围审查.
- 在多个数据库 (Scopus,PubMed,CINAHL等) 进行系统的文献搜索. 使用特定的关键字.
- 包括过去20年以英语出版的研究,重点关注65岁以上跨性别人士在医疗保健中的歧视.
主要成果:
- 对这一特定人口群体的研究是有限的.
- 年长的跨性别者经常预料到或经历歧视,导致避免医疗保健和负面的健康结果.
- 虽然公开的歧视可能看起来比年轻人更低,但存在相似的受害者状况,因年龄相关的脆弱性和社会经济因素而加剧. 结构性障碍,如文档问题和缺乏供应商能力,是重大障碍.
结论:
- 有针对性的政策改革,包容性临床实践和基于社区的支持对于减轻差异至关重要.
- 需要加强机构的问责制和跨学科的研究.
- 确保对老龄化跨性别人口提供安全,肯定和公平的医疗保健至关重要.
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