在中国的跨性别男性和女性中,性别认同的里程碑和激素利用
Jiayu Hou1, Bailin Pan2, Yinuo Chen1
1Department of Endocrinology and Metabolism, State Key Laboratory of Female Fertility Promotion, Peking University Third Hospital, Beijing, China.
JAMA network open
|January 6, 2026
概括
在中国的跨性别男性和女性之间,性别认同的发展有所不同,男性更早地识别不一致性,女性更快地开始激素治疗. 对性别肯定激素治疗 (GAHT) 的需求很高,但获得仍然是一个挑战.
科学领域:
- 跨性别者健康 跨性别者健康
- 发展性别认同 发展性别认同
- 激素治疗的利用 激素治疗的利用
背景情况:
- 在中国跨性别人口中对性别认同发展的理解有限.
- 需要探索影响性别肯定激素治疗 (GAHT) 使用的因素.
研究的目的:
- 研究中国跨性别男性 (TM) 和跨性别女性 (TW) 的性别认同发展.
- 探索身份因素和GAHT利用之间的关联.
主要方法:
- 使用中国跨性别健康调查 (2021) 进行的横截面研究.
- 在线雪球采样招募了4296名参与者.
- 多变量二元逻辑回归分析了与GAHT相关的行为.
主要成果:
- 变性男性比变性女性更早地认识到性别不一致.
- 变性女性比变性男性更早地开始GAHT.
- 自2017年以来,GAHT的需求和利用量显著增加,但有效的处方率仍然很低.
结论:
- 性别认同发展的里程碑在中国跨性别男性和女性之间有所不同.
- 尽管GAHT需求和使用增加,但医疗可访问性挑战仍然存在.
- 个性化的支持和改进的正式医疗保健服务对于中国的跨性别者福祉至关重要.
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