UNC Professor Co-Authors Recommendations on Inclusive Practices for 健康 Care 提供rs
2020年1月23日
Almost two-thirds of transgender individuals delayed or avoided medical 护理 due to fear of gender-related discrimination, according to research published by 一个科罗拉多教育基金. In response, researchers in the Colorado School of Public 健康 recently issued a set of recommendations for health 护理 providers as part of a published article 《妇女健康问题.
The article also discusses the need for more evidence on transgender and nonbinary (TNB) health and inclusivity in health护理 settings.
根据 the article, research shows that TNB individuals with inclusive primary 护理 providers are less likely to experience suicidal thoughts or desires.
快速的事实
- 这是 估计 that 390 adults per 100,000 U.S. 成年人,或者 almost 1 million adults nationally, identified as trans in 2016. Trans relates to someone whose gender identity or expression differs from their biological sex or from the assigned sex at 出生.
- 在跨性别人群中， 25-35% 报告ed that they were nonbinary, a gender that is distinct from or blends elements of being male or female, according to the American Psychological Association in 2015.
- In 31个州 it is legal to allow for gender-related discrimination.
- Trans and nonbinary patients often 报告 提高利率 of depression, suicidal ideation and suicide attempts owing to discrimination.
丹妮尔·布里顿博士.D., (右图) a co-author, interim associate dean for the UNC College of Natural and 健康 Sciences
and a Colorado SPH professor, said, “To continue having a narrowly defined understanding
of women’s (and men’s) health upholds current discriminatory practices towards trans
非二元个体.
作者的建议:
- 扩大研究范围 beyond traditional women’s health to collect data that can be used to develop evidence-based 资源.
- 提供访问 to these 资源 to a wide range of health providers.
- Share data with policymakers to help them make decisions that will have the best outcomes for TNB health.
- Modify the definition of “women’s health” to include transgender women, transgender men, other transmasculine individuals and 非个人.
- Implement evidence-based policies that are inclusive to TNB individuals to reduce instances of TNB individuals avoiding 护理.
- 培训所有员工 皇冠app安卓下载安装TNB健康问题.
- 提供 safe, affirming and inclusive 物理环境.
- Deliver 护理 that’s specific for these individuals that focuses on their needs.
提供rs and organizations must broadly define health so as to provide culturally responsive 护理 to all individuals regardless of their gender identity. 时间越长 we wait, the more we fail those who are the most marginalized and discriminated against. We have a responsibility to provide equity-based 护理 to all.”
At least one Colorado facility is considered to be ahead of the game in terms of assisting TNB individuals, according to Brittain. Since 2017, the Denver 健康 Medical Center 有 提供 gender-confirmation surgeries and is the only place in Colorado where transfeminine individuals can receive vaginoplasty.
根据 Dr. 伊丽莎白Kvach (左图), the medical director of Denver 健康’s LGBTQ Center of Excellence, Denver 健康
有 worked to create inclusive 护理 for TNB individuals by training and educating
providers in Denver 健康’s centers.
“There is education for every point of contact [employees have] with patients with the goal that patients should be able to walk anywhere in the system and receive quality 小心，”她说.
In 2019, Denver 健康 facilities had 525个新病人打来电话 the LGBTQ Center of Excellence for primary 护理; 85%的病人 identified as TNB individuals, and over 300 gender-affirming surgeries 进行.
Since the center opened in January 2017, 超过1300名患者 have come in for primary 护理.
Brittain和 大卫·海多克博士.D., a professor of Sport and Exercise Science at UNC, are working on a study with the Colorado School of Public 健康 that involves comparing data collected by the American College 健康 Association on health behaviors and outcomes of TNB versus cisgender 学生 — individuals whose gender identity matches the sex they were assigned at 出生.
Hydock (右图) said his role in the study involves physical activity and health in transgender
学生.
“Some of the data being analyzed include self-报告ed physical-activity data, and we feel this information may be important in the overall health of these individuals,” 他说.
The research project is expected to be completed later this spring.
