Transgender Patient Perceptions of Stigma in Health Care Contexts
Transgender Patient Perceptions of Stigma in Health Care Contexts
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DOI：
10.1097/mlr.0b013e31829fa90d
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发表时间：
2013-09-01
期刊：
影响因子：
3
通讯作者：
Maness, Kathleen
中科院分区：
文献类型：
--
作者：
Kosenko, Kami;Rintamaki, Lance;Maness, Kathleen
目标：变性人，或那些跨越或超越性别类别的人，通常会经历耻辱和歧视。坊间证据表明，这种变性者恐惧症在卫生保健环境中表现出来，但很少有研究讨论在这种情况下经历的虐待形式。这项研究旨在探索变性人患者的医疗保健体验。这份简短的报告主要关注他们的负面经历。方法：对152名变性人成年人进行在线问卷调查，了解他们的医疗保健情况。受试者被问及他们是否以及如何受到虐待，并通过定性的内容分析来分析他们的反应。结果：参与者对虐待的描述集中在6个主题：性别不敏感、不适表现、被拒绝的服务、不符合标准的护理、言语虐待和强迫护理。结论：这些发现为了解变性人患者对医疗保健环境中虐待的认知和敏感性提供了洞察。这些信息可能被用来提高提供者的文化能力，并为他们与变性人患者的互动提供信息。
Objectives: Transgender individuals, or those who cross or transcend sex categories, commonly experience stigma and discrimination. Anecdotal evidence indicates that this transphobia manifests in health care settings, but few studies address the forms of mistreatment experienced in this context. This study was designed to explore transgender patients' experiences with health care. This brief report focuses on their negative experiences.Methods: A total of 152 transgender adults were recruited to complete an online questionnaire about their health care. Participants were asked if and how they had been mistreated, and responses were analyzed by qualitative content analysis.Results: Participants' descriptions of mistreatment coalesced around 6 themes: gender insensitivity, displays of discomfort, denied services, substandard care, verbal abuse, and forced care.Conclusions: These findings provide insight into transgender patients' perceptions of and sensitivity to mistreatment in health care contexts. This information might be used to increase providers' cultural competency and inform their interactions with transgender patients.