Health Care Experiences of Patients with Nonbinary Gender Identities
Health Care Experiences of Patients with Nonbinary Gender Identities
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DOI：
10.1089/trgh.2021.0029
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发表时间：
2021-08-17
影响因子：
2
通讯作者：
Sevelius, Jae
中科院分区：
文献类型：
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作者：
Bindman, Jay;Ngo, Azze;Sevelius, Jae
目的：本研究的主要目的是描述不同地理位置的非二元性别身份患者的医疗保健经历。第二个目的是使用定性的研究结果，告知诊所和供应商的建议，创造性别肯定的医疗保健环境nonbinary patients.Methods：我们进行了3个焦点小组讨论与7-9名参与者，共24个独特的参与者。参与者必须年满18岁，居住在美国，会说英语，能够在私人房间访问Zoom，具有非二元性别身份，并且能够参加三个预定的焦点小组之一。结果：参与者报告了频繁的负面医疗保健经历，包括性别错误，无效和病理化，即使是在那些与变性人社区结盟的诊所里。参与者描述了他们用来科普负面经历的策略，包括避免医疗保健，隐藏身份，以及寻找在性别少数地位和/或种族方面匹配的提供者。为非二元患者提供性别肯定的医疗保健的建议包括非二元包容性的摄入表格和电子健康记录，让提供者积极主动地引出 * 首选的名字和代词，并要求对各级提供者和工作人员进行关于提供非二元包容性的性别平等保健的教育。
Purpose: The primary purpose of this study was to characterize the health care experiences of diverse patients with nonbinary gender identities across a range of geographic locations. A secondary aim was to use the qualitative findings to inform recommendations for clinics and providers to create gender-affirming health care environments for nonbinary patients.Methods: We conducted 3 focus group discussions with 7-9 participants, for a total of 24 unique participants. To be eligible, participants were required to be 18 years of age or older, live in the United States, speak English, have the ability to access Zoom in a private room, have a nonbinary gender identity, and be able to attend one of three scheduled focus groups.Results: Participants reported frequent negative health care experiences, including misgendering, invalidation, and pathologization, even within clinics that signaled alliance with transgender communities. Participants described strategies they use to cope with negative experiences, including health care avoidance, identity concealment, and seeking out providers that are matched in terms of gender minority status and/or race.Conclusion: Recommendations for the provision of gender-affirming health care for nonbinary patients include nonbinary-inclusive intake forms and electronic health records, having providers be proactive in eliciting* preferred names and pronouns, and requiring education for providers and staff at all levels on the provision of nonbinary-inclusive gender-affirming health care.