TRANSGENDER CARE BY ENDOCRINOLOGISTS IN THE UNITED STATES
TRANSGENDER CARE BY ENDOCRINOLOGISTS IN THE UNITED STATES
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DOI：
10.4158/ep151185.or
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发表时间：
2016-07-01
影响因子：
4.2
通讯作者：
Irwig, Michael S.
中科院分区：
文献类型：
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作者：
Irwig, Michael S.
目的：了解内分泌科医师对跨性别护理的态度和实践模式。本研究的目的是评估美国中大西洋地区内分泌学家的代表性样本的知识、实践模式、获取和能力。方法：对80名与会人员进行匿名调查，包括61名成人内分泌学家、13名内分泌研究员、2名儿科内分泌学家和4名执业护士/医师助理。结果：参评率估计接近80%。63%的内分泌科医生愿意为变性人提供治疗，但大多数医生目前没有变性病人在他们的治疗之下。一半的医生阅读了内分泌学会的临床实践指南，在40岁以下的人中，这一比例为70%。尽管如此，只有20%的人在讨论性别认同和/或性取向时“非常”自在，41%的人认为自己“有点”或“非常”有能力提供跨性别护理。结论：近十年来，内分泌科医生和其他医护人员在跨性别护理方面接受了更多的教育和培训。然而，许多参与者几乎没有机会照顾跨性别患者，他们认为自己的能力很低。需要研究如何提高那些为跨性别患者提供护理的人对性别认同的舒适度。
Objective: Little is known about the attitudes and practice patterns of transgender care by endocrinologists. The objective of this study was to assess the knowledge, practice patterns, access, and competency among a representative sample of endocrinologists in the mid-Atlantic region of the United States.Methods: An anonymous 19-item paper survey was administered to 80 conference attendees that included 61 adult endocrinologists, 13 endocrinology fellows, 2 pediatric endocrinologists, and 4 nurse practitioners/physician assistants.Results: The participation rate was estimated to be similar to 80%. Sixty-three percent of endocrinology providers were willing to provide transgender care, but the majority of providers had no current transgender patients under their care. Half of providers had read the Endocrine Society's clinical practice guidelines, with a rate of 70% among those under age 40. Nonetheless, only 20% were "very" comfortable in discussing gender identity and/or sexual orientation, and 41% described themselves as "somewhat" or "very" competent to provider transgender care.Conclusion: Endocrinologists and other providers have received more education and training on transgender care within the past decade. Nevertheless, many participants have had little opportunity to care for transgender patients, and they rate their competency to do so as low. Research is needed on how to increase comfort levels regarding gender identity among those who provider care to transgender patients.