Trans people's experiences with assisted reproduction services: a qualitative study
Trans people's experiences with assisted reproduction services: a qualitative study
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DOI：
10.1093/humrep/dev087
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发表时间：
2015-06-01
影响因子：
6.1
通讯作者：
Ross, L. E.
中科院分区：
文献类型：
--
作者：
James-Abra, S.;Tarasoff, L. A.;Ross, L. E.
研究问题：2007年至2010年期间，在加拿大安大略寻求或获得辅助生殖（AR）服务的跨性别者（即性别认同与出生时分配的性别不匹配的人）的经历是什么？简要答复：大多数跨性别者报告了与AR服务提供商的负面经历。已知：除了研究跨性别者想要孩子的愿望之外，大多数关于这个主题的文献都在讨论帮助跨性别者成为父母的道德问题。迄今为止，所有已发表的关于跨性别者使用AR服务的经验的研究都是从服务提供商的角度出发的;没有研究研究过跨性别者自己的经验。研究设计，规模，持续时间：对9名跨性别者及其伴侣数据的二次定性研究（共n = 11）作为2010年至2012年性和性别少数人群获得AR服务的社区研究的一部分。参与者/材料，环境，方法：自2007年以来，加拿大安大略各地使用或试图访问AR服务的跨身份志愿者（及其合作伙伴，如适用）参加了60-90分钟的半结构化定性访谈。使用描述性现象学方法进行定性分析。作为迭代过程的一部分，不断对新出现的主题进行数据检查。主要结果和机会的作用：数据突出了跨性别者获得AR服务的障碍。与会者建议改善AR服务的提供，以更好地满足这一人群的需求。这些建议涉及以下领域：（一）AR服务提供者的教育和培训;（二）服务提供者和诊所的做法和（三）诊所环境。限制，理由回避：大多数研究参与者是跨人谁确定为男性和谁居住在主要城市地区;那些生活在较小社区的人可能有不同的经历，这些经历在本分析中没有得到充分的反映。虽然现有的文献辩论通过使用AR帮助跨性别者成为父母的道德，但我们的研究表明，他们已经在访问或试图访问这些服务。这一现实需要从服务用户和服务提供商的角度出发，探索改进AR服务的方法，以更好地满足这一人群的需求。
STUDY QUESTION: What are the experiences of trans persons (i.e. those whose gender identity does not match the gender assigned to them at birth) who sought or accessed assisted reproduction (AR) services in Ontario, Canada, between 2007 and 2010?SUMMARY ANSWER: The majority of trans persons report negative experiences with AR service providers.WHAT IS KNOWN ALREADY: Apart from research examining desire to have children among trans people, most of the literature on this topic has debated the ethics of assisting trans persons to become parents. To-date, all of the published research concerning trans persons' experiences with AR services is solely from the perspective of service providers; no studies have examined the experiences of trans people themselves.STUDY DESIGN, SIZE, DURATION: Secondary qualitative research study of data from nine trans-identified people and their partners (total n = 11) collected as part of a community-based study of access to AR services for sexual and gender minority people between 2010 and 2012.PARTICIPANTS/MATERIALS, SETTING, METHODS: Trans-identified volunteers (and their partners, when applicable) who had used or attempted to access AR services since 2007 from across Ontario, Canada, participated in a 60-90 minute, semi-structured qualitative interview. Qualitative analysis was performed using a descriptive phenomenological approach. Emerging themes were continually checked against the data as part of an iterative process.MAIN RESULTS AND THE ROLE OF CHANCE: The data highlight barriers to accessing AR services for trans people. Participant recommendations for improving AR service provision to better meet the needs of this population are presented. These recommendations address the following areas: (i) AR service provider education and training; (ii) service provider and clinic practices and (iii) clinic environment.LIMITATIONS, REASONS FOR CAUTION: The majority of study participants were trans people who identified as men and who resided in major urban areas; those living in smaller communities may have different experiences that were not adequately captured in this analysis.WIDER IMPLICATIONS OF THE FINDINGS: While existing literature debates the ethics of assisting trans people to become parents through the use of AR, our study demonstrates that they are already accessing or attempting to access these services. This reality necessitates a shift toward exploring the ways in which AR services can be improved to better meet the needs of this population, from the perspectives of both service users and service providers.