Proposed declassification of disease categories related to sexual orientation in the International Statistical Classification of Diseases and Related Health Problems (ICD-11).
Proposed declassification of disease categories related to sexual orientation in the International Statistical Classification of Diseases and Related Health Problems (ICD-11).
复制标题
提议对国际疾病和相关健康问题统计分类 (ICD-11) 中与性取向相关的疾病类别进行解密。
DOI：
10.2471/blt.14.135541
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发表时间：
2014-09-01
影响因子：
11.1
通讯作者：
Reed GM
中科院分区：
文献类型：
--
作者：
Cochran SD;Drescher J;Kismödi E;Giami A;García-Moreno C;Atalla E;Marais A;Vieira EM;Reed GM
世界卫生组织正在编制《疾病和相关健康问题国际统计分类》（ICD-11）第11次修订版，计划于2017年出版。性障碍和性健康分类工作组负责审查1990年出版的《国际疾病分类》第10次修订本（ICD-10）中关于精神和行为障碍的一章中与性有关的疾病类别并提出建议。本章包括主要基于性取向的诊断类别，尽管ICD-10规定性取向本身不是一种障碍。本文综述了继续将这些类别纳入ICD的科学证据和临床依据。对1990年以来发表的证据进行的审查发现，对这些类别的科学兴趣不大。此外，工作组没有发现任何证据表明它们在临床上有用：它们既无助于保健服务的提供或治疗的选择，也不能为公共卫生监测提供必要的信息。此外，使用这些类别可能会造成不必要的伤害，延误准确的诊断和治疗。工作组建议从ICD-11中完全删除这些类别。与性取向有关的健康问题可以使用ICD的其他类别更好地解决。
The World Health Organization is developing the 11th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-11), planned for publication in 2017. The Working Group on the Classification of Sexual Disorders and Sexual Health was charged with reviewing and making recommendations on disease categories related to sexuality in the chapter on mental and behavioural disorders in the 10th revision (ICD-10), published in 1990. This chapter includes categories for diagnoses based primarily on sexual orientation even though ICD-10 states that sexual orientation alone is not a disorder. This article reviews the scientific evidence and clinical rationale for continuing to include these categories in the ICD. A review of the evidence published since 1990 found little scientific interest in these categories. In addition, the Working Group found no evidence that they are clinically useful: they neither contribute to health service delivery or treatment selection nor provide essential information for public health surveillance. Moreover, use of these categories may create unnecessary harm by delaying accurate diagnosis and treatment. The Working Group recommends that these categories be deleted entirely from ICD-11. Health concerns related to sexual orientation can be better addressed using other ICD categories.