Transgender and gender diverse patients' preference and comfort for having a medical chaperone present during a sensitive physical examination: a single-site study.

IF 3.3 3区 医学 Q1 UROLOGY & NEPHROLOGY
Katie E Linder, Johanna L Ramirez, Tyson L Pankey, Dagoberto Heredia, Alice Y Chang, Caroline J Davidge-Pitts, Nicole R Imhof, Cesar A Gonzalez
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引用次数: 0

Abstract

Background: Medical chaperones are authorized individuals present during physical examinations involving the genitals, breasts/chest, or anal areas. The use of medical chaperones may provide an opportunity to improve transgender and gender diverse (TGD) patients' experiences with sensitive examinations.

Aim: To examine TGD adult patients' preferences and comfort for having a medical chaperone and whether TGD-specific characteristics, social anxiety symptoms, and feelings of medical mistrust are associated with preference for having a medical chaperone present during a sensitive physical examination.

Methods: This study used a cross-sectional survey that randomly sampled adult patients from a gender clinic in the Midwest region of the U.S. A total of 420 surveys were mailed. Sixty-two surveys were returned undeliverable, 358 reached recipients; 151 were returned (42.1% response rate). The survey included items related to demographics, gender-related anatomical dysphoria, social anxiety symptoms, feelings of medical mistrust, and preference and comfort towards medical chaperones.

Results: Among 149 respondents, 74 (49.7%) reported comfort for the idea of having a medical chaperone present during a sensitive physical examination, 50 (33.6%) reported neutral comfort, and 25 (16.8%) reported discomfort. Among 147 respondents, 89 (60.5%) endorsed a preference for a female medical chaperone. We found no associations between gender-related anatomical dysphoria or social anxiety symptoms and comfort for having a medical chaperone, or the gender preference for a medical chaperone. Medical mistrust was associated with lower comfort with having a medical chaperone present during a sensitive physical examination.

Clinical implications: Routinely offering medical chaperones, especially female chaperones, is like to be generally acceptable to most TGD patients. These findings may inform clinic policies on providing medical chaperones during sensitive examinations.

Strengths and limitations: This study is the first to examine TGD preferences for medical chaperones. Findings are limited by a single site, homogeneous sample, cross-sectional design, and reliance on hypothetical rather than observed examinations.

Conclusion: TGD adults report comfort with the concept of having a medical chaperone during sensitive examinations and most would prefer the chaperone to be female. Preference for having a medical chaperone present during a sensitive physical exam is not likely influenced by gender dysphoria or social anxiety.

跨性别和性别多样化患者在敏感体检时有医疗陪同的偏好和舒适度:一项单点研究
背景:医疗监护人是指在涉及生殖器、乳房/胸部或肛门区域的体检期间在场的授权人员。医学监护人的使用可能提供了一个机会,以改善跨性别和性别多样化(TGD)患者的敏感检查经验。目的:研究TGD成年患者对医疗伴护的偏好和舒适度,以及TGD特异性特征、社交焦虑症状和医疗不信任感是否与敏感体检时医疗伴护的偏好相关。方法:本研究采用横断面调查法,随机抽取美国中西部地区某性别诊所的成年患者,共邮寄420份调查问卷。62份调查被退回无法投递,358份到达收件人;返回151份,应答率42.1%。调查项目包括人口统计、与性别相关的解剖不安、社交焦虑症状、对医疗的不信任以及对医疗监护人的偏好和安慰。结果:在149名受访者中,74人(49.7%)表示在敏感的身体检查期间有医疗监护人在场的想法很舒服,50人(33.6%)报告中性舒适,25人(16.8%)报告不适。在147名答复者中,89人(60.5%)赞成首选女性医疗监护人。我们发现与性别相关的解剖不安或社交焦虑症状与有医疗监护人的舒适度或对医疗监护人的性别偏好之间没有关联。医学上的不信任与在敏感的身体检查中有医疗监护人在场时较低的舒适度有关。临床意义:常规提供医疗监护人,尤其是女性监护人,对大多数TGD患者来说是可以接受的。这些发现可以为诊所在敏感检查期间提供医疗陪同的政策提供信息。优势和局限性:本研究首次考察了TGD对医疗伴侣的偏好。研究结果受限于单一地点、同质样本、横断面设计以及依赖于假设而非观察性检查。结论:TGD成人报告在敏感检查时有医学监护人的概念,大多数人希望监护人是女性。在敏感的身体检查中,倾向于有一个医疗监护人在场,不太可能受到性别不安或社交焦虑的影响。
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来源期刊
Journal of Sexual Medicine
Journal of Sexual Medicine 医学-泌尿学与肾脏学
CiteScore
6.20
自引率
5.70%
发文量
826
审稿时长
2-4 weeks
期刊介绍: The Journal of Sexual Medicine publishes multidisciplinary basic science and clinical research to define and understand the scientific basis of male, female, and couples sexual function and dysfunction. As an official journal of the International Society for Sexual Medicine and the International Society for the Study of Women''s Sexual Health, it provides healthcare professionals in sexual medicine with essential educational content and promotes the exchange of scientific information generated from experimental and clinical research. The Journal of Sexual Medicine includes basic science and clinical research studies in the psychologic and biologic aspects of male, female, and couples sexual function and dysfunction, and highlights new observations and research, results with innovative treatments and all other topics relevant to clinical sexual medicine. The objective of The Journal of Sexual Medicine is to serve as an interdisciplinary forum to integrate the exchange among disciplines concerned with the whole field of human sexuality. The journal accomplishes this objective by publishing original articles, as well as other scientific and educational documents that support the mission of the International Society for Sexual Medicine.
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