变性成人的估计和需求:SPOT 研究。

IF 5.4 2区 医学 Q1 Medicine
A D Fisher, M Marconi, G Castellini, J D Safer, S D'Arienzo, M Levi, L Brogonzoli, R Iardino, C Cocchetti, A Romani, F Mazzoli, P Matarrese, V Ricca, L Vignozzi, M Maggi, M Pierdominici, J Ristori
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引用次数: 0

摘要

背景:尽管人们对变性人健康研究的兴趣与日俱增,但迄今为止,人们对变性人和性别多元化(TGD)人群的规模知之甚少:方法:我们开发了一个基于网络的问卷调查,其中包括社会人口特征的收集,并通过社交媒体进行在线传播。性别不协调的评估采用 2 个项目的方法,分别评估出生时记录的性别和性别认同。这项基于人群的研究的主要目的是估算在回答网络调查的大量样本中,各年龄段的 TGD 人群比例。次要终点是确定确认性别的需求以及在获得医疗服务方面可能存在的障碍:共有 19,572 人参与了调查,其中 7.7% 的人表示自己的性别认同与出生时记录的性别不同。与年龄较大的参与者相比,在最年轻的参与者群体中,性别认同者的比例明显较高。在参与研究的 TGD 群体中,58.4% 的人是非二元性别,49.1% 的人在获得医疗保健服务时受到歧视。与二元性别者相比,非二元性别的 TGD 参与者报告需要更改法定姓名和性别,以及荷尔蒙和手术干预的频率较低:在意大利,成为 TGD 并不是一种边缘状况。很大一部分 TGD 人可能不需要医疗和手术治疗。性别变异者在获得与性别认同相关的医疗保健服务时往往会遇到障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Estimate and needs of the transgender adult population: the SPoT study.

Estimate and needs of the transgender adult population: the SPoT study.

Background: Despite the increasing interest in transgender health research, to date little is known about the size of the transgender and gender diverse (TGD) population.

Methods: A web-based questionnaire survey was developed, including a collection of socio-demographic characteristics and disseminated online through social media. Gender incongruence was evaluated by using a 2-item approach assessing gender recorded at birth and gender identity. The primary objective of the present population-based study was to estimate the proportion of TGD people across ages among a large sample of people who answered a web-based survey. The secondary endpoints were to identify gender-affirming needs and possible barriers to healthcare access.

Results: A total of 19,572 individuals participated in the survey, of whom 7.7% reported a gender identity different from the sex recorded at birth. A significantly higher proportion of TGD people was observed in the youngest group of participants compared with older ones. Among TGD people who participated in the study, 58.4% were nonbinary, and 49.1% experienced discrimination in accessing health care services. Nonbinary TGD participants reported both the need for legal name and gender change, along with hormonal and surgical interventions less frequently compared to binary persons.

Conclusions: Being TGD is not a marginal condition In Italy. A large proportion of TGD persons may not need medical and surgical treatments. TGD people often experience barriers to healthcare access relating to gender identity.

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来源期刊
Journal of Endocrinological Investigation
Journal of Endocrinological Investigation ENDOCRINOLOGY & METABOLISM-
CiteScore
8.10
自引率
7.40%
发文量
242
期刊介绍: The Journal of Endocrinological Investigation is a well-established, e-only endocrine journal founded 36 years ago in 1978. It is the official journal of the Italian Society of Endocrinology (SIE), established in 1964. Other Italian societies in the endocrinology and metabolism field are affiliated to the journal: Italian Society of Andrology and Sexual Medicine, Italian Society of Obesity, Italian Society of Pediatric Endocrinology and Diabetology, Clinical Endocrinologists’ Association, Thyroid Association, Endocrine Surgical Units Association, Italian Society of Pharmacology.
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