性别多元化人群生育力保护的系统性障碍。

IF 3.9 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

LGBT health Pub Date : 2024-08-01 Epub Date: 2024-04-01 DOI:10.1089/lgbt.2023.0317

Andrew Shin, Martin N Kathrins, Alex S Keuroghlian

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引用次数: 0

摘要

生育力保存是收集和储存卵细胞、精子或生殖组织的过程，目的是保留一个人生育生物相关子女的能力。在因医疗干预或潜在疾病导致不育的情况下，受影响的患者群体通常会寻求这种手术。美国《第 21 章》的规定造成了获取服务方面的不平等，对有精子生成能力的不同性别亚人群的服务限制过多。本文研究了造成这些差异的政策，探讨了这些政策如何转化为现实世界中的医疗服务，并提出了可增加公平获得医疗服务机会的政策变革建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Systemic Barriers to Fertility Preservation for Sexually and Gender Diverse Populations.

Fertility preservation is the process of collecting and storing oocytes, sperm, or reproductive tissue so that a person may retain their ability to have biologically related children. In instances of infertility caused by medical intervention or an underlying medical condition, this procedure is often sought by affected patient populations. U.S. Title 21 regulations have produced disparities in access, disproportionately restricting services for sexually and gender diverse subpopulations capable of producing sperm. This article examines policies contributing to these disparities, explores how these policies may translate to real-world health care delivery, and proposes policy changes that would increase equitable access to care.

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来源期刊

LGBT health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -

CiteScore

6.60

自引率

6.20%

发文量

期刊介绍： LGBT Health is the premier peer-reviewed journal dedicated to promoting optimal healthcare for millions of sexual and gender minority persons worldwide by focusing specifically on health while maintaining sufficient breadth to encompass the full range of relevant biopsychosocial and health policy issues. This Journal aims to promote greater awareness of the health concerns particular to each sexual minority population, and to improve availability and delivery of culturally appropriate healthcare services. LGBT Health also encourages further research and increased funding in this critical but currently underserved domain. The Journal provides a much-needed authoritative source and international forum in all areas pertinent to LGBT health and healthcare services. Contributions from all continents are solicited including Asia and Africa which are currently underrepresented in sex research.