两年的创新皮肤病护理：阿根廷首个变性和性别多元化社区公共卫生咨询服务。

IF 2.6 4区医学 Q2 DERMATOLOGY

Anais brasileiros de dermatologia Pub Date : 2024-07-14 DOI:10.1016/j.abd.2024.03.003

Lola Kuperman Wilder , Valeria Orsi , Gonzalo Chebi , Maria Agustina Balague , Luciana Cabral Campana

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引用次数: 0

摘要

背景：LGBTQI +群体由于受到歧视和对自身需求了解不足，在医疗保健方面面临着独特的挑战。皮肤科医生在解决这一问题方面发挥着至关重要的作用，他们促进包容性，认识到个人的关切，并采取量身定制的方法，从而促进医疗保健系统更加公平：为了满足对包容性医疗空间的需求，作者建立了第一家专为变性和非二元患者服务的皮肤科诊所。本文全面介绍了一家公立医院两年来的经验：作者进行了一项回顾性和描述性研究，分析了 2021 年 6 月至 2023 年 5 月期间在一家皮肤科专科诊所接受评估的 114 名患者的医疗记录。评估的主要变量包括自我认定的性别、年龄、居住地、获得私人医疗服务的机会、人类免疫缺陷病毒感染状况、激素治疗、手术干预、就诊动机、就业稳定性以及性别表达转换期间的家庭支持：本研究共纳入 114 名患者，其中变性男性占 49.1%，变性女性占 39.5%，非二元个体占 8.8%。变性男性平均比变性女性年轻（p 研究局限性：本研究为回顾性研究，地域范围有限。此外，就黑人种族而言，患者人群缺乏多样性：针对变性和非二元患者的皮肤科开创性实践体现了医疗公平和文化能力。有效的 LGBTQI + 医疗保健需要解决独特的皮肤病问题，同时促进医疗界的包容性和持续学习。

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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Two years of innovative dermatological care: the first public health consultation service for the transgender and gender diverse community in Argentina

Background

The LGBTQI + community encounters distinct healthcare challenges due to discrimination and inadequate understanding of their needs. Dermatologists play a crucial role in addressing this by fostering inclusiveness, recognizing individual concerns, and adopting tailored approaches, thereby promoting a more equitable healthcare system.

Objective

To address the need for an inclusive healthcare space, the authors established the first dermatological practice exclusively for transgender and non-binary patients. This article presents a comprehensive two-year experience in a public hospital.

Methods

The authors conducted a retrospective and descriptive study, analyzing the medical records of 114 patients evaluated at a specialized dermatological practice between June 2021 and May 2023. Key variables assessed included self-identified gender, age, residence, access to private healthcare, human immunodeficiency virus status, hormonal treatment, surgical interventions, consultation motives, employment stability, and family support during gender expression transition.

Results

The present study included 114 patients, 49.1% trans men, 39.5% trans women, and 8.8% non-binary individuals. Trans men, on average younger than trans women (p < 0.001), predominantly sought care for body modification-related concerns, particularly acne and androgenetic alopecia. In contrast, trans women exhibited a more diverse range of consultation motives typically unrelated to hormonal or surgical procedures.

Study limitations

This study is retrospective and limited in geographic scope. Additionally, the patient population lacked diversity in terms of Black ethnicity.

Conclusions

The pioneering dermatological practice for transgender and non-binary patients exemplifies healthcare equity and cultural competence. Effective LGBTQI + healthcare requires addressing unique dermatological concerns while fostering inclusiveness and continuous learning within the medical community.

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来源期刊

Anais brasileiros de dermatologia DERMATOLOGY-

CiteScore

2.40

自引率

0.00%

发文量

184

审稿时长

32 days

期刊介绍： The journal is published bimonthly and is devoted to the dissemination of original, unpublished technical-scientific study, resulting from research or reviews of dermatological topics and related matters. Exchanges with other publications may be accepted.