Asa E Radix, Keosha Bond, Pedro B Carneiro, Arjee Restar
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引用次数: 0
摘要
审查目的:本综述旨在评估利用数字技术促进变性者和性别多元化者(TGD)健康和福祉的情况:变性人和性别多元化者在健康方面存在诸多差异,包括对艾滋病预防策略(如暴露前预防)的接受率低、艾滋病发病率上升以及与艾滋病相关的结果不理想。这些健康差异是基于性别认同、性别表达、社会经济阶层、种族和民族的交叉性污名普遍存在的结果,对获得普通医疗和变性人专用医疗保健产生了负面影响。由于害怕受到歧视,变性人往往会推迟或避免接受必要的医疗服务。临床医生往往缺乏变性医学方面的培训、能力和技能,进一步加剧了变性人在健康方面面临的差距。数字技术已被用于通过远程医疗、远程保健和移动医疗等各种模式改善变性人群体的研究和临床护理。数字健康技术,包括支持 HIT 的临床决策支持、远程保健、远程医疗和移动保健,通过加强护理服务、临床医生教育和增强社会支持网络,为改善医疗保健的可及性、提高医疗保健质量和减少 TGD 群体的健康差距(包括艾滋病毒结果)提供了创新方法。
Purpose of review: The goal of this review is to assess the use of digital technologies to promote the health and well-being of transgender and gender diverse (TGD) people.
Recent findings: TGD individuals experience numerous health disparities, including low uptake of HIV prevention strategies, such as pre-exposure prophylaxis, increased HIV incidence, and suboptimal HIV-related outcomes. These health disparities are the result of widespread intersectional stigma on the basis of gender identity, gender expression, socioeconomic class, race, and ethnicity, which negatively impact access to general medical and transgender-specific health care. TGD individuals often delay or avoid essential medical services due to fear of discrimination. Clinicians frequently lack training, competence, and skills in transgender medicine, further exacerbating the health disparities faced by TGD people. Digital technologies have been used to improve research and clinical care for TGD populations through various modalities; telemedicine, telehealth and mHealth. Digital health technologies, including HIT-enabled clinical decision support, telehealth, telemedicine, and mHealth, offer innovative ways to improve health care access, improve quality of care, and reduce health disparities for TGD populations, including and beyond HIV outcomes, through enhanced care delivery, clinician education, and enhancing social support networks.
期刊介绍:
This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of HIV/AIDS.
We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as antiretroviral therapies, behavioral aspects of management, and metabolic complications and comorbidity. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.