社区诊所中针对跨性别女性的艾滋病毒预防与初级保健
HIV prevention and primary care for transgender women in a community-based clinic.
作者信息
Melendez Rita M, Pinto Rogério M
机构信息
Sexuality Studies Department, San Francisco State University, San Francisco, USA.
出版信息
J Assoc Nurses AIDS Care. 2009 Sep-Oct;20(5):387-97. doi: 10.1016/j.jana.2009.06.002.
Abstract
Male-to-female transgender individuals, or transgender women (TW), are at high risk for HIV infection and face multiple barriers to HIV care. Advocates agree that numerous factors need to be addressed concurrently to prevent HIV infection in TW, including primary health care. This article examines how a community-based clinic that offers free or low-cost care addresses the health care needs of TW. A total of 20 TW who attended a health care clinic dedicated to community-based health were interviewed regarding best practices for HIV prevention and primary care. In-depth interviews were conducted, transcribed, coded, and analyzed. Factors reported to be effective for HIV prevention and primary care included (a) access to health care in settings not dedicated to serving transgender and/or gay communities, (b) a friendly atmosphere and staff sensitivity, and (c) holistic care including hormone therapy. Community-based health care settings can be ideal locales for HIV prevention and primary care for TW.
摘要
男变女跨性别者，即跨性别女性（TW），感染艾滋病毒的风险很高，并且在获得艾滋病毒护理方面面临多重障碍。倡导者一致认为，需要同时解决众多因素以预防跨性别女性感染艾滋病毒，包括初级卫生保健。本文探讨了一家提供免费或低成本护理的社区诊所如何满足跨性别女性的医疗保健需求。共有20名前往一家致力于社区健康的医疗诊所就诊的跨性别女性接受了关于艾滋病毒预防和初级护理最佳做法的访谈。进行了深入访谈、转录、编码和分析。据报告，对艾滋病毒预防和初级护理有效的因素包括：（a）在并非专门为跨性别者和/或同性恋社区服务的场所获得医疗保健；（b）友好的氛围和工作人员的敏感度；（c）包括激素治疗在内的整体护理。基于社区的医疗保健场所对于跨性别女性的艾滋病毒预防和初级护理而言可能是理想之地。
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