Corliss Heather L, Belzer Marvin, Forbes Catherine, Wilson Erin C
Division of Adolescent and Young Adult Medicine, Children's Hospital Boston, 300 Longwood Avenue, Boston, MA 02115, USA.
J LGBT Health Res. 2007;3(2):49-61. doi: 10.1300/J463v03n02_06.
This qualitative study examined experiences with health and social service institutions and experiences related to education, employment, and other social networks among 18 ethnically diverse, male to female (MTF) transgender youth aged 16 to 24 years. Participants were recruited from a youth health clinic where they were receiving services for their transgender/transsexual identity. In-depth, semi-structured interviews explored youths' patterns of service utilization, reasons for seeking care, beliefs about the usefulness of services received, experiences with service providers, barriers to care, and suggestions for improving services tailored to them. Similar to other studies with this population, participants described a multitude of health and social risk experiences as well as complex needs related to healthcare, education, employment, housing, personal relationships, and safety. Results suggest a mixed pattern of both positive and negative experiences within the medical, social and mental health services arenas. To improve support for transgender youth and assist in their positive development, it is essential to improve and expand the availability of culturally competent and effective services for this population.
这项定性研究调查了18名年龄在16至24岁之间、种族各异的男变女（MTF）跨性别青少年在健康和社会服务机构的经历，以及与教育、就业和其他社会网络相关的经历。参与者是从一家青少年健康诊所招募的，他们在那里接受针对其跨性别身份的服务。深度半结构化访谈探讨了青少年的服务利用模式、寻求护理的原因、对所接受服务有用性的看法、与服务提供者的经历、护理障碍以及对改善针对他们的服务的建议。与针对该人群的其他研究类似，参与者描述了大量的健康和社会风险经历以及与医疗保健、教育、就业、住房、个人关系和安全相关的复杂需求。结果表明，在医疗、社会和心理健康服务领域，既有积极经历也有消极经历的混合模式。为了改善对跨性别青少年的支持并促进他们的积极发展，必须改善和扩大为该人群提供的具有文化能力且有效的服务。
