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transgender 患者对医疗保健环境中污名的看法。

Transgender patient perceptions of stigma in health care contexts.

机构信息

Department of Communication, North Carolina State University, NC 27595, USA.

出版信息

Med Care. 2013 Sep;51(9):819-22. doi: 10.1097/MLR.0b013e31829fa90d.

DOI:10.1097/MLR.0b013e31829fa90d
PMID:23929399
Abstract

OBJECTIVES

Transgender individuals, or those who cross or transcend sex categories, commonly experience stigma and discrimination. Anecdotal evidence indicates that this transphobia manifests in health care settings, but few studies address the forms of mistreatment experienced in this context. This study was designed to explore transgender patients' experiences with health care. This brief report focuses on their negative experiences.

METHODS

A total of 152 transgender adults were recruited to complete an online questionnaire about their health care. Participants were asked if and how they had been mistreated, and responses were analyzed by qualitative content analysis.

RESULTS

Participants' descriptions of mistreatment coalesced around 6 themes: gender insensitivity, displays of discomfort, denied services, substandard care, verbal abuse, and forced care.

CONCLUSIONS

These findings provide insight into transgender patients' perceptions of and sensitivity to mistreatment in health care contexts. This information might be used to increase providers' cultural competency and inform their interactions with transgender patients.

摘要

目的

跨性别者或那些跨越或超越性别的人通常会经历污名化和歧视。有传闻证据表明,这种跨性别恐惧症表现在医疗保健环境中,但很少有研究探讨在这种情况下所经历的虐待形式。本研究旨在探索跨性别患者的医疗保健体验。本简要报告重点介绍他们的负面体验。

方法

共招募了 152 名成年跨性别者完成了一份关于他们的医疗保健的在线问卷。参与者被问及他们是否曾受到虐待以及如何受到虐待,对答复进行了定性内容分析。

结果

参与者对虐待的描述围绕着 6 个主题:性别不敏感、表现出不适、拒绝服务、护理质量差、言语虐待和强制护理。

结论

这些发现提供了对跨性别患者在医疗保健环境中对虐待的看法和敏感性的深入了解。这些信息可用于提高提供者的文化能力,并告知他们与跨性别患者的互动。

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