Stewart M Kathryn, Archie Dani Smith, Marshall S Alexandra, Allison M Kathryn, Robinson Colin
Prog Community Health Partnersh. 2017;11(4):427-439. doi: 10.1353/cpr.2017.0050.
Transgender/non-binary (trans/NB) individuals face major challenges, including within health care.
Transform Health Arkansas (THA) engaged trans/ NB Arkansans in defining their greatest health-related concerns to inform responsive, partnered, participatory research.
The THA partnership engaged trans/NB individuals through an interactive, trans/NB-led process in nine summits across the state and collected surveys on research interests. Descriptive analysis examined respondent characteristics by gender identity, mode of survey completion, and most pressing concerns.
The summits, attended by 54 trans/NB and 29 cisgender individuals, received positive evaluations. The top five priorities among 140 survey respondents included (1) transition-related insurance coverage, (2) access to transition care, (3) education of health care providers, (4) public education, and (5) supportive health care systems. The THA has also led to trans/NB individuals educating a range of audiences about transgender issues.
Next steps include dissemination, identification of evidence-based interventions addressing prioritized issues, and joint development of a research agenda.
跨性别者/非二元性别者(trans/NB)面临重大挑战,在医疗保健领域亦是如此。
阿肯色州健康转型组织(THA)让阿肯色州的跨性别者/非二元性别者参与确定他们最关心的健康问题,以为响应式、合作式、参与式研究提供信息。
THA合作伙伴关系通过一个由跨性别者/非二元性别者主导的互动过程,在全州九个峰会上让跨性别者/非二元性别者参与,并收集了关于研究兴趣的调查。描述性分析按性别认同、调查完成方式和最紧迫的问题对受访者特征进行了研究。
54名跨性别者/非二元性别者和29名顺性别者参加了峰会,峰会获得了积极评价。140名调查受访者中排在前五位的优先事项包括:(1)与过渡相关的保险覆盖范围,(2)获得过渡护理的机会,(3)医疗保健提供者的教育,(4)公众教育,以及(5)支持性医疗保健系统。THA还促使跨性别者/非二元性别者向一系列受众宣传跨性别问题。
下一步包括传播、确定解决优先问题的循证干预措施,以及联合制定研究议程。