Delahunt John W, Denison Hayley J, Sim Dalice A, Bullock Jemima J, Krebs Jeremy D
Clinical Lecturer, Department of Medicine, University of Otago, Wellington.
Research Assistant, Department of Medicine, University of Otago, Wellington, Research Fellow, Centre for Public Health Research, Massey University, Wellington, Doctoral Student, School of Biological Sciences, Victoria University of Wellington, Wellington.
N Z Med J. 2018 Jan 19;131(1468):33-42.
Overseas clinics specialising in management of transgender people have noted a marked increase in the numbers of people requesting therapy in the last few years. No data has been presented for New Zealand. We therefore reviewed the number of transgender people seen in the Wellington Endocrine Service to assess if the pattern was similar and assess any potential problems for service delivery.
Using hospital records, we reviewed the new appointments of people who were referred for advice on gender reassignment and seen in the Wellington Endocrine Service from 1990 to 2016.
In total, 438 people who identified as transgender attended the clinic at least once in this period. There has been a progressive increase in number of people identifying as transgender presenting to the clinic, particularly since 2010. In addition to increasing overall numbers, there has been in particular increase in referrals for people under age 30, as well as an increasing proportion of people requesting female-to-male (FtM) therapy so that it is now approaching the number of people requesting male-to-female therapy (MtF).
The pattern observed is comparable to changes reported overseas. These changes have practical consequences for the delivery of both secondary and primary level healthcare, requiring an increased focus on clinical coordination between the relevant medical services and their links to the primary services sector.
专注于跨性别者管理的海外诊所指出，在过去几年中，寻求治疗的人数显著增加。但尚无新西兰的数据。因此，我们回顾了惠灵顿内分泌科接待的跨性别者数量，以评估情况是否相似，并评估服务提供方面的任何潜在问题。
我们利用医院记录，回顾了1990年至2016年期间被转介至惠灵顿内分泌科寻求性别重置建议并就诊的新患者情况。
在此期间，共有438名认定为跨性别者的人至少就诊过一次该诊所。认定为跨性别者前来就诊的人数呈逐步上升趋势，尤其是自2010年以来。除了总人数增加外，30岁以下人群的转诊人数尤其增加，同时要求从女性转变为男性（FtM）治疗的人数比例也在增加，目前已接近要求从男性转变为女性（MtF）治疗的人数。
观察到的模式与海外报告的变化相当。这些变化对二级和初级医疗保健服务的提供具有实际影响，需要更加关注相关医疗服务之间的临床协调及其与初级服务部门的联系。
