McCauley Erin, Eckstrand Kristen, Desta Bethlehem, Bouvier Ben, Brockmann Brad, Brinkley-Rubinstein Lauren
Department of Policy Analysis and Management, College of Human Ecology, Cornell University, Ithaca, New York.
Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania.
Transgend Health. 2018 Feb 1;3(1):34-41. doi: 10.1089/trgh.2017.0046. eCollection 2018.
To document the health-related experiences and needs of jail detainees who self-identified as transgender women. Semistructured interviews with 10 transgender women of color were conducted in a county jail in a mid-sized southern city between 2015 and 2016. Interviews were recorded and transcribed, and later analyzed using a general inductive approach. Participants experienced high levels of abuse and harassment, solitary confinement, mental health issues, and lack of access to hormone treatment. Participants described discrimination (both by other inmates-particularly while in special housing units-and correctional officers); harsh correctional conditions, which exacerbated mental health issues; and a marked lack of access to healthcare, including hormone treatments. Policy changes are needed to address housing and placement issues, and to increase access to healthcare for transgender women jail detainees. Training is needed for jail staff and medical care professionals in correctional settings to better understand the unique needs and experiences of transgender people.
记录自我认定为跨性别女性的监狱被拘留者与健康相关的经历和需求。2015年至2016年期间，在南部一个中等规模城市的县监狱对10名有色人种跨性别女性进行了半结构化访谈。访谈进行了录音和转录，随后采用一般归纳法进行分析。参与者遭受了高水平的虐待、骚扰、单独监禁、心理健康问题，并且无法获得激素治疗。参与者描述了歧视（包括来自其他囚犯——尤其是在特殊住房单元时——以及惩教人员）；恶劣的惩教条件加剧了心理健康问题；以及明显无法获得包括激素治疗在内的医疗保健。需要进行政策改革以解决住房和安置问题，并增加跨性别女性监狱被拘留者获得医疗保健的机会。惩教机构的监狱工作人员和医疗保健专业人员需要接受培训，以更好地了解跨性别者的独特需求和经历。
