1 Center for Research and Education on Gender and Sexuality (CREGS), San Francisco State University , San Francisco, California.
2 Health Equity Institute, San Francisco State University , San Francisco, California.
LGBT Health. 2018 Apr;5(3):191-196. doi: 10.1089/lgbt.2017.0215.
Research on healthcare among gender-diverse populations has largely focused on people who describe their gender in binary terms, either as trans men or trans women. This qualitative study examined the healthcare experiences of young adults who identify as genderqueer or nonbinary (GQ/NB).
Participants (N = 10) were interviewed about experiences seeking and accessing healthcare. All were young adults (ages 23-33) in the San Francisco Bay area who had accessed healthcare at least once in the prior 6 months. A semistructured interview guide elicited conversations about gender identity and experiences of healthcare. Interview transcripts were analyzed using emergent coding analysis to identify themes.
Participants faced unique challenges even at clinics specializing in gender-affirming healthcare. They felt misunderstood by providers who approached them from a binary transgender perspective and consequently often did not receive care sensitive to nonbinary identities. In response to this perceived bias, participants sometimes "borrowed" a binary transgender label to receive care, modified the healthcare they were prescribed, or went without healthcare. The GQ/NB young adults in our study regularly felt disrespected and frustrated as they sought and accessed healthcare. Participants felt that the binary transgender narrative pressured them to conform to binary medical narratives throughout healthcare interactions.
GQ/NB young adults have unique healthcare needs but often do not feel understood by their providers. There is a need for existing healthcare systems to serve GQ/NB young adults more effectively.
针对性别多样化人群的医疗保健研究主要集中在以二元术语描述自己性别的人群上，要么是跨男性，要么是跨女性。本定性研究考察了认同性别酷儿或非二元性别（GQ/NB）的年轻成年人的医疗保健体验。
参与者（N=10）接受了关于寻求和获得医疗保健的经验的采访。所有参与者均为年龄在 23-33 岁之间的旧金山湾区的年轻成年人，他们在过去 6 个月中至少有一次接受过医疗保健。半结构化访谈指南引出了关于性别认同和医疗保健经验的对话。使用新兴编码分析对访谈记录进行分析，以确定主题。
即使在专门提供性别肯定医疗保健的诊所中，参与者也面临着独特的挑战。他们觉得自己被从二元跨性别角度接近的提供者所误解，因此通常得不到对非二元身份敏感的护理。为了应对这种感知到的偏见，参与者有时会“借用”二元跨性别标签来获得护理，修改他们被开的医疗护理，或者干脆不去接受医疗护理。我们研究中的 GQ/NB 年轻成年人在寻求和获得医疗保健时经常感到不被尊重和沮丧。参与者觉得二元跨性别叙事迫使他们在整个医疗保健互动中符合二元医疗叙事。
GQ/NB 年轻成年人有独特的医疗保健需求，但他们的提供者往往不理解他们。现有医疗保健系统需要更有效地为 GQ/NB 年轻成年人服务。
