Knutson Douglas, Martyr Meredith A, Mitchell Travis A, Arthur Tori, Koch Julie M
Department of Psychology, Southern Illinois University at Carbondale, Carbondale, Illinois.
Department of Educational Psychology, University of Minnesota, Twin Cities, Minneapolis, Minnesota.
Transgend Health. 2018 Jun 1;3(1):109-117. doi: 10.1089/trgh.2017.0052. eCollection 2018.
Scholars indicate that rates of mental and physical health issues (e.g., substance use, anxiety, depression) may be much higher among transgender individuals relative to the general population. This disparity may be even greater for transgender individuals in rural areas. Clinical researchers suggest using affirmative therapeutic approaches and interventions to address the health concerns of transgender individuals, specifically to connect individuals with the transgender community. However, little is known about the content of information that is shared in transgender communities in rural areas. For this qualitative study, researchers asked transgender individuals in rural areas (=10) what recommendations they would offer to other transgender individuals in rural areas regarding healthcare access. Results were organized into four domains: Access care, Quality control, Difficulties, and Mentorship. Within these domains, we identified 11 sub-domains: Get physical healthcare, Get mental healthcare, Provider search, Provider vetting, Treatment verification, It will be difficult, Know who you are, Believe in yourself, Move, Connect to community, and Other. We discuss implications of our findings for healthcare provision in rural areas, and we provide recommendations for future research.
学者指出，与普通人群相比，跨性别者出现心理健康和身体健康问题（如物质使用、焦虑、抑郁）的几率可能要高得多。对于农村地区的跨性别者而言，这种差异可能更大。临床研究人员建议采用肯定性治疗方法和干预措施来解决跨性别者的健康问题，特别是要让他们与跨性别群体建立联系。然而，对于农村地区跨性别群体所分享的信息内容，我们却知之甚少。在这项定性研究中，研究人员询问了农村地区的10名跨性别者，他们会就医疗保健获取方面向农村地区的其他跨性别者提供哪些建议。结果被归纳为四个领域：获得医疗服务、质量控制、困难和指导。在这些领域中，我们确定了11个子领域：获得身体保健、获得心理保健、寻找医疗服务提供者、审查医疗服务提供者、治疗核实、会有困难、了解自己、相信自己、搬家、与社区建立联系以及其他。我们讨论了研究结果对农村地区医疗保健提供的影响，并为未来的研究提供了建议。
