皮肤科医护人员为女同性恋、男同性恋、双性恋和跨性别者提供的服务：流行病学、筛查和疾病预防。
Dermatologic care for lesbian, gay, bisexual, and transgender persons: Epidemiology, screening, and disease prevention.
机构信息
Department of Dermatology, Emory University School of Medicine, Atlanta, Georgia.
Department of Dermatology, Emory University School of Medicine, Atlanta, Georgia.
出版信息
J Am Acad Dermatol. 2019 Mar;80(3):591-602. doi: 10.1016/j.jaad.2018.02.045.
Abstract
Lesbian, gay, bisexual, and transgender (LGBT) persons face important health issues relevant to dermatologists. Men who have sex with men (MSM) are at higher risk of certain infectious diseases, including HIV, syphilis and other sexually transmitted diseases (STDs), methicillin-resistant Staphylococcus aureus infections, and invasive meningococcal disease, and might be at higher risk of non-infectious conditions, including skin cancer. Recommendations for preventive health care, including screening for HIV and other STDs, sexual health-related vaccinations, and HIV pre-exposure prophylaxis, differ for MSM compared with non-MSM. Women who have sex with women experience disparities in STDs, including chlamydia and HPV. Transgender patients have unique, and often unmet, dermatologic needs during gender transition (also called gender affirmation), related to hormonal therapy and gender-affirming surgery. Familiarity with LGBT health issues and disease-prevention guidelines can enable dermatologists to provide medically appropriate and culturally competent care to LGBT persons.
摘要
女同性恋、男同性恋、双性恋和跨性别者（LGBT）面临着与皮肤科医生相关的重要健康问题。男男性行为者（MSM）患某些传染病（包括艾滋病毒、梅毒和其他性传播疾病（性病）、耐甲氧西林金黄色葡萄球菌感染和侵袭性脑膜炎球菌病）的风险较高，并且可能患某些非传染性疾病（包括皮肤癌）的风险较高。与非 MSM 相比，MSM 预防性保健的建议（包括艾滋病毒和其他性病筛查、性健康相关疫苗接种和艾滋病毒暴露前预防）有所不同。女同性恋者在性病方面存在差异，包括衣原体和 HPV。跨性别患者在性别过渡（也称为性别肯定）期间有独特且常常未得到满足的皮肤需求，涉及激素治疗和性别肯定手术。熟悉 LGBT 健康问题和疾病预防指南可以使皮肤科医生能够为 LGBT 人群提供医学上适当和文化上胜任的护理。
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