Scime Samantha
St. Michael's Hospital, 282 Roxton Road, Toronto ON, M6G 3P9, 437-999-6017,
Can Oncol Nurs J. 2019 Apr 1;29(2):87-91. doi: 10.5737/236880762928791. eCollection 2019 Spring.
Owing to a shift in social attitudes and human rights standards, health inequities experienced by gender minorities are gaining an increasing spotlight globally. Transgender (trans) is an umbrella term used to describe individuals who have a dissimilar sex, gender identity and/or gender expression than what was designated at birth. Recently, studies have sought to identify health disparities and barriers to care among this population. While oncology-focused research remains limited, the social determinants of trans health elicits a significant impact on transgender people across the cancer continuum and, thus, requires further examination. The purpose of this paper is to explore the issue of trans health inequity in the context of Canadian cancer care highlighting current clinical practice, as well as gaps in research, provider education and health care policy. The paper will conclude with recommendations for policy development and a reflection on the oncology nurse's role in advocating for change.
由于社会态度和人权标准的转变，性别少数群体所经历的健康不平等问题在全球范围内日益受到关注。跨性别者（trans）是一个统称，用于描述那些具有与出生时指定的性别、性别认同和/或性别表达不同的人。最近，研究试图确定这一人群中的健康差异和护理障碍。虽然以肿瘤学为重点的研究仍然有限，但跨性别健康的社会决定因素对整个癌症连续过程中的跨性别者产生了重大影响，因此需要进一步研究。本文的目的是在加拿大癌症护理的背景下探讨跨性别健康不平等问题，突出当前的临床实践以及研究、提供者教育和医疗保健政策方面的差距。本文最后将提出政策制定建议，并反思肿瘤学护士在倡导变革中的作用。
