Department of Pharmacy Practice,University of Michigan College of Pharmacy, Ann Arbor, MI.
Transcend the Binary, Ferndale, MI.
Am J Health Syst Pharm. 2019 Apr 8;76(8):512-520. doi: 10.1093/ajhp/zxz023.
Transgender/gender nonconforming (TGNC) adults' worries and coping actions related to discrimination by healthcare professionals were evaluated.
A community-led participatory approach was used to develop, implement, and analyze the survey. Respondents were recruited using a snowball recruitment method. The questionnaire measured population demographics, health status, worry about discrimination, perceptions of health professional competency in gender-affirming care, and actions taken to cope with discrimination. Analysis used mainly descriptive methods and chi-square analysis, where appropriate.
There were 316 usable responses from a total of 325 responses. The typical respondent was young, white, lived within the Midwest and in urban/suburban areas. About half had college degrees and 41.7% had annual household incomes of less than $25,000. High degrees of depression risk and anxiety were reported along with low self-reported health status. Most used pharmacist services with 41.6% reporting worry about discrimination associated with such services. About half (52.5%) reported pharmacists as having very little or no competency in providing gender-affirming care. Common coping actions included delayed seeking of healthcare and non-disclosure of authentic gender identity. Thirteen percent of respondents avoided healthcare because of perceived purposeful embarrassment experienced at a pharmacy.
Worry about discrimination from pharmacists was common among TGNC adults and was associated with high levels of anxiety. The majority perceived pharmacists to lack competency in transgender care.
评估跨性别/性别不一致（TGNC）成年人对医疗保健专业人员歧视的担忧和应对行为。
采用社区主导的参与式方法来开发、实施和分析调查。使用滚雪球招募法招募受访者。问卷测量了人口统计学特征、健康状况、对歧视的担忧、对医疗保健专业人员在性别肯定护理方面能力的看法，以及应对歧视的行为。分析主要使用描述性方法和适当的卡方分析。
在总共 325 份回复中，有 316 份可用回复。典型的受访者是年轻人，白人，居住在中西部和城市/郊区。大约一半人拥有大学学历，41.7%的人年收入低于 25000 美元。报告了较高程度的抑郁风险和焦虑，以及较低的自我报告健康状况。大多数人使用药剂师服务，其中 41.6%的人表示担心与这些服务相关的歧视。约一半（52.5%）的人报告药剂师在提供性别肯定护理方面几乎没有或没有能力。常见的应对措施包括延迟寻求医疗保健和不透露真实的性别认同。13%的受访者因在药店感到有意的尴尬而避免医疗保健。
药剂师的歧视担忧在 TGNC 成年人中很常见，并且与高水平的焦虑相关。大多数人认为药剂师在跨性别护理方面缺乏能力。
