跨性别身份认同与性别确认手术的人口统计学和时间趋势。
Demographic and temporal trends in transgender identities and gender confirming surgery.
作者信息
Nolan Ian T, Kuhner Christopher J, Dy Geolani W
机构信息
School of Medicine, New York University, New York, NY, USA.
Department of Urology, New York University, New York, NY, USA.
出版信息
Transl Androl Urol. 2019 Jun;8(3):184-190. doi: 10.21037/tau.2019.04.09.
Abstract
Transgender and gender non-binary (TGNB) individuals are a growing demographic with unique healthcare needs. Amid changes in public and private insurance coverage of gender confirming surgeries (GCS), utilization of these procedures is increasing. Meanwhile, systemic barriers continue to limit access to gender confirming care and perpetuate health disparities among TGNB individuals. Studies on the prevalence of TGNB identities and utilization of GCS are limited by a lack of gender identity data in population-based surveys and electronic medical records. However, data collection on gender identity is improving, and will be essential for characterizing the healthcare practices and needs of TGNB individuals.
摘要
跨性别者和性别非二元认同者（TGNB）这一群体日益壮大，有着独特的医疗保健需求。在公共和私人保险对性别确认手术（GCS）的覆盖范围发生变化的情况下，这些手术的使用率正在上升。与此同时，系统性障碍继续限制人们获得性别确认护理，并使TGNB个体之间的健康差距长期存在。基于人群的调查和电子病历中缺乏性别认同数据，限制了对TGNB身份的患病率和GCS使用率的研究。然而，关于性别认同的数据收集正在改善，这对于了解TGNB个体的医疗保健实践和需求至关重要。
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2
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4
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