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高校卫生服务是否满足跨性别大学生的需求?对一所公立大学的定性评估。

Are university health services meeting the needs of transgender college students? A qualitative assessment of a public university.

机构信息

South Carolina Honors College, University of South Carolina, Columbia, SC, USA.

Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, SC, USA.

出版信息

J Am Coll Health. 2021 Jan;69(1):59-66. doi: 10.1080/07448481.2019.1652181. Epub 2019 Sep 4.

DOI:10.1080/07448481.2019.1652181
PMID:31483216
Abstract

OBJECTIVE

This exploratory study sought to assess transgender college students' experiences accessing primary, gynecological, and/or mental health care through university health services (UHS).

PARTICIPANTS AND METHODS

Individual interviews were conducted with eleven transgender undergraduate students attending a large public university in the United States in Spring 2017.

RESULTS

The structure, organization, and practices of UHS are not adequately meeting transgender college students' health care needs. Students reported being repeatedly misgendered and addressed by the incorrect name by staff at UHS. Some providers asked inappropriate and irrelevant questions about their gender identity during clinical encounters. These and related experiences deterred many participants from returning to UHS for health care services.

CONCLUSION

UHS could improve health care delivery to transgender college students by adopting standardized and inclusive practices consistent with those recommended by The Fenway Institute.

摘要

目的

本探索性研究旨在评估通过大学健康服务(UHS)获取初级保健、妇科和/或心理健康服务的跨性别大学生的经历。

参与者和方法

2017 年春季,在美国一所大型公立大学对 11 名跨性别本科学生进行了个人访谈。

结果

UHS 的结构、组织和实践未能充分满足跨性别大学生的医疗保健需求。学生报告说,UHS 的工作人员反复对他们进行错误的性别认同和称呼。一些医生在临床接触中询问了关于他们的性别认同的不适当和不相关的问题。这些以及相关的经历阻止了许多参与者返回 UHS 寻求医疗服务。

结论

UHS 可以通过采用与 Fenway 研究所建议的一致的标准化和包容性做法来改善对跨性别大学生的医疗服务。

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