Ibis Reproductive Health, Oakland, California; the Guttmacher Institute, New York, New York; the Robert Larner, M.D. College of Medicine, University of Vermont, Burlington, Vermont; the Planned Parenthood League of Massachusetts, Boston, Massachusetts; the Department of Family and Community Medicine, University of California, San Francisco, San Francisco, California; Lyndon Cudlitz Consulting, Education & Training, Albany, New York; the Community Advisory Team, Malden, Massachusetts; the University of New Mexico, Albuquerque, New Mexico; Edgewood College, Madison, Wisconsin; and the Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California.
Obstet Gynecol. 2020 May;135(5):1059-1068. doi: 10.1097/AOG.0000000000003816.
We aim to make evident that solely referencing cisgender women in the context of sexual and reproductive health-particularly pregnancy planning and care-excludes a diverse group of transgender and gender nonbinary people who have sexual and reproductive health needs and experiences that can be similar to but also unique from those of cisgender women. We call on clinicians and researchers to ensure that all points of sexual and reproductive health access, research, sources of information, and care delivery comprehensively include and are accessible to people of all genders. We describe barriers to sexual and reproductive health care and research participation unique to people of marginalized gender identities, provide examples of harm resulting from these barriers, and offer concrete suggestions for creating inclusive, accurate, and respectful care and research environments-which will lead to higher quality health care and science for people of all genders.
我们旨在表明，在性健康和生殖健康领域（特别是妊娠规划和护理）中，仅参考顺性别女性，会排除一群多样化的跨性别和非二元性别者，他们也有性健康和生殖健康需求和体验，这些需求和体验可能与顺性别女性相似，但也可能独特。我们呼吁临床医生和研究人员确保所有性健康和生殖健康的可及性、研究、信息来源和护理服务都全面涵盖并能够为所有性别者所利用。我们描述了边缘化性别认同者在性健康和生殖健康护理及研究参与方面所面临的障碍，举例说明了这些障碍造成的伤害，并为创建包容、准确和尊重的护理和研究环境提出了具体建议——这将为所有性别者带来更高质量的医疗保健和科学。
