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跨性别和性别非二元人的健康与福祉:减少少数群体压力以改善福祉。

Transgender and Gender Nonbinary Persons' Health and Well-Being: Reducing Minority Stress to Improve Well-Being.

出版信息

Creat Nurs. 2020 May 1;26(2):88-95. doi: 10.1891/CRNR-D-19-00083.

Abstract

This article describes minority stress theory as applied to health disparities and health-care experiences of transgender and gender nonbinary (TGNB) persons. The combination of stigma, social and structural inequalities, and actual discrimination events result in mutually reinforcing dynamics that drive persistent and stubborn disparities in physical and mental health for TGNB persons (Halkitis, Kapadia, Ompad, & Perez-Figueroa, 2015). Together with distrust of the medical system and discomfort of health-care providers in caring for TGNB persons (Smith & Turell, 2017), minority stress contributes to poorer health outcomes and reduced quality of care for sexual and gender minority populations. Ways to reduce health-care-related minority stress for TGNB persons are proposed, with the goal of improving TGNB health and well-being.

摘要

本文介绍了少数群体应激理论在跨性别和性别非二元(TGNB)人群的健康差异和医疗体验中的应用。污名、社会和结构性不平等以及实际的歧视事件的结合,导致了相互加强的动态,从而导致 TGNB 人群在身心健康方面持续存在顽固的差异(Halkitis、Kapadia、Ompad 和 Perez-Figueroa,2015)。再加上对医疗系统的不信任以及医疗保健提供者在照顾 TGNB 人群时的不舒适感(Smith 和 Turell,2017),少数群体应激会导致性少数群体和性别少数群体的健康结果更差,医疗质量降低。本文提出了减少 TGNB 人群医疗相关少数群体应激的方法,目标是改善 TGNB 的健康和福祉。

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