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跨性别青少年对通过远程医疗提供性别肯定治疗的看法。

Transgender Youths' Perspectives on Telehealth for Delivery of Gender-Affirming Care.

作者信息

Sequeira Gina M, Kidd Kacie M, Coulter Robert W S, Miller Elizabeth, Fortenberry Dennis, Garofalo Robert, Richardson Laura P, Ray Kristin N

机构信息

University of Washington School of Medicine, Seattle, Washington.

UPMC Children's Hospital of Pittsburgh, Division of Adolescent and Young Adult Medicine, Pittsburgh, Pennsylvania; University of Pittsburgh, Pittsburgh, Pennsylvania.

出版信息

J Adolesc Health. 2021 Jun;68(6):1207-1210. doi: 10.1016/j.jadohealth.2020.08.028. Epub 2020 Sep 23.

Abstract

PURPOSE

We aimed to examine transgender youths' interest in receiving gender-affirming care via telemedicine or through primary care with telehealth support.

METHODS

We surveyed 12- to 26-year-old transgender youth receiving care in a multidisciplinary gender clinic. Descriptive statistics and bivariate analyses were used to assess relationships between demographic and gender-related characteristics and interest in receiving care via telemedicine.

RESULTS

Almost half (47%) of the 204 youth surveyed expressed interest in receiving gender care via telemedicine. Additionally, youth with lower levels of perceived parental support were more likely to express an interest in utilizing telemedicine (p = .001). Approximately half (45%) of youth were interested in receiving gender care in the primary care setting, with a majority expressing willingness to do so if their primary care provider had telehealth support.

CONCLUSIONS

Many transgender youth expressed interest in receiving gender care via telehealth, particularly for ongoing care and monitoring. Increased interest in telemedicine was seen among youth with lower perceived parental support.

摘要

目的

我们旨在调查跨性别青少年通过远程医疗或在远程健康支持下的初级保健接受性别肯定治疗的意愿。

方法

我们对在多学科性别诊所接受治疗的12至26岁跨性别青少年进行了调查。描述性统计和双变量分析用于评估人口统计学和性别相关特征与通过远程医疗接受治疗意愿之间的关系。

结果

在接受调查的204名青少年中,近一半(47%)表示有兴趣通过远程医疗接受性别治疗。此外,感受到父母支持程度较低的青少年更有可能表示有兴趣使用远程医疗(p = .001)。约一半(45%)的青少年有兴趣在初级保健环境中接受性别治疗,大多数人表示如果他们的初级保健提供者有远程健康支持,他们愿意这样做。

结论

许多跨性别青少年表示有兴趣通过远程健康接受性别治疗,特别是对于持续治疗和监测。在感受到父母支持程度较低的青少年中,对远程医疗的兴趣增加。

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