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非二元性跨性别者的性别认同与身体满意度:一项病例对照研究。

Gender congruence and body satisfaction in nonbinary transgender people: A case control study.

作者信息

Jones Bethany A, Pierre Bouman Walter, Haycraft Emma, Arcelus Jon

机构信息

Nottingham Centre for Transgender Health, Nottingham, UK.

School of Sport, Exercise, and Health Sciences, Loughborough University, Loughborough, UK.

出版信息

Int J Transgend. 2019 Feb 10;20(2-3):263-274. doi: 10.1080/15532739.2018.1538840. eCollection 2019.

Abstract

Binary transgender people access gender affirming medical interventions to alleviate gender incongruence and increase body satisfaction. Despite the increase in nonbinary transgender people, this population are less likely to access transgender health services compared to binary transgender people. No research has yet understood by exploring levels of gender congruence and body satisfaction in nonbinary transgender people. The aim of this study was to compare levels of gender congruence and body satisfaction in nonbinary transgender people to controls [binary transgender people and cisgender (nontrans) people]. In total, 526 people from a community sample in the UK took part in the study (97 nonbinary, 91 binary, and 338 cisgender identifying people). Participants were asked to complete an online survey about gender congruence and body satisfaction. There were differences in gender congruence and body satisfaction between nonbinary and binary transgender people. On sex-specific parts of the body (i.e., chest, genitalia, and secondary sex characteristics), nonbinary transgender people reported significantly higher levels of gender and body satisfaction compared to binary transgender people. However, there was no difference in congruence and satisfaction with social gender role between the two transgender groups (nonbinary and binary). Cisgender people reported significantly higher levels of gender congruence and body satisfaction compared to transgender people (nonbinary and binary). There are differences in gender congruence and body satisfaction between nonbinary and binary transgender people. Nonbinary individuals may be less likely to access transgender health services due to experiencing less gender incongruence and more body satisfaction compared to binary transgender people. Transgender health services need to be more inclusive of nonbinary transgender people and their support and treatment needs, which may differ from those who identify within the binary gender system.

摘要

双性跨性别者接受性别肯定性医疗干预以缓解性别不一致并提高身体满意度。尽管双性跨性别者的数量有所增加,但与二元跨性别者相比,这一群体获得跨性别健康服务的可能性较小。尚未有研究通过探索双性跨性别者的性别一致性和身体满意度水平来了解这一情况。本研究的目的是比较双性跨性别者与对照组(二元跨性别者和顺性别者)在性别一致性和身体满意度方面的水平。共有来自英国社区样本的526人参与了该研究(97名双性、91名二元和338名自我认同为顺性别的人)。参与者被要求完成一项关于性别一致性和身体满意度的在线调查。双性和二元跨性别者在性别一致性和身体满意度方面存在差异。在身体的性别特异性部位(即胸部、生殖器和第二性征),双性跨性别者报告的性别和身体满意度水平明显高于二元跨性别者。然而,在两个跨性别群体(双性和二元)之间,社会性别角色的一致性和满意度没有差异。与跨性别者(双性和二元)相比,顺性别者报告的性别一致性和身体满意度水平明显更高。双性和二元跨性别者在性别一致性和身体满意度方面存在差异。与二元跨性别者相比,双性个体可能由于经历的性别不一致较少且身体满意度较高,而不太可能获得跨性别健康服务。跨性别健康服务需要更包容双性跨性别者及其支持和治疗需求,这些需求可能与那些认同二元性别系统的人不同。

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