School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.
School of Nursing and Midwifery, Queen's University, Belfast BT9 7BL, UK.
Int J Environ Res Public Health. 2021 Mar 25;18(7):3403. doi: 10.3390/ijerph18073403.
People who identify as trans and gender non-binary experience many challenges in their lives and more interest is being paid to their overall health and wellbeing. However, little is known about their experiences and perceptions regarding their distinct psychosocial needs. The aim of this systematic review is to critically evaluate and synthesize the existing research evidence relating to the unique psychological and social experiences of trans people and identify aspects that may help or hinder access to appropriate psychosocial interventions and supports. The PRISMA procedure was utilized. A search of relevant databases from January 2010 to January 2021 was undertaken. Studies were identified that involved trans people, and addressed issues related to their psychosocial needs. The search yielded 954 papers in total. Following the application of rigorous inclusion and exclusion criteria a total of 18 papers were considered suitable for the systematic review. Quality was assessed using the MMAT instrument. Following analysis, four themes were identified: (i) stigma, discrimination and marginalization (ii) trans affirmative experiences (iii) formal and informal supports, and (iv) healthcare access. The policy, education and practice development implications are highlighted and discussed. Future research opportunities have been identified that will add significantly to the body of evidence that may further the development of appropriate health interventions and supports to this population.
认同跨性别和非二元性别身份的人在生活中会遇到许多挑战，人们越来越关注他们的整体健康和幸福。然而，对于他们在独特的心理和社会需求方面的体验和看法却知之甚少。本系统评价的目的是批判性地评估和综合现有的关于跨性别者独特心理和社会体验的研究证据，并确定有助于或阻碍获得适当心理社会干预和支持的方面。研究采用 PRISMA 程序，对 2010 年 1 月至 2021 年 1 月期间的相关数据库进行了检索。确定了涉及跨性别者并涉及到他们的心理社会需求问题的研究。检索共得到 954 篇论文，经过严格的纳入和排除标准筛选，共有 18 篇论文适合进行系统评价。使用 MMAT 仪器评估质量。经过分析，确定了四个主题：（一）污名化、歧视和边缘化；（二）跨性别认同体验；（三）正式和非正式支持；（四）医疗保健获取。突出并讨论了政策、教育和实践发展的影响。确定了未来的研究机会，这将极大地增加证据体，从而进一步为该人群开发适当的健康干预措施和支持。
