Department of Urology, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
J Gen Intern Med. 2022 Jan;37(1):110-116. doi: 10.1007/s11606-021-06791-9. Epub 2021 Apr 26.
Transgender and gender-diverse individuals are particularly vulnerable to healthcare discrimination and related health sequelae.
To demonstrate diversity in demographics and explore variance in needs at the time of intake among patients seeking care at a large, urban gender health program.
We present summary statistics of patient demographics, medical histories, and gender-affirming care needs stratified by gender identity and sexual orientation.
We reviewed all intake interviews with individuals seeking care in our gender health program from 2017 to 2020.
Clients reported all the types of care in which they were interested at the time of intake as their "reason for call" (i.e., establish primary care, hormone management, surgical services, fertility services, behavioral health, or other health concerns).
Of 836 patients analyzed, 350 identified as trans women, 263 as trans men, and 223 as non-binary. The most prevalent sexual identity was straight among trans women (34%) and trans men (38%), whereas most (69%) non-binary individuals identified as pansexual or queer; only 3% of non-binary individuals identified as straight. Over half of patients reported primary care, hormone management, or surgical services as the primary reason for contacting our program. Straight, transgender women were more likely to report surgical services as their primary reason for contacting our program, whereas gay transgender men were more likely to report primary care as their reason.
Individuals contacting our gender health program to establish care were diverse in sexual orientation and gender-affirming care needs. Care needs varied with both gender identity and sexual orientation, but primary care, hormone management, and surgical services were high priorities across groups. Providers of gender-affirming care should inquire about sexual orientation and detailed treatment priorities, as trans and gender-diverse populations are not uniform in their treatment needs or goals.
跨性别者和性别多样化的个体特别容易受到医疗保健歧视和相关健康后果的影响。
展示在寻求大型城市性别健康项目护理的患者中，人口统计学特征和入组时需求的差异，以展示其多样性。
我们按性别认同和性取向对患者人口统计学特征、医疗史和性别肯定护理需求进行分层，呈现患者人口统计学特征、医疗史和性别肯定护理需求的汇总统计数据。
我们回顾了 2017 年至 2020 年在我们的性别健康项目中寻求护理的所有入组访谈。
客户在入组时报告了他们感兴趣的所有类型的护理，作为他们“来电原因”（即建立初级保健、激素管理、手术服务、生育服务、行为健康或其他健康问题）。
在 836 名分析患者中，350 名被认定为跨性别女性，263 名被认定为跨性别男性，223 名被认定为非二进制性别。最常见的性身份是异性恋，占跨性别女性（34%）和跨性别男性（38%）的大多数，而大多数（69%）非二进制个体自认为是泛性恋或酷儿；只有 3%的非二进制个体认同异性恋。超过一半的患者报告初级保健、激素管理或手术服务是联系我们项目的主要原因。异性恋跨性别女性更有可能将手术服务作为联系我们项目的主要原因，而同性恋跨性别男性更有可能将初级保健作为他们的原因。
联系我们的性别健康项目建立护理的患者在性取向和性别肯定护理需求方面存在差异。护理需求因性别认同和性取向而异，但初级保健、激素管理和手术服务是所有群体的首要任务。提供性别肯定护理的提供者应询问性取向和详细的治疗重点，因为跨性别和性别多样化的人群在治疗需求或目标方面并不统一。
