“她们觉得有权力歧视这些女孩”：拉丁裔跨性别女性在医疗系统中的经历
"They feel empowered to discriminate against las chicas": Latina transgender women's experiences navigating the healthcare system.
作者信息
Abreu Roberto L, Gonzalez Kirsten A, Mosley Della V, Pulice-Farrow Lex, Adam Alissa, Duberli Francesco
机构信息
Department of Psychology, University of Florida, Gainesville, Florida, USA.
Department of Psychology, University of Tennessee, Knoxville, Tennessee, USA.
出版信息
Int J Transgend Health. 2020 Jun 2;23(1-2):178-193. doi: 10.1080/26895269.2020.1767752. eCollection 2022.
BACKGROUND
Transgender Women of Color are more likely to experience oppression at the hands of healthcare providers than their transgender White counterparts. However, there is a paucity of research on the experiences of Latina transgender women in the United States.
AIMS
Using an intersectionality theory framework, the present study aimed to investigate the factors that contribute to Latina transgender women's decision to seek or refuse healthcare services and Latina transgender women's experiences with healthcare providers in the United States.
METHODS
A community sample of 15 Latina transgender women at a large metropolitan city in Florida participated in a focus group to explore their experiences with seeking out and accessing healthcare services.
RESULTS
Thematic analysis revealed five themes: 1) experiences in seeking healthcare, 2) the effects of hormones on mental health, 3) resistance, 4) imparting collective knowledge, and 5) recommendations to healthcare providers.
CONCLUSIONS
Through collective dialog these women gave voice to their needs and pains in the context of healthcare while also positioning themselves as agentic, resistant, and aware of the power of collectivism in the process of healing. The current findings support and extend calls for training improvements related to transgender populations, giving voice not only to the need for training but specifying immigrant Latina transgender women's desire for such training. Also, elements related to Latinx cultural values (e.g., , ) must be considered when working with Latina transgender women.
背景
有色人种跨性别女性比白人跨性别女性更有可能在医疗服务提供者手中遭受压迫。然而，关于美国拉丁裔跨性别女性经历的研究却很少。
目的
本研究采用交叉性理论框架，旨在调查促成拉丁裔跨性别女性决定寻求或拒绝医疗服务的因素，以及美国拉丁裔跨性别女性与医疗服务提供者打交道的经历。
方法
在佛罗里达州一个大城市的15名拉丁裔跨性别女性组成的社区样本参加了一个焦点小组，以探讨她们寻求和获得医疗服务的经历。
结果
主题分析揭示了五个主题：1）寻求医疗保健的经历，2）激素对心理健康的影响，3）抵抗，4）传授集体知识，5）给医疗服务提供者的建议。
结论
通过集体对话，这些女性在医疗保健背景下表达了她们的需求和痛苦，同时也将自己定位为积极主动、有抵抗力且意识到集体主义在康复过程中的力量。目前的研究结果支持并扩展了关于改善跨性别群体培训的呼吁，不仅表达了培训的必要性，还明确了拉丁裔跨性别移民女性对这种培训的渴望。此外，在与拉丁裔跨性别女性合作时，必须考虑与拉丁裔文化价值观相关的因素（例如， ， ）。
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