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护士解决性与性别多样化人群健康不平等问题的框架。

A framework for addressing health inequities in sexual and gender diverse populations by nurses.

机构信息

College of Nursing, University of South Florida, Tampa, FL.

College of Nursing, University of South Florida, Tampa, FL.

出版信息

Nurs Outlook. 2022 Jul-Aug;70(4):651-663. doi: 10.1016/j.outlook.2022.04.001. Epub 2022 Jul 5.

Abstract

There is a need to increase health equity in sexual and gender diverse (SGD) populations, a medically underserved group with widening health disparities. To better understand and address SGD health disparities, we have developed a multi-level conceptual framework for nurse scientists that incorporates the concepts of stigma, intersectionality, identify affirmation, and life course trajectory. Social determinants of health formed the background of our conceptual framework. Using this framework, we proposed recommendations to promote SGD health equity through nursing research, health care practice, health care education, and public health care policy. These recommendations align with the National Institute of Nursing Research's goals of dismantling structures that perpetuate racism and impede health inequity and the need to implement interventions that address social determinants of health. As a result, nurse scientists are poised to influence health care policy by translating effective interventions to reduce health disparities for the SGD population into practice.

摘要

需要增加性和性别多样化(SGD)人群的健康公平性,这是一个医疗服务不足的群体,其健康差距正在扩大。为了更好地理解和解决 SGD 人群的健康差距,我们为护士科学家们制定了一个多层次的概念框架,其中包括污名、交叉性、身份认同和生命轨迹等概念。健康的社会决定因素构成了我们概念框架的背景。使用这个框架,我们提出了通过护理研究、医疗保健实践、医疗保健教育和公共医疗保健政策来促进 SGD 健康公平的建议。这些建议与国家护理研究所的目标一致,即消除那些延续种族主义和阻碍健康不平等的结构,并需要实施解决健康决定因素的干预措施。因此,护士科学家们有望通过将减少 SGD 人群健康差距的有效干预措施转化为实践,来影响医疗保健政策。

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