Linsenmeyer Whitney Riley
Assistant professor of nutrition at Saint Louis University in St Louis, Missouri.
AMA J Ethics. 2023 Apr 1;25(4):E287-293. doi: 10.1001/amajethics.2023.287.
The nutrition care process (NCP) accounts for a person's biological sex characteristics but does not adequately address their gender. Yet dietary choices express one's social identity in ethically and clinically relevant ways. Persons identifying as men tend to eat meat more frequently, consume more meat, and are less likely to be vegetarian than persons identifying as women, for example. Research on transgender persons' diets suggests that food is one means of expressing gender identity; this article argues that an inclusive sex- and gender-informed approach can likely improve the NCP's usefulness to clinicians caring for transgender patients.
营养护理流程(NCP)考虑了一个人的生理性别特征,但没有充分考虑其社会性别。然而,饮食选择以伦理和临床相关的方式表达了一个人的社会身份。例如,与自我认同为女性的人相比,自我认同为男性的人往往更频繁地吃肉,摄入更多的肉类,并且更不可能成为素食者。对跨性别者饮食的研究表明,食物是表达性别认同的一种方式;本文认为,一种包容性的、考虑到性和社会性别的方法可能会提高NCP对照顾跨性别患者的临床医生的有用性。