Jiménez-Barbero José Antonio, Cutillas-Fernández María Asunción, Herrera-Giménez María, Jiménez-Ruiz Ismael
Departamento de enfermería, Universidad de Murcia, Murcia, Spain.
Psiquiatra, Servicio Murciano de Salud, Murcia, Spain.
J Psychiatr Ment Health Nurs. 2024 Feb;31(1):43-51. doi: 10.1111/jpm.12957. Epub 2023 Jul 25.
WHAT IS KNOWN ABOUT THE SUBJECT?: The trans community perceives barriers to the mental health services in the form of professionals' transphobia, lack of knowledge, and cultural sensitivity in healthcare. The attitudes of health professionals are mediated by their social context, which can determine their behaviour or attitude towards users. WHAT DOES THE ARTICLE ADD TO EXISTING KNOWLEDGE?: The attitudes of mental health professionals towards trans people are related to variables such as the professional's age, gender, political ideology and religious beliefs. Mental health nursing, psychology and social work are the professions that present more favourable attitudes towards trans people. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The inclusion of a professional perspective that understands sexual and gender diversity among mental health professionals is required. It is necessary to train professionals to promote socio-healthcare based on respect and free from prejudice, discrimination and stigma. ABSTRACT: Introduction The trans community perceives barriers to the mental health services in the form of professionals' transphobia, lack of knowledge and cultural sensitivity in healthcare. Aim Evaluation of the attitudes towards trans people of the professionals who work in the different Spanish mental health services. Method A cross-sectional design was used with a sample of professionals from different professional groups working in mental health units, hospitals and outpatient settings throughout Spain. Results Gender differences were found, with higher values in genderism and sexism among males. Negative attitudes and sexism have also been associated with age and religious beliefs. Mental health nursing, psychology and social work presented more favourable attitudes towards trans people than other mental health professionals. Discussion/Implications for Practice The inclusion of a professional perspective that understands sexual and gender diversity and the acquisition of professional attitudes based on evidence and patient-centred model are basic aspects to promote socio-healthcare based on respect and free from prejudices, discrimination and stigma.
关于该主题已知的信息有哪些?:跨性别群体意识到心理健康服务存在障碍,表现为专业人员的恐跨症、知识匮乏以及医疗保健领域缺乏文化敏感性。卫生专业人员的态度受其社会环境影响,这可能决定他们对服务对象的行为或态度。
本文对现有知识有何补充?:心理健康专业人员对跨性别者的态度与专业人员的年龄、性别、政治意识形态和宗教信仰等变量有关。心理健康护理、心理学和社会工作等专业对跨性别者表现出更积极的态度。
对实践有何启示?:需要纳入理解性和性别多样性的专业视角。有必要培训专业人员,以促进基于尊重且无偏见、歧视和污名的社会医疗保健。
引言 跨性别群体意识到心理健康服务存在障碍,表现为专业人员的恐跨症、医疗保健领域缺乏知识和文化敏感性。目的 评估西班牙不同心理健康服务机构中工作人员对跨性别者的态度。方法 采用横断面设计,样本来自西班牙各地心理健康单位、医院和门诊环境中不同专业群体的专业人员。结果 发现存在性别差异,男性的性别主义和性别歧视得分更高。消极态度和性别歧视也与年龄和宗教信仰有关。心理健康护理、心理学和社会工作专业对跨性别者的态度比其他心理健康专业人员更积极。讨论/对实践的启示 纳入理解性和性别多样性的专业视角以及基于证据和以患者为中心的模式培养专业态度,是促进基于尊重且无偏见、歧视和污名的社会医疗保健的基本方面。