美国跨性别和非二元性别的年轻成年人中与性别相关的医疗保健歧视与人乳头瘤病毒疫苗接种
Gender-Related Health Care Discrimination and Human Papillomavirus Vaccination Among Transgender and Nonbinary Young Adults in the United States.
作者信息
Agénor Madina, Lett Elle, Murchison Gabriel R, Tabaac Ariella R, Dowshen Nadia, Gordon Allegra R
机构信息
Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, Rhode Island, USA.
Center for Health Promotion and Health Equity, Brown University School of Public Health, Providence, Rhode Island, USA.
出版信息
Transgend Health. 2023 Jul 28;8(4):389-395. doi: 10.1089/trgh.2021.0077. eCollection 2023 Aug.
Abstract
Although transgender and nonbinary (TNB) people can acquire human papillomavirus (HPV), research examining HPV vaccination in these populations is scarce. TNB individuals experience high levels of gender-related health care discrimination, which may undermine HPV vaccine uptake. Using data from a national online survey (=716), we found a negative association between gender-related health care discrimination and HPV vaccination among transgender women and nonbinary individuals who were assigned male at birth (AMAB; odds ratio [OR]=0.52; 95% confidence interval [CI]: 0.29-0.93). Addressing gender-related health care discrimination may facilitate HPV vaccination and help prevent HPV-related cancers among transgender women and nonbinary AMAB individuals.
摘要
尽管跨性别者和非二元性别者（TNB）可能感染人乳头瘤病毒（HPV），但针对这些人群的HPV疫苗接种研究却很少。TNB个体经历着高水平的与性别相关的医疗保健歧视，这可能会影响HPV疫苗的接种率。利用一项全国性在线调查（n = 716）的数据，我们发现，在出生时被认定为男性的跨性别女性和非二元性别个体（AMAB）中，与性别相关的医疗保健歧视和HPV疫苗接种之间存在负相关（优势比[OR]=0.52；95%置信区间[CI]：0.29 - 0.93）。解决与性别相关的医疗保健歧视可能会促进HPV疫苗接种，并有助于预防跨性别女性和非二元性别AMAB个体中与HPV相关的癌症。
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