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女同性恋、男同性恋、双性恋、跨性别者及酷儿群体(LGBTQ+)的更年期:文献综述、知识空白与研究议程

Lesbian, gay, bisexual, transgender and queer (LGBTQ+) menopause: Literature review, knowledge gaps and research agenda.

作者信息

Westwood Sue

机构信息

University of York, UK.

出版信息

Health (London). 2024 Aug 8:13634593241270923. doi: 10.1177/13634593241270923.

DOI:10.1177/13634593241270923
PMID:39115194
Abstract

There is growing interest in menopause discrimination in healthcare, the workplace and beyond. However, there is a dearth of research on lesbian, gay, bisexual, transgender and queer (LGBTQ+) experiences of the menopause. This article reports on a scoping review of the recent literature which identified a very limited number of articles and a wide range of knowledge gaps. This is discussed in relation to LGBTQ+ wider health, healthcare and workplace inequalities, and heteronormative and cisnormative conceptualisations of the menopause. A research agenda is proposed. Research should: be intersectional; differentiate between LGBTQ+ sub-groups; aim to understand how menopause experiences impact and are impacted by minority sexuality/gender identities; and examine how menopause healthcare and workplace support can be LGBTQ+ inclusive. Such research is urgently needed to ensure that LGBTQ+ people are fully included in menopause justice discussions and solutions.

摘要

在医疗保健、工作场所及其他领域,更年期歧视问题正引发越来越多的关注。然而,关于女同性恋、男同性恋、双性恋、跨性别者和酷儿(LGBTQ+)群体的更年期经历的研究却十分匮乏。本文报告了一项对近期文献的范围综述,该综述发现相关文章数量非常有限,且存在广泛的知识空白。这一情况结合LGBTQ+群体更广泛的健康、医疗保健和工作场所不平等现象,以及更年期的异性恋规范和顺性别规范概念进行了讨论。本文还提出了一个研究议程。研究应:具有交叉性;区分LGBTQ+亚群体;旨在了解更年期经历如何影响少数性取向/性别认同以及受其影响的方式;并研究更年期医疗保健和工作场所支持如何能够包容LGBTQ+群体。迫切需要开展此类研究,以确保LGBTQ+群体能够充分参与到更年期公平性的讨论及解决方案中。

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本文引用的文献

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Experiences of menopause among non-binary and trans people.非二元性别者和跨性别者的更年期经历。
Int J Transgend Health. 2024 Aug 10;26(2):447-458. doi: 10.1080/26895269.2024.2389924. eCollection 2025.
2
Menopause experiences in sexual minority women and non-binary people.性少数女性和非二元性别者的更年期经历。
Maturitas. 2024 Jul;185:108007. doi: 10.1016/j.maturitas.2024.108007. Epub 2024 Apr 24.
3
Well-being at midlife: Correlates of mental health in ambulatory menopausal women with multiple sclerosis.中年人的幸福感:多发性硬化症门诊绝经后妇女心理健康的相关因素。
Mult Scler. 2023 Oct;29(11-12):1493-1502. doi: 10.1177/13524585231197056. Epub 2023 Sep 16.
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Trials of the 'tranopause'.“绝经过渡期”试验
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Menopause in ethnic minority women.少数民族女性的更年期
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6
Understanding the menopausal experiences of women with intellectual disabilities: A scoping review.了解智障女性的更年期经历:一项范围综述。
J Intellect Disabil. 2023 Jun 15:17446295231182246. doi: 10.1177/17446295231182246.
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Minority stress theory: Application, critique, and continued relevance.少数群体应激理论:应用、批判与持续相关性。
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Transgender health and the impact of aging and menopause.跨性别者健康与衰老和绝经的影响。
Climacteric. 2023 Jun;26(3):256-262. doi: 10.1080/13697137.2023.2176217. Epub 2023 Apr 3.
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Reproductive health in transgender and gender diverse individuals: A narrative review to guide clinical care and international guidelines.跨性别者和性别多样化个体的生殖健康:一项用于指导临床护理和国际指南的叙述性综述
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Reimagining sexual and reproductive healthcare for LGBTQ communities.重新构想 LGBTQ 群体的性与生殖健康照护。
Cult Health Sex. 2023 Nov;25(11):1419-1432. doi: 10.1080/13691058.2022.2159066. Epub 2023 Jan 2.