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你不可能身兼数职:为有色人种跨性别者提供性别肯定护理的经历——一项主题分析。

You can't be too many things: the experiences of gender-affirming care for trans people of color - a thematic analysis.

作者信息

Pipkin Alastair, Clarke Catherine

机构信息

Adult Inpatient Psychology, Berrywood Hospital, Northamptonshire, England.

Hackney CAMHS, Hackney Service Centre, London, England.

出版信息

Int J Transgend Health. 2023 Dec 27;25(4):855-867. doi: 10.1080/26895269.2023.2295380. eCollection 2024.

Abstract

Barriers to healthcare and negative healthcare experiences are frequently reported by transgender people, which is known to be compounded by intersectional issues including racism. The present study aimed to explore the experiences of trans people of color accessing a national Gender Service in the United Kingdom, to better understand the facilitators and barriers to positive healthcare experiences. Six transgender people of color attended two separate focus groups. Thematic analysis was used to identify themes in the data. Three themes were identified: and Participants talked of various ways in which their ethnicity and cultural backgrounds raised apprehensions and negative experiences within their gender-related care, such as assumptions being made about their transition process, and a general lack of visibility such as not seeing examples of the outcomes of surgeries and in community spaces. The findings are discussed in relation to previous research, noting that culturally-inclusive models of transition, increased access to diverse, inclusive community spaces and further research in this field is needed to improve healthcare experiences.

摘要

跨性别者经常报告在获得医疗保健方面存在障碍以及有负面的就医经历,而众所周知,包括种族主义在内的交叉性问题会使这些情况更加复杂。本研究旨在探讨有色人种跨性别者在英国获得国家性别服务的经历,以更好地了解积极就医体验的促进因素和障碍。六名有色人种跨性别者参加了两个单独的焦点小组。采用主题分析法来识别数据中的主题。确定了三个主题:参与者谈到了他们的种族和文化背景在与性别相关的护理中引发担忧和负面经历的各种方式,比如对他们的过渡过程存在假设,以及普遍缺乏可见性,如看不到手术结果的例子以及在社区空间中也看不到相关示例。研究结果将与之前的研究进行讨论,并指出需要采用具有文化包容性的过渡模式、增加获得多样化、包容性社区空间的机会,以及在该领域进行进一步研究,以改善就医体验。

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Gender affirmation and social exclusion amongst trans women of color in Australia.澳大利亚有色人种跨性别女性中的性别认同与社会排斥
Int J Transgend Health. 2021 Sep 13;23(1-2):79-96. doi: 10.1080/26895269.2021.1947432. eCollection 2022.
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Transgender Black, Indigenous, and People of Color: Intersections of Oppression.跨性别黑人、原住民及有色人种:压迫的交叉点。
Int J Transgend Health. 2022 Jan 21;23(1-2):1-4. doi: 10.1080/26895269.2022.2020035. eCollection 2022.
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Transgender patients' experiences of health care.跨性别患者的医疗保健体验。
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