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跨性别和性认同的性传播感染检测中的准入障碍。

Access Barriers in Testing for Sexually Transmitted Infections across Gender and Sexual Identities.

机构信息

Department of Pathology, Microbiology & Immunology, Vanderbilt University Medical Center, 445 Great Circle Road, Nashville, TN 37228, USA.

Infectious Disease, Tricore, 1001 Woodward Pl NE, Albuquerque, NM 87102, USA.

出版信息

Clin Lab Med. 2024 Dec;44(4):647-663. doi: 10.1016/j.cll.2024.07.003. Epub 2024 Aug 16.

DOI:10.1016/j.cll.2024.07.003
PMID:39490122
Abstract

Sexually transmitted infections (STIs) are steadily increasing in incidence. Marginalized communities across social categories (race, ethnicity, gender, and sexuality) face the heaviest burden, including Black, indigenous, Latino, queer (gay, bisexual), transgender, and nonbinary populations. These disparities persist even when controlled for high-risk sexual behaviors. The laboratory maintains a responsibility to develop and offer appropriate testing for all communities. This review aims to integrate the clinical laboratory's role in building sexual health testing options across genders and sexual behaviors with a focus on molecular, swab-based testing.

摘要

性传播感染(STIs)的发病率在稳步上升。社会各阶层(种族、族裔、性别和性取向)的边缘社区所受的影响最为严重,包括黑人、土著人、拉丁裔、酷儿(同性恋、双性恋)、跨性别者和非二元性别者。即使控制了高危性行为,这些差异仍然存在。实验室有责任为所有社区开发和提供适当的检测。本综述旨在整合临床实验室在建立跨性别和性行为的性健康检测选择方面的作用,重点是分子、拭子检测。

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