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非二元性别者和跨性别者的更年期经历。

Experiences of menopause among non-binary and trans people.

作者信息

Toze Michael, Westwood Sue

机构信息

Lincoln Medical School, University of Lincoln, Lincoln, United Kingdom of Great Britain and Northern Ireland.

York Law School, University of York, York, United Kingdom of Great Britain and Northern Ireland.

出版信息

Int J Transgend Health. 2024 Aug 10;26(2):447-458. doi: 10.1080/26895269.2024.2389924. eCollection 2025.

Abstract

BACKGROUND

Conventional categorizations of menopause can be difficult to apply to trans, gender non-conforming and non-binary (TGNB) populations. Menopause has biological, psychological and social meanings that may be hard to clearly apply within a context of diverse experiences of sex and gender. Nonetheless, some TGNB people do experience menopause, and their experiences may be different from those of other groups due to those diverse biopsychosocial understandings and experiences.

METHOD

This paper thematically analyses the responses of 15 TGNB respondents who responded to a larger survey about LGBTQ+ experiences of menopause.

RESULTS

Two key themes were identified: Menopause and embodied identities, and Navigating gender normativity and gender binarism. The first of these contains two sub-themes, shifting and (un)settled gender identities, and embodied dis/connections with femaleness.

CONCLUSIONS

These findings appear to be comparatively novel within the published academic literature but potentially have some parallels with prior observations regarding interactions between puberty and gender identity, and also regarding TGNB people's experiences of challenges in navigating other health and life experiences normatively understood as female. These explorations raise a number of potentially sensitive questions, given the current debate and controversies around gender, sex and identity. Nonetheless, they point to a need for further research and practice into menopause that is inclusive and supportive of a range of gender and sexual identities.

摘要

背景

传统的更年期分类可能难以应用于跨性别、性别不一致和非二元性别(TGNB)人群。更年期具有生物学、心理学和社会意义,在性与性别的多样化经历背景下,可能难以明确适用。尽管如此,一些TGNB人群确实经历更年期,由于这些多样化的生物心理社会理解和经历,他们的经历可能与其他群体不同。

方法

本文对15名TGNB受访者的回答进行了主题分析,这些受访者回应了一项关于LGBTQ+人群更年期经历的更大规模调查。

结果

确定了两个关键主题:更年期与身体身份,以及应对性别规范性和性别二元论。其中第一个主题包含两个子主题,即不断变化和(未)稳定的性别身份,以及与女性特质的身体上的疏离/联系。

结论

这些发现在已发表的学术文献中似乎相对新颖,但可能与之前关于青春期与性别认同之间的相互作用,以及TGNB人群在应对其他通常被视为女性的健康和生活经历时所面临挑战的观察结果有一些相似之处。鉴于当前围绕性别、性和身份的辩论和争议,这些探索提出了一些潜在敏感的问题。尽管如此,它们指出需要对更年期进行进一步的研究和实践,以包容和支持一系列性别和性身份。

相似文献

1
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.

本文引用的文献

1
Gender-affirming endocrine care for youth with a nonbinary gender identity.为具有非二元性别认同的青少年提供性别肯定性内分泌治疗。
Ther Adv Endocrinol Metab. 2023 Mar 30;14:20420188231160405. doi: 10.1177/20420188231160405. eCollection 2023.
2
LGBTQIA+ menopause: room for improvement.LGBTQIA+群体的更年期:仍有改善空间。
Lancet. 2022 Nov 5;400(10363):1578-1579. doi: 10.1016/S0140-6736(22)01935-3. Epub 2022 Oct 18.
3
Standards of Care for the Health of Transgender and Gender Diverse People, Version 8.《跨性别和性别多样化人群健康照护标准》第8版
Int J Transgend Health. 2022 Sep 6;23(Suppl 1):S1-S259. doi: 10.1080/26895269.2022.2100644. eCollection 2022.
6
Women's Health in/and Work: Menopause as an Intersectional Experience.女性健康与工作:更年期作为一种交叉体验。
Int J Environ Res Public Health. 2021 Oct 14;18(20):10793. doi: 10.3390/ijerph182010793.
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