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妇产科与家庭医学住院医师对跨性别及性别多样化健康的认知与态度:一项多中心横断面研究

Knowledge and Attitudes of Obstetrics and Gynecology and Family Medicine Residents Regarding Transgender and Gender-Diverse Health: A Multicenter Cross-Sectional Study.

作者信息

Uyaniklar Ozlem Ozgun, Altun Hikmet, Uncu Yesim

机构信息

Department of Obstetrics and Gynecology, Bursa City Hospital, Nilufer 16110, Bursa, Turkey.

Department of Family Medicine, Uludag University Faculty of Medicine, Nilufer 16059, Bursa, Turkey.

出版信息

Healthcare (Basel). 2025 Jul 3;13(13):1596. doi: 10.3390/healthcare13131596.

Abstract

: Health disparities among transgender and gender-diverse individuals are partly attributed to the limited knowledge and preparedness of healthcare providers. This study aims to assess the level of knowledge of transgender health among residents in obstetrics and gynecology and family medicine. : A multicenter, cross-sectional study was conducted with obstetrics and gynecology (OBGYN) and family medicine (FM) residents from two different centers. Data were collected using a 21-item questionnaire. The questionnaire assessed participants' demographic information, knowledge of sexual orientation and gender identity, clinical and anatomical effects of gender-affirming hormone therapy, knowledge of gender-affirming surgery, and knowledge of risk-based screening for TGD individuals. : The study, which included 85 residents (62 FM, 23 OBGYN), found that 76.6% of respondents indicated that SOGI should be routinely assessed. However, 68.3% of the participants reported inadequate knowledge regarding the clinical implications of gender-affirming hormone therapy, and 74.1% reported insufficient knowledge about gender-affirming surgeries. Furthermore, 62.4% of the participants indicated that they had not received any health education specifically tailored to address the needs of transgender individuals. Only 23.5% reported receiving training during their residency programs. Notably, 84.7% of the participants expressed a desire for formal education in this area. : FM and OBGYN residents have significant knowledge gaps regarding TGD health. The integration of TGD health topics into the curricula of medical schools and residency programs is needed to improve access to healthcare for individuals with TGD.

摘要

跨性别者和性别多样化个体之间的健康差异部分归因于医疗服务提供者的知识有限和准备不足。本研究旨在评估妇产科和家庭医学住院医师对跨性别健康的了解程度。

开展了一项多中心横断面研究,研究对象为来自两个不同中心的妇产科(OBGYN)和家庭医学(FM)住院医师。使用一份包含21个条目的问卷收集数据。该问卷评估了参与者的人口统计学信息、性取向和性别认同知识、性别确认激素治疗的临床和解剖学影响、性别确认手术知识以及针对跨性别者和性别多样化个体基于风险的筛查知识。

该研究纳入了85名住院医师(62名家庭医学住院医师、23名妇产科住院医师),发现76.6%的受访者表示应常规评估性取向和性别认同。然而,68.3%的参与者报告称对性别确认激素治疗的临床意义了解不足,74.1%的参与者报告称对性别确认手术了解不足。此外,62.4%的参与者表示他们没有接受过任何专门针对跨性别个体需求的健康教育。只有23.5%的人报告在住院医师培训项目中接受过培训。值得注意的是,84.7%的参与者表示希望接受该领域的正规教育。

妇产科和家庭医学住院医师在跨性别者和性别多样化个体健康方面存在重大知识差距。需要将跨性别者和性别多样化个体健康主题纳入医学院校课程和住院医师培训项目,以改善跨性别者和性别多样化个体获得医疗保健的机会。

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