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韩国性少数群体和性别少数群体的健康状况:定量研究的叙述性综述

Health of Korean sexual and gender minorities: a narrative review of quantitative studies.

作者信息

So Heesung, Kim Ssirai, Lee Sun Young

机构信息

Department of Psychiatry, Seoul National University Hospital, Seoul, Korea.

Korean Initiative for Transgender Health, Seoul, Korea.

出版信息

Ewha Med J. 2024 Apr;47(2):e14. doi: 10.12771/emj.2024.e14. Epub 2024 Apr 30.

Abstract

This study reviewed quantitative research on the health of sexual and gender minorities (SGMs) in Korea and aimed to propose a role for healthcare professionals in improving their health and access to medical care. We searched PubMed through February 29, 2024 for articles published since 2000, using terms related to SGMs and the keyword "Korea." This process yielded 33 quantitative studies on Korean SGMs. Of these, 17 focused on sexual minorities and 16 on gender minorities. The findings indicate that Korean SGMs experience many symptoms of depression and anxiety, as well as high rates of suicidal ideation, planning, and attempts. They also report diminished health-related quality of life. SGM individuals who have faced discrimination or pressure to change their sexual or gender identity face an elevated risk of mental health issues. To improve the health of Korean SGMs and improve their access to healthcare, we recommend several approaches. First, more research on the health of Korean SGMs is necessary. Second, education and training programs for health professionals are essential to promote their understanding of SGM health issues and their advocacy for SGM health. Third, strategies are required to develop and implement program interventions that improve SGM health, such as increasing the availability of gender-affirming care, which is known to benefit the health of transgender and gender-diverse individuals. Finally, healthcare professionals should actively advocate for SGM health and call for shifts in public perception and institutional change, grounded in a broad understanding of SGMs and their health needs.

摘要

本研究回顾了韩国性少数群体和性别少数群体(SGMs)健康状况的定量研究,旨在提出医疗保健专业人员在改善他们的健康状况和获得医疗服务方面的作用。我们在2024年2月29日前通过PubMed搜索了自2000年以来发表的文章,使用了与SGMs相关的术语和关键词“韩国”。这一过程产生了33项关于韩国SGMs的定量研究。其中,17项关注性少数群体,16项关注性别少数群体。研究结果表明,韩国SGMs经历了许多抑郁和焦虑症状,以及高比例的自杀意念、计划和尝试。他们还报告说与健康相关的生活质量下降。面临歧视或改变其性取向或性别认同压力的SGM个体面临更高的心理健康问题风险。为了改善韩国SGMs的健康状况并增加他们获得医疗保健的机会,我们推荐几种方法。首先,有必要对韩国SGMs的健康状况进行更多研究。其次,针对卫生专业人员的教育和培训计划对于促进他们对SGMs健康问题的理解以及对SGMs健康的倡导至关重要。第三,需要制定和实施改善SGMs健康的项目干预策略,例如增加性别肯定护理的可及性,众所周知这对跨性别者和性别多样化个体的健康有益。最后,医疗保健专业人员应积极倡导SGMs的健康,并呼吁在对SGMs及其健康需求有广泛理解的基础上,转变公众观念和推动机构变革。

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