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首页> 外文期刊>BMC Pediatrics >Improving transgender health by building safe clinical environments that promote existing resilience: Results from a qualitative analysis of providers
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Improving transgender health by building safe clinical environments that promote existing resilience: Results from a qualitative analysis of providers

机译：通过建立可增强现有弹性的安全临床环境来改善跨性别健康：对服务提供者进行定性分析的结果

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Transgender (TG) individuals experience discordance between their sex at birth and their gender identity. To better understand the health care needs and characteristics of TG youth that contribute to resilience, we conducted a qualitative study with clinical and non-clinical providers. In-depth interviews were conducted of providers (n?=?11) of TG youth (ages 13–21). Convenience and purposive sampling were used to recruit participants in the Boston area. All interviews were audio-recorded and transcribed verbatim. An interview guide of 14 open-ended questions was used to guide the discussion. A grounded theory approach was utilized to code and analyze the data, including double-coding to address issues of inter-rater reliability. Five primary themes emerged: 1) resilience of TG youth 2) lack of access to services that influence health, 3) the critical role of social support, 4) challenges in navigating the health care system, and 5) the need for trans-affirming competency training for providers and frontline staff. The findings of this study show that providers recognize multiple barriers and challenges in the care of TG youth. However, they also identify the resilience exhibited by many youth. We propose that providers can further enhance the resilience of TG youth and help them flourish by offering them necessary resources via the creation of safe and welcoming clinical environments.
机译：跨性别（TG）的人在出生时的性别与性别认同之间会感到不一致。为了更好地了解有助于恢复能力的TG青年的医疗保健需求和特征，我们与临床和非临床医生进行了定性研究。对TG青年（13-21岁）的提供者（n = 11）进行了深入访谈。方便和有目的的抽样被用来招募波士顿地区的参与者。所有采访均进行录音并逐字记录。采访中使用了14个开放性问题的访谈指南。扎根的理论方法被用来编码和分析数据，包括双重编码以解决评估者之间的可靠性问题。出现了五个主要主题：1）TG青年的适应力2）缺乏影响健康的服务的机会，3）社会支持的关键作用，4）在医疗保健系统中的挑战，以及5）需要重新确认对提供者和一线员工的能力培训。这项研究的结果表明，提供者认识到在TG青年护理中的多重障碍和挑战。但是，他们也确定了许多年轻人所表现出的韧性。我们建议医疗服务提供者可以通过创建安全和友好的临床环境为他们提供必要的资源，从而进一步提高TG青年的适应能力，并帮助他们蓬勃发展。

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