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首页> 外文期刊>Journal of Pain Research >Sex and Gender are Not the Same: Why Identity Is Important for People Living with HIV and Chronic Pain
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Sex and Gender are Not the Same: Why Identity Is Important for People Living with HIV and Chronic Pain

机译:性和性别不一样:为什么身份对艾滋病毒和慢性疼痛的人来说很重要

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Background: Sex differences in pain sensitivity have been well?documented, such that women often report greater sensitivity than men. However, clinical reports highlighting sex differences often equate gender and sex. This is a particularly critical oversight for those whose gender identity is different than their genetic sex. Methods: This preliminary study sets to analyze differences in pain responses between cisgender and transgender individuals living with HIV and chronic pain. A total of 51 African-American participants (24 cisgender men, 20 cisgender women, 7 transgender women) with similar socioeconomic status were recruited. Genetic sex, gender identity, depression and anxiety, pain severity, pain interference and pain-related stigma were recorded. Participants also completed a quantitative sensory testing battery to assess pain in response to noxious heat and mechanical stimuli. Results: Transgender women and cisgender women demonstrated a greater magnitude of temporal summation for heat pain stimuli or mechanical stimuli compared to cisgender men. Specifically, transgender women reported greater mechanical summation than either cisgender women or cisgender men. Transgender women and cisgender women similarly reported greater chronic pain severity compared to cisgender men. Conclusion: These data support the notion that gender identity may play a more significant role in pain sensation than genetic sex. These results further maintain that not only gender identity and genetic sex?are distinct variables but that treatment should be based on identity as opposed to genetic sex.
机译:背景:疼痛敏感性的性差异一直很好?记录,女性经常报告比男性更大的敏感性。然而,突出性差异的临床报告通常会使性别和性等同起来。这对那些性别认同与遗传性别不同的人来说是一个特别重要的监督。方法:该初步研究组分析了艾滋病毒和慢性疼痛的Cisbemender和变性人的疼痛反应差异。招募了51名非洲裔美国人参与者(24名Cisgender男性,20名Cisbender女性,7个跨性别妇女,具有类似的社会经济地位。记录遗传性交,性别认同,抑郁和焦虑,疼痛严重程度,疼痛干扰和疼痛相关的耻辱。参与者还完成了定量的感官测试电池,以评估痛苦的痛苦和机械刺激。结果:转型女性和Cisbender女性展示了与Cisbender男性相比的热疼痛刺激或机械刺激的时间总和的更大程度。具体而言,跨性别妇女报告了比Cisbender女性或Cisbender男性更大的机械求和。与Cisgender男性相比,转型妇女和Cisbender女性同样报告了更大的慢性疼痛严重程度。结论:这些数据支持这些概念,即性别身份可能在疼痛感觉中发挥更大的作用而不是遗传性。这些结果进一步保持不仅是性别身份和遗传性别?是不同的变量,但治疗应该基于身份,而不是遗传性行为。

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