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首页> 外文期刊>Health and social work >Trans Men's Access to Knowledgeable Providers and Their Experiences in Health Care Settings: Differences by Demographics, Mental Health, and Degree of Being 'Out' to Providers
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Trans Men's Access to Knowledgeable Providers and Their Experiences in Health Care Settings: Differences by Demographics, Mental Health, and Degree of Being 'Out' to Providers

机译：跨越人权访问知识渊博的提供商及其在医疗保健环境中的经验：人口统计数据，心理健康和“OUT”的差异对提供者

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摘要

Transgender adults face a health care system rife with stigma, including a lack of culturally responsive providers and high likelihood of discrimination and mistreatment. However, there is a gap in knowledge about trans men-those assigned a female sex at birth who identify as men or as transmasculine-including subgroups, such as trans men of color. Using data from the U.S. Transgender Survey, the largest transgender survey conducted in the United States, this study analyzes whether trans men's access to knowledgeable providers and their experiences of mistreatment in health care were related to demographic and mental health characteristics and degree of being "out" to providers. Among 7,950 trans men, respondent race and ethnicity, education level, disability status, psychological distress, suicidality, and being less "out" were associated with assessing one's health care provider as not knowledgeable about trans-related care. Mistreatment in health care was more common among Alaska Native/American Indian trans men; those who lived in or near poverty; those who were queer, pansexual, bisexual, or an orientation not listed; those with a disability; those experiencing distress or suicidality; and those who were more "out." This article discusses how findings can inform culturally responsive health care interventions with trans men.
机译：跨性别成年人面临着一个充斥着耻辱感的医疗体系，包括缺乏对文化有反应的提供者，以及歧视和虐待的高可能性。然而，对于出生时被指定为女性性别的跨性别男性，包括跨肤色的跨性别男性等亚群体，他们的知识存在差距。这项研究使用了美国最大的跨性别调查——美国跨性别调查的数据，分析了跨性别男性接触知识丰富的提供者及其在医疗保健中遭受虐待的经历是否与人口和心理健康特征以及被提供者“排斥”的程度有关。在7950名跨性别男性中，被调查者的种族和民族、教育水平、残疾状况、心理困扰、自杀和较少“出局”与评估一个人的医疗服务提供者不了解跨性别相关的护理有关。在阿拉斯加土著/美洲印第安变性男子中，医疗保健方面的虐待更为常见；生活贫困或接近贫困的人；同性恋者、泛性恋者、双性恋者或未列出取向的人；残疾人士；经历痛苦或自杀的人；还有那些更“出局”的人本文讨论了这些发现如何为跨文化男性的文化响应性医疗干预提供信息。

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