■女同性恋,同性恋,双性恋,变性人,酷儿,所有性和性别多样化(LGBTQ+)的人在许多情况下都会经历歧视,包括医疗环境。虽然一些研究表明,变性人和非二元性人往往比顺性人忍受更高的边缘化率,不同性别的人,过去的数据是有限的。
■美国LGBTQ+人群样本(N=173)完成了一项匿名,在线,自我报告的调查,其中包括医疗保健提供者的消费者评估以及系统和医疗保健体验问题。团体,包括被认定为顺性的人,性多样化(n=116),变性人(n=24),和非二进制(n=33),使用协方差检验的卡方和多变量分析进行比较。
■与cisgender相比,不同性别的人,非二进制的人不太可能报告对体检感到满意,有良好的心理健康,受到供应商的尊重,提供者有足够的医疗信息,提供者可以照顾经过性别确认的人,医院工作人员很乐意与他们互动。此外,非二元人群更有可能报告医院工作人员对他们的性别不正。
■这些独特的LGBTQ+亚组差异可能是非二元人群所面临的身份特异性污名的次要因素。需要更多的国际研究来阐明这些跨LGBTQ+身份的亚组特定的医疗保健经验。
UNASSIGNED: Lesbian, gay, bisexual, transgender, queer, and all sexually and gender diverse (LGBTQ+) people experience discrimination across many contexts, including healthcare environments. While some research has shown transgender people and non-binary people often endure higher rates of marginalization than cisgender, sexually diverse people, past data are limited.
UNASSIGNED: A sample of LGBTQ+ people (N = 173) in the United States completed an anonymous, online, self-reported survey, which included the Consumer Assessment of Healthcare Providers and Systems and healthcare experience questions. Groups, including people who identified as cisgender, sexually diverse (n = 116), transgender (n = 24), and non-binary (n = 33), were compared using chi-square and multivariate analysis of covariance tests.
UNASSIGNED: Compared to cisgender, sexually diverse people, non-binary people were less likely to report feeling comfortable with a physical exam, having good mental health, respected by providers, that providers had adequate medical information, that providers could care for someone going through gender affirmation, and that hospital staff were comfortable interacting with them. Additionally, non-binary people were more likely to report hospital staff misgendering them.
UNASSIGNED: These unique LGBTQ+ subgroup differences may be secondary to identity-specific stigma that non-binary people face. More international studies are needed to elucidate these subgroup-specific healthcare experiences across LGBTQ+ identities.