Enhancing intersex healthcare: A qualitative study of parental perspectives on the role of genetics

IF 1.9 4区 医学 Q3 GENETICS & HEREDITY Journal of Genetic Counseling Pub Date : 2024-04-17 DOI:10.1002/jgc4.1905
Kayla Horowitz, Kimberly Zayhowski, Nicole Palmour, Darius Haghighat, Yann Joly
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Abstract

Intersex individuals, encompassing people with diverse sex characteristics that do not fit binary frameworks of sex, have long faced a history of medical secrecy, discrimination, and societal stigma, contributing to their limited social visibility. In recent years, increased awareness of intersex issues and a robust advocacy movement have drawn significant attention to the experiences of intersex individuals and their families. This study contributes to the existing literature by examining the experiences and needs of parents of intersex individuals within genetic healthcare systems, bridging a critical gap, and advocating for more comprehensive and supportive healthcare practices. Semi‐structured interviews were conducted with 14 parents of intersex individuals, and reflexive thematic analysis was used to inductively generate four major themes. Themes highlighted the need for improved accessibility of intersex healthcare, the importance of multidisciplinary healthcare teams, and the significance of clinical diagnosis provided by genetics professionals. Furthermore, the study highlighted the necessity of a thoughtful approach to information provision and the impact of genetic investigations on family dynamics. Genetics professionals can play a pivotal role in raising awareness about intersex variations, improving diagnostic processes, collaborating within healthcare teams, and providing specialized support to address psychosocial concerns. The study underscores the importance of treating families as a collective entity and addressing the impact of genetic investigations on the family unit. By addressing the challenges and implementing the recommendations outlined, healthcare institutions can create a more compassionate, inclusive, and effective healthcare environment for the intersex community.
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加强双性人医疗保健:关于父母对遗传学作用的看法的定性研究
雌雄同体人是指具有不同性别特征、不符合二元性别框架的人,长期以来,他们一直面临着医疗保密、歧视和社会耻辱,导致他们在社会上的能见度有限。近年来,人们对双性人问题的认识不断提高,宣传运动蓬勃开展,双性人及其家庭的经历受到了极大关注。本研究通过考察双性人父母在遗传医疗系统中的经历和需求,弥补了这一重要空白,并倡导更全面、更具支持性的医疗实践,为现有文献做出了贡献。研究人员对 14 位双性人家长进行了半结构式访谈,并通过反思性主题分析归纳出四大主题。这些主题强调了改善双性人医疗服务可及性的必要性、多学科医疗团队的重要性以及遗传学专业人员提供临床诊断的重要性。此外,研究还强调了在提供信息时考虑周到的必要性,以及遗传学调查对家庭动态的影响。遗传学专业人员在提高人们对双性变异的认识、改进诊断流程、在医疗团队内部开展合作以及提供专业支持以解决社会心理问题等方面可以发挥关键作用。这项研究强调了将家庭作为一个集体实体来对待并解决基因调查对家庭单位影响的重要性。通过应对挑战和实施概述的建议,医疗机构可以为双性人群体创造一个更具同情心、包容性和有效性的医疗环境。
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来源期刊
Journal of Genetic Counseling
Journal of Genetic Counseling GENETICS & HEREDITY-
CiteScore
3.80
自引率
26.30%
发文量
113
审稿时长
6 months
期刊介绍: The Journal of Genetic Counseling (JOGC), published for the National Society of Genetic Counselors, is a timely, international forum addressing all aspects of the discipline and practice of genetic counseling. The journal focuses on the critical questions and problems that arise at the interface between rapidly advancing technological developments and the concerns of individuals and communities at genetic risk. The publication provides genetic counselors, other clinicians and health educators, laboratory geneticists, bioethicists, legal scholars, social scientists, and other researchers with a premier resource on genetic counseling topics in national, international, and cross-national contexts.
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