Does every transgender person want gender affirming surgery? A survey of transgender individuals in the Midwestern United States.

IF 2.8 3区 医学 Q2 UROLOGY & NEPHROLOGY International Journal of Impotence Research Pub Date : 2024-10-15 DOI:10.1038/s41443-024-00991-7
Helen H Sun, Braveheart Gillani, Stephen Rhodes, Daniel Hamilton, Shubham Gupta, Swagata Banik, Gulnar Feerasta, Rachel Pope
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Abstract

Gender-affirming surgery (GAS) is a highly personalized decision for transgender and gender diverse (TGD) individuals. However, the proportion of TGD individuals who desire GAS is unknown. A questionnaire was created after identifying themes surrounding experiences with gender-affirming medical care by community focus groups. Respondents who reported medically transitioning and who had undergone GAS were compared to those without prior GAS. From 88 completed surveys, 18 (20.5%) individuals did not wish to undergo GAS. Of those medically transitioning and desiring GAS, 15.2% (9/59) desired GAS but had not received it yet, with 6.7% (6/9) identifying as non-binary. Individuals who had not had GAS were more likely to earn under $15,000 annually, compared to $25,000-49,000 in the GAS group (p = 0.01). There was no significant difference in educational level (p = 0.32) or insurance status (p = 0.33). Of TGD individuals who desire GAS, out-of-pocket expenses such as hair removal, opaque insurance policies, lack of social support, and access to gender-affirming providers can hinder the transition process. Understanding barriers and rationales for pursuing GAS can provide targets for improving healthcare delivery to this diverse population.

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是否每个变性人都想做性别确认手术?对美国中西部变性人的调查。
性别确认手术(GAS)是变性者和性别多元化者(TGD)高度个性化的决定。然而,希望接受性别确认手术的变性人比例尚不清楚。在通过社区焦点小组确定了有关性别确认医疗护理经验的主题后,我们制作了一份调查问卷。我们将报告医疗转型并接受过性别确认医疗服务的受访者与未接受过性别确认医疗服务的受访者进行了比较。在 88 份完成的调查问卷中,有 18 人(20.5%)不希望接受 GAS。在医疗转型并希望接受 GAS 的人中,15.2%(9/59)希望接受 GAS 但尚未接受,其中 6.7%(6/9)表示自己是非二元性别。没有接受过 GAS 的人更有可能年收入低于 15,000 美元,而 GAS 组的年收入为 25,000-49,000 美元(p = 0.01)。教育水平(p = 0.32)或保险状况(p = 0.33)没有明显差异。在希望获得性别认同服务的 TGD 患者中,脱毛等自付费用、不透明的保险政策、缺乏社会支持以及无法获得性别认同服务提供者的帮助都会阻碍他们的转变过程。了解追求 GAS 的障碍和理由,可以为改善这一多元化人群的医疗服务提供目标。
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来源期刊
International Journal of Impotence Research
International Journal of Impotence Research 医学-泌尿学与肾脏学
CiteScore
4.90
自引率
19.20%
发文量
140
审稿时长
>12 weeks
期刊介绍: International Journal of Impotence Research: The Journal of Sexual Medicine addresses sexual medicine for both genders as an interdisciplinary field. This includes basic science researchers, urologists, endocrinologists, cardiologists, family practitioners, gynecologists, internists, neurologists, psychiatrists, psychologists, radiologists and other health care clinicians.
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