International Journal of Transgender Health最新文献

英文中文

Access to gender-affirming hormonal therapy in Russia: perspectives of trans people and endocrinologists 在俄罗斯获得性别确认激素治疗:跨性别者和内分泌学家的观点

2区医学 Q1 PSYCHOLOGY, CLINICAL

International Journal of Transgender Health

Pub Date : 2023-10-23 DOI: 10.1080/26895269.2023.2272145

Yana Kirey-Sitnikova

Purpose Worldwide, trans people are known to take hormones without prescription or take higher or lower doses than prescribed. The study’s goal was examination of the social context behind provision and receiving of gender-affirming hormonal therapy (GAHT) in Russia, as well as collection of opinions on the organization of healthcare.

在世界范围内，众所周知，跨性别者在没有处方的情况下服用激素，或者服用高于或低于处方剂量的激素。该研究的目的是检查俄罗斯提供和接受性别确认激素治疗(GAHT)背后的社会背景，以及收集关于医疗保健组织的意见。

引用次数: 0

“It’s like a happy little affirmation circle”: a grounded theory study of nonbinary peoples’ internal processes for navigating binary gender norms “这就像一个快乐的小肯定圈”:对非二元性别人群驾驭二元性别规范的内在过程的扎根理论研究

2区医学 Q1 PSYCHOLOGY, CLINICAL

International Journal of Transgender Health

Pub Date : 2023-10-16 DOI: 10.1080/26895269.2023.2268052

Katelyn O. Coburn, Amber Vennum, Christi R. McGeorge, Melinda Stafford Markham, Chelsea M. Spencer

AbstractBackground: Nonbinary people experience marginalization through discrimination, rejection, microaggressions, and stigma as a result of not always conforming to societal gender norms embedded in the gender binary. There is limited research about how nonbinary Black, Indigenous, and People of Color (BIPOC) living in the United States navigate societally enforced binary gender norms, which is especially important to understand given how racism and Euro-colonization have enforced the gender binary. Better understanding the internal strategies nonbinary people use to cope, embody affirmation, and regulate emotions in response to marginalizing experiences could increase understanding of how to best prevent and address the health disparities experienced by nonbinary people.Aim: Drawing on the practices of interrogating norms central to queer theory with a sensitization to racism and settler colonialism, this study aimed to identify a framework to understand nonbinary peoples’ processes of navigating gender norms internally through their lived experiences with an awareness of how context impacts these processes.Method: This qualitative interview study utilized construcitivist grounded theory methodology, guided by queer theory. Twenty-one nonbinary individuals were interviewed over Zoom with 15 being BIPOC.Results: Participants navigated binary gender norms internally by self-defining affirmative nonbinary ways of being, noticing affirmation in a chosen community that allowed them to experience existing authentically outside of binary gender norms, and internally connecting to an embodied, authentic sense of gender within themselves and in community with other nonbinary people. These internal processes were influenced by two contextual factors: societal and cultural expectations of gender; and the contextual impacts of holding multiple marginalized identities.Discussion: Understanding the contexts of the gender binary, racism, and cissexism that impact nonbinary people on a daily basis is crucial for mental health professionals, researchers, policy makers, and creators of gender inclusive education and support programs to support and affirm nonbinary people.Keywords: BIPOCdiscriminationembodimentgender binarygrounded theorynonbinary AcknowledgmentsThe authors extend deep gratitude and appreciation to those who participated in this study.Ethical approvalAll procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.Informed consentInformed consent was obtained from all individual participants included in the study.Disclosure statementThe authors declare that they have no conflict of interest.Notes1 We are using BIPOC to intentionally acknowledge the history of enslavement and genocide of Black and Indigenous peoples in the U.S. and how this shapes dif

【摘要】背景:非二元性别人群由于不总是符合社会性别规范而遭受歧视、排斥、微侵犯和污名化等边缘化。关于生活在美国的非二元黑人、土著和有色人种(BIPOC)如何驾驭社会强制的二元性别规范的研究有限，考虑到种族主义和欧洲殖民化如何强制执行性别二元，这一点对于理解尤为重要。更好地了解非二元人群在应对边缘化经历时使用的内部策略，体现肯定和调节情绪，可以增加对如何最好地预防和解决非二元人群所经历的健康差异的理解。目的:通过对酷儿理论核心规范的质疑，以及对种族主义和定居者殖民主义的敏感性，本研究旨在确定一个框架，以理解非二元性别人群通过他们的生活经历在内部导航性别规范的过程，并意识到环境如何影响这些过程。方法:以酷儿理论为指导，采用建构主义扎根理论的定性访谈研究方法。21名非二元个体通过Zoom接受了采访，其中15名是BIPOC。结果:参与者通过自我定义肯定的非二元存在方式在内部导航二元性别规范，在一个选择的社区中注意到肯定，允许他们体验二元性别规范之外的真实存在，并在内部与自己和社区中其他非二元人群的具体，真实的性别感联系起来。这些内部过程受到两个背景因素的影响:社会和文化对性别的期望;以及持有多重边缘身份的语境影响。讨论:了解日常生活中影响非二元性别人群的性别二元、种族主义和顺性歧视的背景，对于心理健康专业人员、研究人员、政策制定者和性别包容性教育的创造者以及支持和肯定非二元性别人群的支持项目至关重要。关键词:bipocc歧视体现性别二元扎根理论非二元致谢作者对所有参与本研究的人员表示衷心的感谢。伦理批准:在涉及人类受试者的研究中执行的所有程序都符合机构和/或国家研究委员会的伦理标准，以及1964年赫尔辛基宣言及其后来的修正案或类似的伦理标准。知情同意从研究中包括的所有个体参与者处获得知情同意。声明作者声明他们没有利益冲突。注1:我们使用BIPOC有意承认美国黑人和土著人民的奴役和种族灭绝的历史，以及这如何影响BIPOC中不同的种族化经历，以及美国黑人和土著人民正在经历的种族差异。额外信息资金本项目的资金来自堪萨斯州立大学-罗伯特·h·波雷斯基家庭研究和人类服务助理奖学金。

{"title":"“It’s like a happy little affirmation circle”: a grounded theory study of nonbinary peoples’ internal processes for navigating binary gender norms","authors":"Katelyn O. Coburn, Amber Vennum, Christi R. McGeorge, Melinda Stafford Markham, Chelsea M. Spencer","doi":"10.1080/26895269.2023.2268052","DOIUrl":"https://doi.org/10.1080/26895269.2023.2268052","url":null,"abstract":"AbstractBackground: Nonbinary people experience marginalization through discrimination, rejection, microaggressions, and stigma as a result of not always conforming to societal gender norms embedded in the gender binary. There is limited research about how nonbinary Black, Indigenous, and People of Color (BIPOC) living in the United States navigate societally enforced binary gender norms, which is especially important to understand given how racism and Euro-colonization have enforced the gender binary. Better understanding the internal strategies nonbinary people use to cope, embody affirmation, and regulate emotions in response to marginalizing experiences could increase understanding of how to best prevent and address the health disparities experienced by nonbinary people.Aim: Drawing on the practices of interrogating norms central to queer theory with a sensitization to racism and settler colonialism, this study aimed to identify a framework to understand nonbinary peoples’ processes of navigating gender norms internally through their lived experiences with an awareness of how context impacts these processes.Method: This qualitative interview study utilized construcitivist grounded theory methodology, guided by queer theory. Twenty-one nonbinary individuals were interviewed over Zoom with 15 being BIPOC.Results: Participants navigated binary gender norms internally by self-defining affirmative nonbinary ways of being, noticing affirmation in a chosen community that allowed them to experience existing authentically outside of binary gender norms, and internally connecting to an embodied, authentic sense of gender within themselves and in community with other nonbinary people. These internal processes were influenced by two contextual factors: societal and cultural expectations of gender; and the contextual impacts of holding multiple marginalized identities.Discussion: Understanding the contexts of the gender binary, racism, and cissexism that impact nonbinary people on a daily basis is crucial for mental health professionals, researchers, policy makers, and creators of gender inclusive education and support programs to support and affirm nonbinary people.Keywords: BIPOCdiscriminationembodimentgender binarygrounded theorynonbinary AcknowledgmentsThe authors extend deep gratitude and appreciation to those who participated in this study.Ethical approvalAll procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.Informed consentInformed consent was obtained from all individual participants included in the study.Disclosure statementThe authors declare that they have no conflict of interest.Notes1 We are using BIPOC to intentionally acknowledge the history of enslavement and genocide of Black and Indigenous peoples in the U.S. and how this shapes dif","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136112694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correctional staff knowledge, attitudes and behaviors toward incarcerated trans people: A scoping review of an emerging literature 惩教人员对在押跨性别人士的知识、态度和行为:一项新兴文献的范围综述

2区医学 Q1 PSYCHOLOGY, CLINICAL

International Journal of Transgender Health

Pub Date : 2023-10-10 DOI: 10.1080/26895269.2023.2265386

Kirstie Daken, Tarra Excell, Kirsty A. Clark, Jaclyn M. W. Hughto, Tait Sanders, Joseph Debattista, Carol du Plessis, Amy B. Mullens, Tania M. Phillips, Jessica Gildersleeve, Annette Brömdal

Background: Trans people are incarcerated at disproportionately high rates relative to cisgender people and are at increased risk of negative experiences while incarcerated, including poor mental health, violence, sexual abuse, dismissal of self-identity, including poor access to healthcare.

背景:与无性别者相比，跨性别者被监禁的比例高得不成比例，并且在监禁期间遭受负面经历的风险更大，包括精神健康状况不佳、暴力、性虐待、丧失自我认同，包括难以获得医疗保健。

引用次数: 1

Fertility counseling guide for transgender and gender diverse people 跨性别及性别差异人群生育咨询指南

2区医学 Q1 PSYCHOLOGY, CLINICAL

International Journal of Transgender Health

Pub Date : 2023-10-09 DOI: 10.1080/26895269.2023.2262460

T. H. R Stolk, E. van den Boogaard, J.A.F Huirne, N.M van Mello

引用次数: 0

Exploring the healthcare experiences and support needs of chestfeeding or breastfeeding for trans and non-binary parents based in the United Kingdom 探索在英国为跨性别和非二元父母喂奶或母乳喂养的保健经验和支持需求

2区医学 Q1 PSYCHOLOGY, CLINICAL

International Journal of Transgender Health

Pub Date : 2023-10-09 DOI: 10.1080/26895269.2023.2265371

Jessica Eve Jackson, Ray Wild, Jenny Hallam, Rudy Graves, B. J. Woodstein, Penny Stothard

Background: Trans and/or non-binary parents experience structural exclusion in family healthcare and there is a need for specialist training for healthcare professionals so that they are able to create a gender inclusive environment.

背景:跨性别和/或非双性父母在家庭保健中遭受结构性排斥，需要对保健专业人员进行专业培训，以便他们能够创造一个性别包容的环境。

引用次数: 0

The experience of navigating sexuality for transgender and gender non-conforming people: a meta-ethnographic review 跨性别者和性别不符合者的性取向经验:元人种志回顾

2区医学 Q1 PSYCHOLOGY, CLINICAL

International Journal of Transgender Health

Pub Date : 2023-09-26 DOI: 10.1080/26895269.2023.2260795

Alastair Pipkin, Luke Ward, Sue Cotton, Christina Shearn

AbstractBackground The current research builds on a previous review of the literature which explored sexuality during gender transition. There has been increased attention toward TGNC people across academic, political, and healthcare fields since the previous review, as well as shifts in language use and health interventions, justifying a need for more contemporary understandings.Aim The current systematic review explores the experience of sexuality during gender transition.Methods A meta-ethnography was conducted on 16 papers that focused specifically on TGNC people’s experiences of their sexualities.Results The main findings were the intersection of gender and sexuality; the importance of re-writing labels around sexuality, bodies and relationships; (re)negotiating changes in sexual, romantic and/or physical relationships due to transitioning; and changes in a sense of community and belonging.Discussion The results have implications for supporting TGNC people navigating their identities by recognizing the multiple and intersecting levels of influence within which they are situated.Keywords: Meta-ethnographysexualitytransgendertransition Disclosure statementThe authors declare that they have no conflict of interest.Data availability statementThe data that support the findings of this study are available from the corresponding author, Dr Alastair Pipkin, upon reasonable request.Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.

摘要背景当前的研究建立在先前的文献综述的基础上，这些文献探讨了性别转换过程中的性行为。自上一篇综述以来，学术界、政界和医疗保健领域对tggnc人群的关注有所增加，语言使用和健康干预措施也发生了变化，这证明需要更现代的理解。目的本研究旨在探讨性别转换过程中的性体验。方法采用元人种学的方法，对16篇专门研究TGNC人群性体验的论文进行分析。结果主要表现为性别与性行为的交叉;重新书写关于性、身体和关系的标签的重要性;(重新)在性、浪漫和/或身体关系方面的变化进行协商;以及社区意识和归属感的变化。研究结果对支持TGNC人通过认识到他们所处的多重和交叉的影响水平来定位他们的身份具有启示意义。关键词:元民族志;性取向;跨性别;数据可用性声明支持本研究结果的数据可根据合理要求从通讯作者Alastair Pipkin博士处获得。其他信息资金作者报告没有与本文所述工作相关的资金。

{"title":"The experience of navigating sexuality for transgender and gender non-conforming people: a meta-ethnographic review","authors":"Alastair Pipkin, Luke Ward, Sue Cotton, Christina Shearn","doi":"10.1080/26895269.2023.2260795","DOIUrl":"https://doi.org/10.1080/26895269.2023.2260795","url":null,"abstract":"AbstractBackground The current research builds on a previous review of the literature which explored sexuality during gender transition. There has been increased attention toward TGNC people across academic, political, and healthcare fields since the previous review, as well as shifts in language use and health interventions, justifying a need for more contemporary understandings.Aim The current systematic review explores the experience of sexuality during gender transition.Methods A meta-ethnography was conducted on 16 papers that focused specifically on TGNC people’s experiences of their sexualities.Results The main findings were the intersection of gender and sexuality; the importance of re-writing labels around sexuality, bodies and relationships; (re)negotiating changes in sexual, romantic and/or physical relationships due to transitioning; and changes in a sense of community and belonging.Discussion The results have implications for supporting TGNC people navigating their identities by recognizing the multiple and intersecting levels of influence within which they are situated.Keywords: Meta-ethnographysexualitytransgendertransition Disclosure statementThe authors declare that they have no conflict of interest.Data availability statementThe data that support the findings of this study are available from the corresponding author, Dr Alastair Pipkin, upon reasonable request.Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134957978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Affirmation-support, parental conflict, and mental health outcomes of transgender and gender diverse youth 肯定支持、父母冲突和跨性别和性别多样化青年的心理健康结果

2区医学 Q1 PSYCHOLOGY, CLINICAL

International Journal of Transgender Health

Pub Date : 2023-09-15 DOI: 10.1080/26895269.2023.2252418

Natasha Belmont, Timothy J. Cronin, Christopher A. Pepping

Background: Transgender and gender diverse young people (TGDY) are at higher risk of psychosocial distress relative to their cisgender counterparts. TGDY rely heavily on their parents to support their desired affirmation and to facilitate access to legal and medical affirmation. While it is well understood that parent conflict negatively impacts the well-being of children and young people, little is known about how parental conflict and parental affirmation support are related to TGDY well-being.

背景:跨性别和性别多样化的年轻人(TGDY)相对于他们的顺性别同龄人有更高的社会心理困扰风险。TGDY在很大程度上依赖他们的父母来支持他们想要的确认，并为他们获得法律和医疗确认提供便利。虽然父母冲突对儿童和青少年的幸福感产生负面影响是众所周知的，但父母冲突和父母肯定支持与儿童和青少年的幸福感之间的关系却鲜为人知。

引用次数: 0

Fertility counseling guide for transgender and gender diverse people. 针对变性人和性别多样化人群的生育咨询指南。

IF 10.5 2区医学 Q1 PSYCHOLOGY, CLINICAL

International Journal of Transgender Health

Pub Date : 2023-09-12 eCollection Date: 2023-01-01 DOI: 10.1080/26895269.2023.2257062

T H R Stolk, E van den Boogaard, J A F Huirne, N M van Mello

引用次数: 0

"To feel supported in your community is to feel loved": Cultivating community and support for Black transmasculine people navigating anti-Black racism, transphobia, and COVID-19 pandemic. "在社区中感受到支持就是感受到爱"：在反黑人种族主义、变性仇视和 COVID-19 大流行的背景下，为跨性别黑人培养社区和支持。

IF 10.5 2区医学 Q1 PSYCHOLOGY, CLINICAL

International Journal of Transgender Health

Pub Date : 2023-05-02 eCollection Date: 2023-01-01 DOI: 10.1080/26895269.2023.2204084

Gabriel M Lockett, Kirsten G Klein, Jordan Mike, Jules P Sostre, Roberto L Abreu

Background: Black transmasculine people are disproportionately affected by a myriad of intersecting stressors including racism (specifically anti-Black racism), sexism, and cissexism. Black transmasculine people are exposed daily to systemic oppression such as transphobia, dehumanization, and violence, making this community more vulnerable to mental health and physical health concerns. These experiences are further compounded by the lack of relevant research about the unique experiences of Black transmasculine people during the COVID-19 pandemic. Aims: Utilizing a critical intersectionality lens and Prilleltensky's psychopolitical validity as guiding frameworks, the present study investigates the need for support and community for Black transmasculine people when navigating anti-Black racism and transphobia during the COVID-19 pandemic. Methods: The researchers integrated intersectionality and Prilleltensky's psychopolitical validity as frameworks paired with the constructivist grounded theory paradigm outlined by Charmaz to analyze data. The researchers co-constructed meaning from participants' (N = 32) perspectives to provide a theoretical understanding of how Black transmasculine participants' perceived community and support during COVID-19 pandemic. Results: The researchers developed a model of pathways toward community and support. The model suggests two levels: (a) locating awareness of community and support, and (b) integrated action toward community and support. The approaches are integrated from within group actions that can be facilitated from outside the community on micro and macro sociological levels to provide holistic support and community for Black transmasculine people. Discussion: This model extends the current literature on liberation and community psychology regarding the different levels of support for Black transmasculine people. This intervention can provide awareness and insight about working alongside the Black transmasculine community to address their unique needs of support and community. These findings hope to enhance clinical practices and identify strategies to promote wellness among Black transmasculine people.

背景：黑人跨性别者受到种族主义（特别是反黑人的种族主义）、性别歧视和同性性别歧视等各种交叉压力的影响尤为严重。黑人跨性别者每天都受到系统性压迫，如变性仇视、非人化和暴力，这使得该群体更容易受到心理健康和身体健康问题的影响。在 COVID-19 大流行期间，由于缺乏对黑人跨性别者独特经历的相关研究，这些经历变得更加复杂。目的：本研究以批判性交叉性视角和 Prilleltensky 的心理政治有效性为指导框架，调查黑人跨性别者在 COVID-19 大流行期间应对反黑人种族主义和变性仇视时对支持和社区的需求。研究方法：研究人员将交叉性和 Prilleltensky 的心理政治有效性作为框架，与 Charmaz 概述的建构主义基础理论范式相结合，对数据进行分析。研究人员从参与者（32 人）的角度共同建构意义，从理论上理解跨性别黑人参与者在 COVID-19 大流行期间是如何感知社区和支持的。研究结果研究人员建立了一个社区和支持路径模型。该模型提出了两个层次：（a）定位对社区和支持的认识，以及（b）迈向社区和支持的综合行动。这些方法是在微观和宏观社会学层面上从社区外部促进的群体内部综合行动，为跨性别黑人提供整体支持和社区。讨论：这一模式扩展了当前有关解放和社区心理学的文献，涉及为跨性别黑人提供不同层次的支持。这一干预措施可以提供与跨性别黑人社区并肩工作的意识和洞察力，以满足他们对支持和社区的独特需求。这些发现希望能加强临床实践，并确定促进跨性别黑人健康的策略。

{"title":"\"To feel supported in your community is to feel loved\": Cultivating community and support for Black transmasculine people navigating anti-Black racism, transphobia, and COVID-19 pandemic.","authors":"Gabriel M Lockett, Kirsten G Klein, Jordan Mike, Jules P Sostre, Roberto L Abreu","doi":"10.1080/26895269.2023.2204084","DOIUrl":"10.1080/26895269.2023.2204084","url":null,"abstract":"Background: Black transmasculine people are disproportionately affected by a myriad of intersecting stressors including racism (specifically anti-Black racism), sexism, and cissexism. Black transmasculine people are exposed daily to systemic oppression such as transphobia, dehumanization, and violence, making this community more vulnerable to mental health and physical health concerns. These experiences are further compounded by the lack of relevant research about the unique experiences of Black transmasculine people during the COVID-19 pandemic. Aims: Utilizing a critical intersectionality lens and Prilleltensky's psychopolitical validity as guiding frameworks, the present study investigates the need for support and community for Black transmasculine people when navigating anti-Black racism and transphobia during the COVID-19 pandemic. Methods: The researchers integrated intersectionality and Prilleltensky's psychopolitical validity as frameworks paired with the constructivist grounded theory paradigm outlined by Charmaz to analyze data. The researchers co-constructed meaning from participants' (N = 32) perspectives to provide a theoretical understanding of how Black transmasculine participants' perceived community and support during COVID-19 pandemic. Results: The researchers developed a model of pathways toward community and support. The model suggests two levels: (a) locating awareness of community and support, and (b) integrated action toward community and support. The approaches are integrated from within group actions that can be facilitated from outside the community on micro and macro sociological levels to provide holistic support and community for Black transmasculine people. Discussion: This model extends the current literature on liberation and community psychology regarding the different levels of support for Black transmasculine people. This intervention can provide awareness and insight about working alongside the Black transmasculine community to address their unique needs of support and community. These findings hope to enhance clinical practices and identify strategies to promote wellness among Black transmasculine people.","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"24 3","pages":"263-280"},"PeriodicalIF":10.5,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10482307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10177727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Culturally safe, appropriate, and high-quality breast cancer screening for transgender people: A scoping review. 针对变性人的文化上安全、适当和高质量的乳腺癌筛查：范围综述。

IF 10.5 2区医学 Q1 PSYCHOLOGY, CLINICAL

International Journal of Transgender Health

Pub Date : 2023-01-13 eCollection Date: 2023-01-01 DOI: 10.1080/26895269.2022.2155289

Imogen Ramsey, Kate Kennedy, Greg Sharplin, Marion Eckert, Micah D J Peters

Background: There is a recognized need for evidence to inform breast cancer screening guidelines and services for transgender people, who face barriers to accessing appropriate and inclusive health care.

Aims: This review summarized evidence for breast cancer risk and screening guidelines in transgender individuals, including the potential impact of gender-affirming hormone therapy (GAHT); factors that may influence screening decision-making and behaviors; and considerations for providing culturally safe, high-quality screening services.

Methods: A protocol was developed based on the Joanna Briggs Institute scoping review methodology. Searches were performed in Medline, Emcare, Embase, Scopus, and the Cochrane Library for articles reporting information on the provision of culturally safe, high-quality breast cancer screening services for transgender people.

Results: We identified 57 sources for inclusion: 13 cross-sectional studies, 6 case reports, 2 case series, 28 review or opinion articles, 6 systematic reviews, 1 qualitative study, and 1 book chapter. Evidence on rates of breast cancer screening among transgender people and the association between GAHT and breast cancer risk was inconclusive. Factors negatively associated with cancer screening behaviors included socioeconomic barriers, stigma, and lack of health provider awareness of transgender health issues. Breast cancer screening recommendations varied and were generally based on expert opinion due to the lack of clear evidence. Considerations for providing culturally safe care to transgender people were identified and mapped to the areas of workplace policies and procedures, patient information, clinic environment, professional conduct, communication, and knowledge and competency.

Discussion: Screening recommendations for transgender individuals are complicated by the lack of robust epidemiological data and clear understanding of the role GAHT may play in breast cancer pathogenesis. Guidelines have been developed based on expert opinion and are subsequently not uniform or evidence based. Further work is required to clarify and consolidate recommendations.

背景：目的：本综述总结了有关变性人乳腺癌风险和筛查指南的证据，包括性别确认激素疗法（GAHT）的潜在影响；可能影响筛查决策和行为的因素；以及提供文化安全、高质量筛查服务的注意事项：方法：根据乔安娜-布里格斯研究所（Joanna Briggs Institute）的范围审查方法制定了一个方案。我们在 Medline、Emcare、Embase、Scopus 和 Cochrane 图书馆中检索了有关为变性人提供文化安全、高质量乳腺癌筛查服务的文章：我们确定了 57 个资料来源供纳入：13 项横断面研究、6 项病例报告、2 项系列病例、28 篇评论或观点文章、6 篇系统综述、1 项定性研究和 1 篇书籍章节。有关变性人乳腺癌筛查率以及变性人乳腺癌筛查与乳腺癌风险之间关系的证据尚无定论。与癌症筛查行为负相关的因素包括社会经济障碍、耻辱感以及医疗服务提供者对变性人健康问题缺乏认识。由于缺乏明确的证据，乳腺癌筛查建议各不相同，通常以专家意见为基础。为变性人提供文化安全护理的注意事项已被确定，并映射到工作场所政策和程序、患者信息、诊所环境、职业操守、沟通以及知识和能力等领域：由于缺乏可靠的流行病学数据，也不清楚 GAHT 在乳腺癌发病机制中可能扮演的角色，因此针对变性人的筛查建议非常复杂。指南是根据专家意见制定的，因此并不统一，也缺乏证据基础。需要进一步开展工作，以明确和巩固相关建议。

{"title":"Culturally safe, appropriate, and high-quality breast cancer screening for transgender people: A scoping review.","authors":"Imogen Ramsey, Kate Kennedy, Greg Sharplin, Marion Eckert, Micah D J Peters","doi":"10.1080/26895269.2022.2155289","DOIUrl":"10.1080/26895269.2022.2155289","url":null,"abstract":"Background: There is a recognized need for evidence to inform breast cancer screening guidelines and services for transgender people, who face barriers to accessing appropriate and inclusive health care.Aims: This review summarized evidence for breast cancer risk and screening guidelines in transgender individuals, including the potential impact of gender-affirming hormone therapy (GAHT); factors that may influence screening decision-making and behaviors; and considerations for providing culturally safe, high-quality screening services.Methods: A protocol was developed based on the Joanna Briggs Institute scoping review methodology. Searches were performed in Medline, Emcare, Embase, Scopus, and the Cochrane Library for articles reporting information on the provision of culturally safe, high-quality breast cancer screening services for transgender people.Results: We identified 57 sources for inclusion: 13 cross-sectional studies, 6 case reports, 2 case series, 28 review or opinion articles, 6 systematic reviews, 1 qualitative study, and 1 book chapter. Evidence on rates of breast cancer screening among transgender people and the association between GAHT and breast cancer risk was inconclusive. Factors negatively associated with cancer screening behaviors included socioeconomic barriers, stigma, and lack of health provider awareness of transgender health issues. Breast cancer screening recommendations varied and were generally based on expert opinion due to the lack of clear evidence. Considerations for providing culturally safe care to transgender people were identified and mapped to the areas of workplace policies and procedures, patient information, clinic environment, professional conduct, communication, and knowledge and competency.Discussion: Screening recommendations for transgender individuals are complicated by the lack of robust epidemiological data and clear understanding of the role GAHT may play in breast cancer pathogenesis. Guidelines have been developed based on expert opinion and are subsequently not uniform or evidence based. Further work is required to clarify and consolidate recommendations.","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"24 2","pages":"174-194"},"PeriodicalIF":10.5,"publicationDate":"2023-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10128429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9733710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

首页上一页

类型

全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

数据库

全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley

期刊

International Journal of Transgender Health

全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.

﹀