中国跨性别人群医疗现况的调查及分析  

The current status of transgender medical care in Chinese population: analysis from a national survey

作　　者：刘烨[1] 辛颖 齐霁 潘柏林[3] LIU Ye;XIN Ying;QI Ji;PAN Bailin(Department of Endocrinology and Metabolism,Peking University Third Hospital,Beijing 100191,China;Beijing LGBT Center,Beijing 100028,China;Department of Plastic Surgery,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学第三医院内分泌科,北京100191 [2]北京同志中心,北京100028 [3]北京大学第三医院成形外科,北京100191

出　　处：《中国性科学》2021年第6期154-157,共4页Chinese Journal of Human Sexuality

基　　金：北京大学第三医院临床重点项目(BYSY2018026);北京大学医学部交叉种子基金(BMU2018MX012)。

摘　　要：目的报道中国跨性别人群的跨性别医疗需求和诊治现状。方法本研究为2017年开展的全国性、横断面调查,通过招募受访者匿名填写网络问卷,收集分析跨性别者的激素治疗和性别肯定手术的需求和现况。结果 1 304名跨性别者中,79.4%希望接受激素治疗,但分别有46.8%和24.7%表示"很困难"或"不可能"从医疗机构获取激素药物,58.1%的受访者曾从非医疗机构获取药物。当获取激素药物困难时,分别有26.6%及16.6%跨性别者有自伤的想法或行为。66.6%的受访者已进行或希望进行性别肯定手术,但81.7%认为手术医疗资源不足。结论半数以上的中国跨性别者希望得到激素或手术治疗,但中国目前相关医疗资源稀少,使跨性别人群面临健康风险和相关高危行为。中国亟需发展正规的跨性别医疗服务。Objective To report the needs and current status of receiving transgender medical care in Chinese transgender population. Methods This study was a national, cross-sectional survey conducted in 2017. By recruiting respondents to anonymously fill out an online questionnaire, we collected and analyzed the needs and current situation of hormone therapy and gender confirmation surgery for transgender people. Results Of the 1,304 transgender persons, 79.4% wished to receive hormone therapy, but 46.8% and 24.7% respectively said it was "difficult" or "impossible" to obtain hormone medication from medical institutions, and 58.1% had obtained medication from non-medical institutions. When it was difficult to obtain hormone drugs, 26.5% and 16.6% participants had thoughts or behaviors of self-injury respectively. 66.6% of respondents had undergone or hoped to undergo gender confirmation surgery, but 81.7% believed that surgical medical resources were insufficient. Conclusions More than half of Chinese transgender individuals want to receive transgender hormone therapy or gender confirmation surgery. China is very lack of relevant medical resources. Transgender individuals would engage in high-risk activities when trying to gain related medical care. There is a great need for China to develop the transgender medical care.

关 键 词：跨性别 易性症 激素治疗 性别肯定手术 调查 

分 类 号：R-05[医药卫生]