跨性别女性性别认同及性别肯定医疗现况的定性访谈  

Gender identity and gender-affirming healthcare services among transgender women:a qualitative interview

作　　者：杨佳捷 周海龙 谢枫 欧阳琳[4] 周超[4] 陈菲[1] YANG Jia-jie;ZHOU Hai-long;XIE Feng;OUYANG Lin;ZHOU Chao;CHEN Fei(Chongqing Medical University,Chongqing 401331,China;不详)

机构地区：[1]重庆医科大学,重庆401331 [2]重庆市江北区疾病预防控制中心 [3]重庆市蓝天工作组 [4]重庆市疾病预防控制中心

出　　处：《江苏预防医学》2024年第2期237-239,252,共4页Jiangsu Journal of Preventive Medicine

基　　金：2022年重庆市研究生教育教学改革研究重点项目(yjg222017)。

摘　　要：目的了解跨性别女性的性别认同经历及性别肯定医疗现状,为完善跨性别医疗服务提供依据。方法依托社会公益组织招募和滚雪球抽样的方法,招募符合要求的跨性别女性进行一对一定性访谈,样本量根据信息饱和原则确定。结果共访谈12名跨性别女性,其中10名受访者从小就有不同于生理性别的表现和行为,6名有明显厌恶男性特征的情况;4名受访者使用过激素,难以开具易性证明以获取可持续的激素治疗、经济负担及潜在歧视等是暂未使用激素的主要原因;仅2名受访者完成性别肯定手术,手术经济负担、父母知晓证明及跨性别医疗提供不足等,是未进行性别肯定手术的主要原因。结论完善跨性别女性性别肯定医疗的制度和规范,提高改善服务的可及性,可以帮助其获得正规专业的医疗服务指导。Objective To investigate gender identity experiences and current status of gender-affirming healthcare among trans-gender women,so as to provide evidence for improving transgender healthcare services.Methods Eligible transgender women were re-cruited through recruitment by social welfare organizations and using the snowball sampling method for one-on-one qualitative interview,and the sample size was defined according to the saturation principle.Results A total of 12 transgender women were interviewed,in-cluding 10 respondents presenting manifestations and behaviors unlike their biological genders since childhood and 6 presenting remark-able hating of male characteristics.Four respondents had used hormones,and the main causes of no use of hormones included difficulty in obtaining transsexuality certificates to get sustainable hormone therapy,economic burdens and potential discrimination.Only two re-spondents completed gender-affirming surgery,and the main causes of no gender-affirming surgery included economic burdens of surger-y,certificates of parental awareness and inadequate transgender healthcare services.Conclusions Improved systems and guidelines of gender-affirming healthcare services and improved access to gender-affirming healthcare services may facilitate the access to formal and professional guiding of healthcare services among transgender women.

关 键 词：跨性别女性 性别认同 性别肯定医疗 定性访谈 

分 类 号：R193[医药卫生—卫生事业管理]