Comprehensive Transgender Healthcare: The Gender Affirming Clinical and Public Health Model of Fenway Health

被引：151

作者：

Reisner, Sari L. ^{[1
,2
]}

Bradford, Judith ^{[1
,3
]}

Hopwood, Ruben ^{[4
,5
,6
]}

Gonzalez, Alex ^{[4
,5
]}

Makadon, Harvey ^{[1
,7
,8
]}

Todisco, David ^{[4
,5
]}

Cavanaugh, Timothy ^{[4
,5
]}

VanDerwarker, Rodney ^{[9
]}

Grasso, Chris ^{[1
]}

Zaslow, Shayne ^{[1
]}

Boswell, Stephen L. ^{[9
]}

Mayer, Kenneth ^{[1
,7
,8
,10
]}

机构：

[1] Fenway Hlth, Fenway Inst, Boston, MA 02215 USA

[2] Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA

[3] Boston Univ, Sch Publ Hlth, Dept Community Hlth Sci, Boston, MA USA

[4] Fenway Hlth, Transgender Hlth Program, Med Hlth Dept, Boston, MA 02215 USA

[5] Fenway Hlth, Transgender Hlth Program, Behav Hlth Dept, Boston, MA 02215 USA

[6] Boston Univ, Danielsen Inst, Boston, MA 02215 USA

[7] Beth Israel Deaconess Med Ctr, Dept Med, Boston, MA 02215 USA

[8] Harvard Univ, Sch Med, Boston, MA USA

[9] Fenway Hlth, Execut Off, Boston, MA 02215 USA

[10] Harvard Univ, Sch Publ Hlth, Dept Global Hlth & Populat, Boston, MA 02115 USA

来源：

JOURNAL OF URBAN HEALTH-BULLETIN OF THE NEW YORK ACADEMY OF MEDICINE | 2015年 / 92卷 / 03期

基金：

美国国家卫生研究院;

关键词：

Health equity; Health care; Transgender; TO-MALE PATIENTS; IDENTITY; DISCRIMINATION; EXPERIENCES; DISPARITIES; COHORT; NEEDS; SEX;

D O I：

10.1007/s11524-015-9947-2

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

This report describes the evolution of a Boston community health center's multidisciplinary model of transgender healthcare, research, education, and dissemination of best practices. This process began with the development of a community-based approach to care that has been refined over almost 20 years where transgender patients have received tailored services through the Transgender Health Program. The program began as a response to unmet clinical needs and has grown through recognition that our local culturally responsive approach that links clinical care with biobehavioral and health services research, education, training, and advocacy promotes social justice and health equity for transgender people. Fenway Health's holistic public health efforts recognize the key role of gender affirmation in the care and well-being of transgender people worldwide.

引用

页码：584 / 592

页数：9

共 27 条

[1]

[Anonymous], 2011, HLTH LESB GAY BISEX

[2] Transforming the paradigm of transgender health: a field in transition [J].

Bockting, Walter O. .

SEXUAL AND RELATIONSHIP THERAPY, 2009, 24 (02) :103-107

[3]

Bradford J.B., 2012, Policy focus: How to gather data on sexual orientation and gender identity in clinical settings

[4]

Bradford J.B., 2012, Policy Focus: Why gather data on sexual orientation and gender identity in clinical settings

[5] Experiences of Transgender-Related Discrimination and Implications for Health: Results From the Virginia Transgender Health Initiative Study [J].

Bradford, Judith ;

Reisner, Sari L. ;

Honnold, Julie A. ;

Xavier, Jessica .

AMERICAN JOURNAL OF PUBLIC HEALTH, 2013, 103 (10) :1820-1829

[6] Do Ask, Do Tell: High Levels of Acceptability by Patients of Routine Collection of Sexual Orientation and Gender Identity Data in Four Diverse American Community Health Centers [J].

Cahill, Sean ;

Singal, Robbie ;

Grasso, Chris ;

King, Dana ;

Mayer, Kenneth ;

Baker, Kellan ;

Makadon, Harvey .

PLOS ONE, 2014, 9 (09)

[7] Sexual Orientation and Gender Identity Data Collection in Clinical Settings and in Electronic Health Records: A Key to Ending LGBT Health Disparities [J].

Cahill, Sean ;

Makadon, Harvey .

LGBT HEALTH, 2014, 1 (01) :34-41

[8] Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, Version 7 [J].

Coleman, E. ;

Bockting, W. ;

Botzer, M. ;

Cohen-Kettenis, P. ;

DeCuypere, G. ;

Feldman, J. ;

Fraser, L. ;

Green, J. ;

Knudson, G. ;

Meyer, W. ;

Monstrey, S. ;

Adler, R. ;

Brown, G. ;

Devor, A. ;

Ehrbar, R. ;

Ettner, R. ;

Eyler, E. ;

Garofalo, R. ;

Karasic, D. ;

Lev, A. ;

Mayer, G. ;

Meyer-Bahlburg, H. ;

Hall, B. ;

Pfaefflin, F. ;

Rachlin, K. ;

Robinson, B. ;

Schechter, L. ;

Tangpricha, V. ;

van Trotsenburg, M. ;

Vitale, A. ;

Winter, S. ;

Whittle, S. ;

Wylie, K. ;

Zucker, K. .

INTERNATIONAL JOURNAL OF TRANSGENDERISM, 2012, 13 (04) :165-232

[9]

Conron K., 2014, Best practices for asking questions to identify transgender and other gender minority respondents on population-based surveys, P9

[10] Sex and Gender in the US Health Surveillance System: A Call to Action [J].

Conron, Kerith J. ;

Landers, Stewart J. ;

Reisner, Sari L. ;

Sell, Randall L. .

AMERICAN JOURNAL OF PUBLIC HEALTH, 2014, 104 (06) :970-976

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