Body Mass Index Requirements for Gender-Affirming Surgeries Are Not Empirically Based

被引：36
作者：
Brownstone, Lisa M. [1 ]
DeRieux, Jaclyn [2 ]
Kelly, Devin A. [1 ]
Sumlin, Lanie J. [3 ,4 ]
Gaudiani, Jennifer L. [5 ]
机构：
[1] Univ Denver, Morgridge Coll Educ, Counseling Psychol, 1999 East Evans Blvd,Room 253, Denver, CO 80210 USA
[2] Santa Barbara Cottage Hosp, Dept Surg, Santa Barbara, CA USA
[3] Eating Disorder Care, Denver, CO USA
[4] Univ Colorado, Sch Educ & Human Dev Counseling Psychol & Counsel, Denver, CO 80202 USA
[5] Gaudiani Clin, Denver, CO USA
来源：
TRANSGENDER HEALTH | 2021年 / 6卷 / 03期
关键词：
BMI; gender affirmation surgery; gender nonconforming; LGBTQ Healthcare; transgender; PENILE INVERSION VAGINOPLASTY; WEIGHT STIGMA; TRANSGENDER; OBESITY; COMPLICATIONS; IDENTITY; OUTCOMES; SAMPLE; IMPACT; RISK;
D O I：
10.1089/trgh.2020.0068
中图分类号：
B849 [应用心理学];
学科分类号：
040203 ;
摘要：
Body mass index (BMI) requirements for gender affirmation surgery (GAS) are ubiquitous and vary across providers. Requirement variation is not surprising given little data to suggest an association between BMI and GAS outcomes. Implementation of subjective BMI requirements limits access to GAS and negatively impacts patient health and safety. We outline the literature on BMI and GAS outcomes, discuss clinical utility of GAS, and summarize dangers of prescribing weight loss as a prerequisite for surgery. We propose that providers use empirically supported indices of health and comorbidity instead of BMI to determine surgical eligibility for all patients considering GAS.
引用
收藏
页码：121 / 124
页数：4
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