Daga HIV Zuwa Bacin rai, Likitan transgender na fuskantar rarrabuwar kawuna
Daga HIV Zuwa Bacin rai, Likitan transgender na fuskantar rarrabuwar kawuna
Anonim

Wannan mutanen transgender suna fuskantar ƙalubale na musamman da wahalhalu ba abin musantawa.

Ƙididdiga waɗannan gwagwarmaya, duk da haka, ya tabbatar da cewa yana da wuyar gaske, tun da yawancin mutane ba sa son bayyana ainihin su ga al'umma, don kada a yi musu wariya ko tashin hankali (ko da a cikin kiwon lafiya). Yanzu, a karon farko, ƙungiyar masu bincike a cikin mujallar LGBT Health a wannan watan Disambar da ta gabata, sun tattara babban adadi, idan ba cikakke ba, nazarin batutuwan kiwon lafiya da ke tasiri ga tsoffin sojan transgender a cikin soja, kuma sakamakon yana da ban mamaki. Nazarin bayanan da aka karɓa daga Hukumar Kula da Lafiya ta Tsohon Sojoji (VHA), mafi girman tsarin kiwon lafiya a Amurka, sun gano cewa idan aka kwatanta da ƙungiyar kulawa, waɗannan ma'aikatan kiwon lafiya suna da yuwuwar kasancewa cikin haɗari ga ɗimbin yanayin lafiyar jiki da ta hankali, kamar su. kamar HIV, damuwa, da shan barasa.

"An gano tsoffin mayaƙan transgender suna da rarrabuwar kawuna a duniya a cikin cututtukan hauka da na likitanci idan aka kwatanta da waɗanda suka dace da tsoffin tsoffin sojan da ba transgender ba," masu binciken, Dokta George Brown na Cibiyar Kula da Lafiya ta Gidan Tsohon Sojan Sama a Johnson City, Tennessee da Dr. Kenneth Jones, memba na Ofishin Daidaita Lafiya na VHA a DC, ya ƙare. "Wadannan binciken suna da tasiri mai mahimmanci ga manufofi, gwajin kiwon lafiya, da kuma isar da sabis a cikin VHA da yuwuwar sauran tsarin kiwon lafiya."

Bugu da ƙari, girmanta, VHA ta kasance farkon mai karɓar bayanan lafiyar lantarki, wanda ya ba masu binciken damar gano batutuwa daga 1996 zuwa 2013. Sun rarraba mutanen da aka gano suna da ɗaya daga cikin sharuɗɗa hudu, ciki har da jima'i da kuma rashin sanin jinsi, a matsayin kasancewa. transgender. A ƙarshe, sun ƙare tare da rukuni na 5, 135 irin waɗannan tsoffin sojoji. Daga nan sai suka kwatanta bayanan likitan su tare da ƙungiyar kulawa na tsofaffin tsofaffi waɗanda ba su canza jinsi ba waɗanda aka zaɓa don dacewa da su cikin halaye kamar shekaru, launin fata, da kuma inda suka sami kulawar likita.

"An lura da bambance-bambance tsakanin kungiyoyi don yawancin cututtuka da aka bincika bayan daidaitawa don matsayin aure, addini, da ƙungiyar fifiko," in ji masu binciken. "Mayasan TG sun kasance mafi kusantar a gano su tare da duk abubuwan da suka haɗa da tabin hankali da yanayin kiwon lafiya, ban da ciwon nono da cirrhosis."

Musamman, adadin waɗanda suka kamu da cutar kanjamau ya kusan sau shida mafi girma a tsakanin mata masu transgender fiye da masu sarrafawa (2.90 bisa dari vs.51 bisa dari); kusan sau biyu mafi girma don cin zarafi na barasa (kashi 32.19 vs 18.26 bisa dari), kuma sau huɗu mafi girma ga babban bakin ciki (kashi 47.73 vs 17.21 bisa dari). Baya ga sharuɗɗan da aka ambata a baya, akwai 10 bisa dari ko mafi girma bambanci tsakanin ƙungiyoyin biyu da aka samu lokacin da ya zo ga mummunar rashin lafiya ta tabin hankali, rashin damuwa bayan tashin hankali, tunanin kashe kansa / yunƙurin kashe kansa, kiba, da amfani da taba. Sun kasance mafi kusantar fuskantar rashin matsuguni da raunin jima'i na soja kuma.

Gabaɗaya, waɗannan sakamakon sun tabbatar da ingantaccen bincike na farko, wanda abin takaici an iyakance shi ga ƙananan samfura ko kuma ya dogara da ƙananan hanyoyin tattara bayanai, kamar binciken intanet. Duk da yake abin yabo ko da yake, ko da waɗannan binciken ba cikakke ba ne, tunda ba za su iya yin lissafin mutanen da suka bayyana kansu a matsayin transgender ba amma saboda kowane dalili, sun ƙi bayyana matsayinsu ga masu ba da lafiya. Hakanan akwai batun cewa, bayan-2013, da yawa daga cikin cututtukan da masu binciken suka yi amfani da su don tantance matsayin transgender an kawar da su kuma an maye gurbinsu da ƙarin lakabin dysphoria na jinsi. Wadannan da sauran abubuwan suna nufin kididdigar su na iya yin watsi da adadin mutanen da za su fada karkashin nau'in transgender mai fadi.

Kodayake suna da cikakkun bayanai game da jinsin waɗannan mutane sun bayyana kansu a matsayin, sun kasa tantance jima'i na haihuwarsu, yana mai da wahala a iya gano ainihin adadin "tsohuwar da suka bayyana a matsayin transmen, transwomen, ko wani asali a waje da binary na gargajiya..” Wadannan bambance-bambancen suna da mahimmanci saboda, "[d] rashin daidaituwa da zamantakewar zamantakewar kiwon lafiya da jin dadi na iya bambanta tsakanin transmen da transwomen," marubutan sun bayyana.

Har yanzu, masu binciken suna fatan binciken nasu ya wakilci ci gaba a cikin mafi kyawun gano batutuwan da suka shafi transgender dole ne suyi gwagwarmaya dasu.

"Yana da matukar mahimmanci don tattara bayanan asalin jinsin da aka gano da kansu don haɓaka matakan kayan aiki, yanki, da shirye-shiryen jiyya na ƙasa waɗanda aka yi niyya ga buƙatun marasa lafiyar transgender da haɓaka ƙarfin asibiti da ya dace a cikin ƙungiyar don saduwa da waɗanda aka gano buƙatun." in ji marubutan. "VHA ta yi wani gagarumin ci gaba a cikin shekaru hudu da suka gabata wajen bunkasa shirye-shiryen horarwa ga likitocin VHA da kuma samar da ingantacciyar hanyar kulawa ga tsofaffin TG."

Suna shirin kara yin nazarin tsoffin tsoffin sojan maza da mata, musamman don ganin ko shirye-shiryen kiwon lafiyar jama'a da VHA ta aiwatar a cikin 2011 sun taimaka wajen rufe gibin da ke cikin harkar kiwon lafiya a yanzu a bayyane.

Shahararren taken