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Title: | Comparative study of trans* healthcare models in Catalonia |
Author: | Presague-Peciña, Maria Giménez Bonafé, Pepita |
Keywords: | Transsexualitat Salut mental Psicologia mèdica Identitat de gènere Transsexualism Mental health Medical psychology Gender identity |
Issue Date: | 12-Aug-2024 |
Abstract: | Stigma and discrimination against the trans* community have been shown to exacerbate mentalhealth issues among its members. In Catalonia, the Gender Identity Unit at the Clinic’s Hospitaltraditionally adhered to a biomedical model (BMM) of health for trans* individuals. However, afew years ago, the Transit Service introduced a biopsychosocial model (BPSM). This observationalcohort study explores the mental health effects in BMM compared to BPSM centers for trans*individuals.A web-based survey was employed to gather essential data, such as socio-demographics in-formation, and mental health outcomes. All data was analyzed from the BPSM group (n = 81) andthe BMM group (n = 21).The BPSM group exhibited statistically significant lower odds of experiencing emotionaldistress (p < 0.001). Other mental health outcomes indicated a trend toward lower odds in theBPSM group compared to the BMM group. Nevertheless, the prevalence of mental health prob-lems were much higher than expected in general popupation, both groups presented depressionrates of 35 % and 25.7 %, and anxiety rates of 45 % and 41.9 % (BMM and BPSM, respectively).Furthermore, these differences were also found when comparing to general population inCatalonia.Therefore, there is a pressing need to shift away from paternalistic medical roles and movetowards informed decision-making and progressive autonomy. Perceiving the trans* experienceas an individual desease, rather than an effect of societal norms on dissident bodies, has detri-mental effects for the community. Additionally, the scientific community should listen to thedemands of the trans* community and create space for trans* researchers in the production of knowledge. |
Note: | Reproducció del document publicat a: https://doi.org/10.1016/j.heliyon.2024.e36174 |
It is part of: | Heliyon, 2024, vol. 10, num.8 |
URI: | http://hdl.handle.net/2445/215350 |
Related resource: | https://doi.org/10.1016/j.heliyon.2024.e36174 |
ISSN: | 2405-8440 |
Appears in Collections: | Articles publicats en revistes (Ciències Fisiològiques) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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