ABSTRACT
RESUMEN La demanda de atención de salud en personas transgénero está creciendo. Existe escasa información del conocimiento de los médicos sobre el trato en la atención sanitaria de estas personas y sus necesidades. Se realizó una encuesta a médicos (as) en Chile sobre su oportunidad de atención a estas personas, su conocimiento sobre las normativas de trato a esta población y percepción sobre acceso a tratamientos de readecuación sexual. De 123 encuestados, edad promedio 41 años, 56% había atendido a alguna persona transgénero, 4,3% manifestó rechazo u odio en esa atención, 84% nunca tuvo alguna formación respecto al tema en su formación universitaria, 96% se mostró interesado en recibir información respecto al tema, 77% desconoce la existencia de normativas de trato a estas personas, 18% rechaza gasto de salud en apoyo a su proceso de readecuación sexual, 14% no usaría el nombre social en el trato con estos pacientes y 10% hospitalizaría a un paciente transgénero según su sexo biológico y no según su sexo sentido. Los médicos en Chile reciben escasa formación respecto al trato y las necesidades de salud de la población transgénero, pero están interesados en que se les entregue información respecto al tema. La mayoría están a favor de que personas transgéneros tengan la oportunidad de recibir apoyo médico en la atención sanitaria pública, en su proceso de reasignación de sexo hormonal y/o quirúrgica.
ABSTRACT The demand for health care in transgender people is growing. There is poor information on physician knowledge about the treatment of these people and their needs. A survey was conducted to physician in Chile about their opportunity to care for these people, their knowledge about the rules of treatment of this population, and their perception of access to sexual rehabilitation treatments. 123 respondents, average age 41 years, 56% had attended some transgender people, 4.3% expressed rejection or hatred in that attention, 84% never had any training on the subject in their university education, 96% were interested in receiving information on the subject, 77% are unaware of the existence of treatment regulations for these people, 18% reject health spending in support of their sexual rehabilitation process, 14% would not use the social name in dealing with these patients and 10% would hospitalize a transgender patient according to their biological sex and not according to their felt sex. Physician in Chile receive poor training regarding the treatment and health needs of the transgender population, but are interested in being given information on the subject. The majority are in favor of transgender people having the opportunity to receive medical support in public health care, in their process of reassignment of hormonal and / or surgical sex.
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Physicians/psychology , Health Services for Transgender Persons/statistics & numerical data , Perception , Chile , Surveys and Questionnaires , Health Personnel/psychology , Transgender Persons , Gender IdentityABSTRACT
OBJECTIVE: To develop a socioeconomic index for brief surveys that allows a classification in relation to a reference population with a parsimonious approach. MATERIALS AND METHODS: A socioeconomic index was created using assets and use of services indicators to predict income level within a national representative survey of income (ENIGH, National Survey of Households Income and Expenditures) and then tested with data from a survey among key populations (men who have sex with men/transvestite, transgender, transsexual/female sex workers) and compared to an already published indicator. RESULTS: The concordance for quintiles 1, 2, 3, 4, and 5 between the two indexes were 94, 94, 82, 83, and 89%, respectively. The Spearman's rank correlation coefficient was 0.85. CONCLUSIONS: The proposed parsimonious index captures the socioeconomic level heterogeneity in the MSM/TTT/FSW survey. The use of this index is suggested for short surveys because of the next advantages: a) it uses dichotomic variables; b) the variables used do not imply the fulfillment of any statistical assumption; c) it is easily calculated; d) it can be used for comparing groups.
Subject(s)
Financial Statements , Health Services/statistics & numerical data , Social Class , Surveys and Questionnaires , Bisexuality/statistics & numerical data , Family Characteristics , Female , Health Services for Transgender Persons/statistics & numerical data , Homosexuality, Male/statistics & numerical data , Humans , Male , Mexico , Sex Workers/statistics & numerical data , Transgender Persons/statistics & numerical data , TransvestismABSTRACT
Objetivo. Desarrollar un indicador socioeconómico para encuestas breves que permita una clasificación en relación con un criterio poblacional y que resulte parsimonioso. Material y métodos. Se generó un indicador socioeconómico a partir de variables dicotómicas de bienes y servicios. Se obtuvo la correlación de los resultados obtenidos de la Encuesta Nacional de Ingresos y Gastos en los Hogares ENIGH con los de una encuesta breve y se les comparó con los de un indicador construido a partir de un conjunto mayor de variables. Resultados. La concordancia para los quintiles 1, 2, 3, 4 y 5 del indicador amplio y el parsimonioso son 94, 94, 82, 83 y 89%, respectivamente. El coeficiente de correlación por rangos de Spearman fue de 0.85. Conclusiones. El indicador parsimonioso propuesto captura la heterogeneidad del nivel socioeconómico en la encuesta probada. Se sugiere su uso para encuestas breves debido a sus ventajas: a) se elabora con variables dicotómicas; b) las variables base no implican el cumplimiento de algún supuesto estadístico; c) es fácilmente calculado, y d) se puede utilizar para comparar grupos.
Objective. To develop a socioeconomic index for brief surveys that allows a classification in relation to a reference population with a parsimonious approach. Materials and methods. A socioeconomic index was created using assets and use of services indicators to predict income level within a national representative survey of income (ENIGH, National Survey of Households Income and Expenditures) and then tested with data from a survey among key populations (men who have sex with men/transvestite, transgender, transsexual/female sex workers) and compared to an already published indicator. Results. The concordance for quintiles 1, 2, 3, 4, and 5 between the two indexes were 94, 94, 82, 83, and 89%, respectively. The Spearman's rank correlation coefficient was 0.85. Conclusions. The proposed parsimonious index captures the socioeconomic level heterogeneity in the MSM/TTT/FSW survey. The use of this index is suggested for short surveys because of the next advantages: a) it uses dichotomic variables; b) the variables used do not imply the fulfillment of any statistical assumption; c) it is easily calculated; d) it can be used for comparing groups.