Abstract

Non-binary people face numerous stressors in their daily lives, including personal, interpersonal, and environmental. These stressors gain strength when such individuals access healthcare services, and discrimination and cisgenderism become the main barrier to obtaining gender-affirming healthcare. This study aimed to describe the experiences of non-binary people regarding the care and medical attention received in Catalonia (Spain). A qualitative phenomenological study was conducted with 21 non-binary people recruited using snowball sampling in 2022. Data were gathered through open-ended interviews and analyzed using thematic analysis. Two main themes were identified, which were further classified into two categories each: Theme 1—This is me composed of the categories, “My Name and My Pronouns” and “One’s Chosen Gender,” and Theme 2—I do not exist for the health system consisting of “Uneducated Health System in Sexual Health” and “Feeling Like an Outsider for Being Non-Binary.” Non-binary people face multiple stressors when accessing the healthcare services that makes them feel invisible, vulnerable, and marginalized. Further widespread implementation of person-centered care is essential to promote the relationship between non-binary people and the healthcare system. In addition, further sexual health training is required for all health professionals.

中文翻译：

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描述非二元人群与医疗保健系统的遭遇：加泰罗尼亚的定性研究（西班牙）

摘要

非二元性别的人在日常生活中面临着许多压力源，包括个人、人际和环境。当这些人获得医疗保健服务时，这些压力就会增强，而歧视和顺性别主义成为获得性别肯定医疗保健的主要障碍。本研究旨在描述非二元性别人士在加泰罗尼亚（西班牙）接受的护理和医疗护理的经历。 2022 年，通过滚雪球抽样的方式招募了 21 名非二元性别人士，进行了一项定性现象学研究。数据通过开放式访谈收集，并使用主题分析进行分析。确定了两个主题，并进一步分为两类：主题 1——这是我，由“我的名字和我的代词”和“一个人选择的性别”等类别组成；主题 2——我的存在不是为了卫生系统由“性健康方面未受过教育的卫生系统”和“因为非二元性而感觉像个局外人”组成。非二元性别人士在获得医疗保健服务时面临多种压力，这让他们感到被忽视、脆弱和边缘化。进一步广泛实施以人为本的护理对于促进非二元人群与医疗保健系统之间的关系至关重要。此外，所有卫生专业人员都需要接受进一步的性健康培训。