Prog Community Health Partnersh. 2020;14(4):509-516. doi: 10.1353/cpr.2020.0056.
American Indian and Alaska Native (AI/AN) youth disproportionately face barriers accessing healthcare, including lack of access to culturally specific resources. This article details the creation of a culturally-specific Toolkit for AI/AN transgender and Two-Spirit youth, their relatives, and their healthcare providers across the United States. The Toolkit aims to 1) deliver culturally grounded resources to youth with diverse gender identities, 2) provide resources for families, and 3) increase healthcare provider awareness. A culturally appropriate Toolkit, "Celebrating Our Magic," was created from continual engagement with community partners over a 6-month period to address identified needs. The Toolkit has been shared regionally with partners who helped with its creation and nationally with Indian Health Service, Tribal, and Urban clinics serving AI/AN youth. This Toolkit creation process could be applied to manuals or guides for work in other underserved communities.
美国印第安人和阿拉斯加原住民(AI/AN)青年在获得医疗保健方面面临着不成比例的障碍,包括无法获得文化特定资源。本文详细介绍了为美国的跨性别和双性恋 AI/AN 青年、他们的亲属和医疗保健提供者创建一个文化特定的工具包。该工具包旨在:1)为具有不同性别认同的青年提供文化基础资源;2)为家庭提供资源;3)提高医疗保健提供者的意识。经过 6 个月与社区合作伙伴的持续合作,创建了一个文化上合适的工具包,名为“庆祝我们的魔法”,以满足已确定的需求。该工具包已在区域内与帮助创建它的合作伙伴以及为 AI/AN 青年服务的印第安卫生服务、部落和城市诊所分享。这个工具包的创建过程可以应用于为其他服务不足的社区编写手册或指南。