Components of hostility and discrimination in cardiology

José L. Leyva-Pons, Hospital Central Dr. Ignacio Morones Prieto, San Luís de Potosí; Facultad de Medicina, Universidad Autónoma de San Luís de Potosí, San Luís de Potosí; México
Romina Rivera-Reyes, Sociedad Mexicana de Cardiología, Facultad de Medicina, Universidad Autónoma de Querétaro, Santiago de Querétaro. México

The Gender-Diverse (TGD) population in Mexico faces significant health challenges, such as limited access to healthcare and a prevalence of adverse conditions. Cardiology is crucial for this population due to a high prevalence of risk factors and cardiovascular diseases. Despite a lack of precise data, it is estimated that 0.5-1.5% of the population identifies as TGD. They encounter sociocultural challenges, including discrimination and stigma, contributing to health issues and a lack of treatment access. Cardiovascular risk factors, hormone self-administration, and barriers to healthcare access are prominent concerns. Opportunities for improvement involve strengthening medical education, implementing inclusive policies, and promoting research and data collection. The development of specific clinical guidelines and inclusive health programs is suggested. The theory of minority stress emphasizes addressing chronic psychosocial stressors and recognizing the influence of stress factors on health. Integrating healthcare services for all populations in cardiology and fostering resilience are key strategies. In summary, a comprehensive approach is needed to reduce disparities in cardiac care and enhance the health of all populations in Mexico.

Keywords: Hostility. Discrimination. Cardiology. Transgender. Equality. Burnout.