剛剛發現去年10月 USPSTF 發表在 JAMA 上的policy statement文章，大意是USPSTF宣告未來他們所有的Recommandations和Plans都會把以往含混不清的sex和gender給區分清楚，並且將gender diversity以及gender inclusivity納入他們們的政策和目標。

看到"JAMA"和"USPSTF"，圈內人大概就知道這篇文章的重量有多重了。不過因為我今晚的時間緊迫，無法解釋這些，先筆記起來放。

文章的文眼大概是這句：the USPSTF intends to use an inclusive approach to identify issues related to sex and gender at the start of the guideline development process

而USPSTF宣告政策對於"sex"和"gender"的定義如下：

The word sex describes particular biological attributes commonly associated with specific chromosomes, the effect of particular endogenous hormones, and reproductive anatomy.

Although individuals can change their hormonal levels and anatomy through medical or surgical approaches, sex is meant to identify those individuals who would likely have been assigned a sex at birth of either female, male, or intersex.

The USPSTF uses gender terms to refer to identities that reflect how individuals generally perceive themselves with regard to social or cultural norms as men, women, gender nonbinary, or gender nonconforming.

Gender identity is not specifically confined to a binary categorization and can exist as a continuum; additionally, it can change over time.

其實很高興能看到這樣的政策宣告，以USPSTF的地位，他可能成為領頭羊，讓這個專業領域又再跨出新的一步。

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USPSTF Approach to Addressing Sex and Gender When Making Recommendations for Clinical Preventive Services

JAMA全文連結