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Journal of Health Care Chaplaincy 2023Spiritual support has been a staple of healthcare before hospitals in western civilizations were established by communities of faith. Research has demonstrated that... (Review)
Review
Spiritual support has been a staple of healthcare before hospitals in western civilizations were established by communities of faith. Research has demonstrated that wellbeing is associated with balanced care for the body, mind, and spirit. Healthcare disparities are being identified as disproportionally impacting transgender and gender nonconforming (TGNC) individuals. The root cause of this disparity is being studied as are medical and wellbeing interventions, including the benefit of spiritual support. This author's objective was two-fold. First, to identify opportunities for extending spiritual support to TGNC individuals in healthcare by chaplains. Secondly, to identify evidence of current spiritual support advocacy initiatives and interventions for TGNC patients in healthcare by chaplains.
Topics: Humans; Transgender Persons; Transsexualism; Gender Identity; Healthcare Disparities
PubMed: 35776733
DOI: 10.1080/08854726.2022.2080965 -
Nature Reviews. Clinical Oncology Jun 2023
Topics: Humans; Neoplasms; Transsexualism
PubMed: 37046009
DOI: 10.1038/s41571-023-00764-z -
The Journal of Sexual Medicine Jun 2021Gender diverse individuals constitute a substantial yet still understudied population. Particularly little is known about gender non-binary people whose health needs...
BACKGROUND
Gender diverse individuals constitute a substantial yet still understudied population. Particularly little is known about gender non-binary people whose health needs have only recently gained attention from clinicians.
AIM
To investigate needs for gender-affirming interventions, selected health indicators and determinants in Polish gender non-binary individuals as compared to transgender men and transgender women.
METHODS
We analyzed a subset of data from an online study on health in members of the Polish LGBTQ community. The sample consisted of 53 persons who self-identified as non-binary and 45 transgender men and transgender women. The uptake and the desire for gender-affirming medical interventions as well as selected health indicators were compared in non-binary and transgender persons. Additionally, regression models were conducted for depression, self-esteem and somatic symptoms severity as dependent variables, age as a covariate, and perceived stigma exposure, resilience and discomfort associated with current gender expression as predictors.
OUTCOMES
Outcomes such as desire for gender-affirming medical interventions and legal gender reassignment, symptoms of depression, resilience, physical symptoms severity, and perceived stigma exposure were captured in self-reported questionnaires.
RESULTS
Compared to the transgender men and transgender women, the non-binary participants of the study significantly less often pursued or desired gender-affirming medical interventions and legal gender reassignment. The non-binary participants also felt significantly more discomfort with their current gender expression. They were also characterized by increased expectations of rejection, vicarious trauma associated with being an LGBTQ person, and by decreased resilience compared to the transgender men and transgender women. Non-binary identity and individual resilience predicted higher self-esteem and decreased depression in the sample. The severity of physical symptoms was predicted by perceived stigma exposure (positively) and by resilience (negatively).
CLINICAL IMPLICATIONS
Polish non-binary individuals may constitute a vulnerable population in terms of greater perceived exposure to stigma and decreased individual resilience. Both transgender and non-binary individuals seek gender-affirming interventions and legal gender reassignment; the latter group, however, does so significantly less often.
STRENGTHS & LIMITATIONS
We analyzed the data from a unique and understudied Polish population. By exploring the diversity within the transgender and non-binary community, we add to the ongoing discussion on transgender and non-binary health. The major limitations of the study are convenience sampling, cross-sectional design, and limited sample size.
CONCLUSION
Non-binary individuals constitute a distinct population in terms of psychosocial and health-related characteristics. Clinicians should be aware of their needs and the challenges they face in association with living in a predominantly gender binary-oriented society. Koziara K, Mijas M. Wycisk J, et al. Exploring Health and Transition-Related Needs in Polish Transgender and Non-Binary Individuals. J Sex Med 2021;18:1110-1121.
Topics: Cross-Sectional Studies; Female; Gender Identity; Humans; Male; Poland; Transgender Persons; Transsexualism
PubMed: 34108108
DOI: 10.1016/j.jsxm.2021.04.001 -
The Clinical Teacher Oct 2021
Topics: Education, Medical; Education, Medical, Undergraduate; Gender Identity; Humans
PubMed: 34101347
DOI: 10.1111/tct.13366 -
Pediatrics Aug 2022Concerns about early childhood social transitions among transgender youth include that these youth may later change their gender identification (ie, retransition), a...
BACKGROUND AND OBJECTIVES
Concerns about early childhood social transitions among transgender youth include that these youth may later change their gender identification (ie, retransition), a process that could be distressing. The current study aimed to provide the first estimate of retransitioning and to report the current gender identities of youth an average of 5 years after their initial social transitions.
METHODS
The current study examined the rate of retransition and current gender identities of 317 initially transgender youth (208 transgender girls, 109 transgender boys; M = 8.1 years at start of study) participating in a longitudinal study, the Trans Youth Project. Data were reported by youth and their parents through in-person or online visits or via e-mail or phone correspondence.
RESULTS
We found that an average of 5 years after their initial social transition, 7.3% of youth had retransitioned at least once. At the end of this period, most youth identified as binary transgender youth (94%), including 1.3% who retransitioned to another identity before returning to their binary transgender identity. A total of 2.5% of youth identified as cisgender and 3.5% as nonbinary. Later cisgender identities were more common among youth whose initial social transition occurred before age 6 years; their retransitions often occurred before age 10 years.
CONCLUSIONS
These results suggest that retransitions are infrequent. More commonly, transgender youth who socially transitioned at early ages continued to identify that way. Nonetheless, understanding retransitions is crucial for clinicians and families to help make retransitions as smooth as possible for youth.
Topics: Adolescent; Child; Child, Preschool; Female; Gender Identity; Humans; Longitudinal Studies; Male; Parents; Transgender Persons; Transsexualism
PubMed: 35505568
DOI: 10.1542/peds.2021-056082 -
Lancet (London, England) Mar 2024
Topics: Humans; Gender Identity; Movement
PubMed: 38522440
DOI: 10.1016/S0140-6736(24)00540-3 -
Pediatric Annals Sep 2021Transgender and gender expansive (TGE) children and youth suffer staggering rates of discrimination and are at higher risk of developing eating disorder symptoms and... (Review)
Review
Transgender and gender expansive (TGE) children and youth suffer staggering rates of discrimination and are at higher risk of developing eating disorder symptoms and behaviors than cisgender youth. This article presents an overview of current research on identified risk factors for the development of eating disorders for TGE children and youth; provides clinical considerations for professionals in providing gender-affirming, collaborative eating disorder care; outlines specific concepts for staff training and for developing gender-affirming systems of care including policies and practices; and identifies numerous resources for TGE children and youth and their families. The clinical considerations and suggested practices reflect current research and clinical practice. Both the gender-affirmative clinical field and the eating disorder field are constantly evolving, and the recommendations and resources will need ongoing updates to reflect developments in these fields. .
Topics: Adolescent; Child; Feeding and Eating Disorders; Gender Identity; Health Services for Transgender Persons; Humans; Risk Factors; Transgender Persons; Transsexualism
PubMed: 34542335
DOI: 10.3928/19382359-20210820-01 -
Medicina Clinica Apr 2024
Topics: Humans; Gender Identity
PubMed: 38431490
DOI: 10.1016/j.medcli.2024.01.007 -
International Journal of Impotence... Mar 2021Gender dysphoria (GD) in children and adolescents is a condition that is characterized by an incongruence between the assigned and experienced gender. Despite the... (Review)
Review
Gender dysphoria (GD) in children and adolescents is a condition that is characterized by an incongruence between the assigned and experienced gender. Despite the diversity in clinical presentation, literature demonstrates that GD might lead to poor mental health and high rates of co-occurring psychopathology. Due to the overlap of physical aspects as well as psychological needs in these children, a multidisciplinary approach is highly desirable. The aim of this narrative review is to give an overview of recent literature on several topics relevant in this domain. Guidelines on psychological counseling and hormonal treatment are given and challenging topics subject to controversy are explained. Furthermore, attention is drawn to the risks and protective factors in psychological functioning, including the growing evidence of a frequent co-occurrence with Autism Spectrum Disorder. Finally the psycho-sexual development in these children, the impact on fertility and fertility preservation are discussed.
Topics: Adolescent; Autism Spectrum Disorder; Child; Counseling; Fertility; Gender Dysphoria; Gender Identity; Humans
PubMed: 32366985
DOI: 10.1038/s41443-020-0291-z -
Culture, Health & Sexuality Dec 2022This article explores the intersection of gender identity and sexual orientation in the narrative experiences of trans identified young people. Data were collected in...
This article explores the intersection of gender identity and sexual orientation in the narrative experiences of trans identified young people. Data were collected in collaboration with trans youth community centres in the USA, Canada and Ireland. Axial and selective coding procedures were used to examine the interplay between developing sexual orientation and gender identity. The relational language used by participants when explaining the process of negotiating and renegotiating sexual orientation prompted us to ground theory building in a framework of intersectionality, feminist concepts of 'doing gender' and peer mediated approaches to identity development. Two overarching themes were developed and are deconstructed in this paper: labelling and peer mediated self-consciousness. With respect to labelling, through the feminist concept of 'doing gender' we explain how trans youth navigated accountability to self, others and society as they negotiated and renegotiated sexual orientation labels in conjunction with gender labels. In relation to peer meditated consciousness, we examined how through relationship with peers, participants explored and internalised concepts important for sexual orientation formation. The paper begins to explore some of the ways in which gender identity and sexual orientation are interwoven, challenging the notion that they are fully autonomous constructs.
Topics: Adolescent; Female; Humans; Male; Gender Identity; Sexual Behavior; Transsexualism; Peer Group; Canada
PubMed: 34719345
DOI: 10.1080/13691058.2021.1992014