A More Nuanced Story: Pediatric Gender-Affirming Healthcare is Associated With Satisfaction and Confidence (Q30345)

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  • A More Nuanced Story: Pediatric Gender-Affirming Healthcare is Associated With Satisfaction and Confidence.
  • A More Nuanced Story
  • More Nuanced Story, A
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English
A More Nuanced Story: Pediatric Gender-Affirming Healthcare is Associated With Satisfaction and Confidence
No description defined
  • A More Nuanced Story: Pediatric Gender-Affirming Healthcare is Associated With Satisfaction and Confidence.
  • A More Nuanced Story
  • More Nuanced Story, A

Statements

A More Nuanced Story: Pediatric Gender-Affirming Healthcare is Associated With Satisfaction and Confidence. (English)
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Pediatric gender-affirming medical care has strong research evidence and support, and transition-related regret is uncommon. (English)
PURPOSE (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
1 reference
Misinformation about regret has nonetheless been used to limit adolescents from accessing this care. (English)
PURPOSE (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
1 reference
This study is the first of a 3-part initiative to clarify long-term satisfaction and regret related to pediatric gender-affirming care (GAC). (English)
PURPOSE (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
1 reference
An anonymous survey was distributed to individuals of age 15 and older who participated in at least one prior appointment at a large pediatric gender clinic. (English)
METHODS (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
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The survey questions included (1) demographics; (2) use of gender-affirming interventions; (3) barriers to accessing medical interventions; (4) reasons for any discontinuation of medical interventions; (5) emotions associated with GAC; and (6) intervention-related regret. (English)
METHODS (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
1 reference
Participants (N = 150; Mage = 18.6) were predominantly transmasculine-identified and/or assigned female at birth (86%). (English)
RESULTS (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
1 reference
The most common emotions associated with GAC were satisfaction (88.0%) and confidence (86.7%). (English)
RESULTS (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
1 reference
A total of 141 participants reported taking hormones, 30 of whom reported ever discontinuing (21.3%). (English)
RESULTS (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
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Among these, 11 have already resumed hormones, and 16 might resume. (English)
RESULTS (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
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Of the three with no plan to resume hormones, one is fully satisfied with the results, and the remaining two no longer identify as transgender. (English)
RESULTS (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
1 reference
Only one participant (0.7% of those who ever took hormones) wishes they had never started testosterone or had top surgery, both of which occurred in adulthood. (English)
RESULTS (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
1 reference
Individuals who accessed GAC as adolescents are largely satisfied with this care. (English)
DISCUSSION (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
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Care-related satisfaction and regret are more nuanced than sometimes portrayed and should not be used to limit access. (English)
DISCUSSION (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
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November 2024
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November 2024
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75
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5
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772-779
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772
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779
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S1054-139X(24)00299-4
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