J Assoc Nurses AIDS Care. 2010 May-Jun;21(3):192-206. doi: 10.1016/j.jana.2009.08.004. Epub 2010 Mar 29.
Transgender youth face unique and complex issues as they confront cultural expectations of gender expression and how these fit with what is natural for them. Striving for balance, learning to cope, questioning, and eventually becoming comfortable with one's gender identity and sexual orientation are of paramount importance for healthy growth and development. Ineffective management of intense challenges over time without adequate social support places youth at risk for a number of unhealthy behaviors, including risk behaviors associated with acquiring HIV. This article explores early foundations of gender identity development, challenges in the development of transgender youth, and the limited data that exist on transgender youth and HIV risks. The concept of resilience is introduced as a counterbalancing area for assessment and intervention in practice and future research with transgender youth.
跨性别青年在面对文化对性别表达的期望以及这些期望与他们自然性别之间的冲突时，面临着独特而复杂的问题。为了实现平衡、学会应对、质疑，并最终对自己的性别认同和性取向感到舒适，这对于健康成长和发展至关重要。随着时间的推移，如果没有足够的社会支持，无法有效地应对强烈的挑战，青年就会面临许多不健康行为的风险，包括与获得 HIV 相关的风险行为。本文探讨了性别认同发展的早期基础、跨性别青年发展过程中的挑战，以及关于跨性别青年和 HIV 风险的有限数据。还引入了恢复力的概念，作为跨性别青年评估和干预实践及未来研究的一个平衡领域。
