Kirouac Nicole, Tan Mabel
Health Sciences Centre, Winnipeg, MB, Canada.
Children's Hospital, Vancouver, BC, Canada.
Pediatr Endocrinol Rev. 2017 Jun;14(Suppl 2):441-447. doi: 10.17458/per.vol14.2017.kt.gendercreativetransgender.
The World Professional Association for Transgender Health (WPATH) defines gender dysphoria as "Discomfort or distress that is caused by a discrepancy between a person's gender identity and that person's sex assigned at birth (and the associated gender role and/or primary and secondary sex characteristics)" (WPATH, 2016). Gender creative (GC) and transgender (TG) youth are at high risk for severe mental health disparities if they don't receive competent and timely gender transitioning care. Although awareness and early care of TG youth in specialty clinics is improving and increasing, there is still much effort that is required to eliminate barriers to care at many levels and thus improve outcomes. Nurses, particularly advanced practice nurses, are poised to lead the way in creating safe, inclusive, family centered spaces for TG and GC children, youth and their families as well as acting as vital mentors for other nurses. The purpose of this paper is to discuss the increasing prevalence of GC and TG youth, the significance of inclusive care for GC and TG youth, treatment guidelines, and the impact parents and advanced practice nurses can have on the journey of these youth as they explore and find their place on the gender spectrum.
世界跨性别健康专业协会（WPATH）将性别焦虑定义为“一个人的性别认同与其出生时被指定的性别（以及相关的性别角色和/或第一性征和第二性征）之间的差异所导致的不适或困扰”（WPATH，2016年）。如果性别多样化（GC）和跨性别（TG）青少年得不到适当及时的性别过渡护理，他们面临严重心理健康差异的风险就很高。尽管专科诊所对TG青少年的认知和早期护理正在改善且不断增加，但仍需要付出很多努力来消除多个层面的护理障碍，从而改善治疗效果。护士，尤其是高级执业护士，有能力带头为TG和GC儿童、青少年及其家庭创造安全、包容、以家庭为中心的环境，同时也能成为其他护士的重要指导者。本文的目的是讨论GC和TG青少年日益增加的患病率、对GC和TG青少年进行包容护理的意义、治疗指南，以及父母和高级执业护士在这些青少年探索并在性别谱系中找到自己位置的过程中可能产生的影响。
