Riaño Galán Isolina, Del Río Pastoriza Inés, Chueca Guindulain María, Gabaldón Fraile Sabel, de Montalvo Jááskeläinem Federico
Endocrinología Pediátrica, AGC Pediatría, HUCA, CIBERESP, máster en Bioética, Comité de Bioética de la AEP y Grupo de Trabajo de Ética de la SEEP, Oviedo, Asturias, España.
Pediatra Atención Primaria, CS Pontecaldelas, máster en Bioética, Comité Bioética AEP, Pontecaldelas, Pontevedra, España.
An Pediatr (Engl Ed). 2018 Aug;89(2):123.e1-123.e6. doi: 10.1016/j.anpedi.2018.02.012. Epub 2018 Mar 19.
An ethical and legal view of gender diversity in childhood and adolescence is presented from the perspective of the best interest of the child and the principle of protection against vulnerability. The identification of gender diversity in childhood and adolescence is a process that requires support, coordination and a multidisciplinary team that improves care and helps to obtain evidence that is lacking today. Secure, equitable and comprehensive access to care and health care should be guaranteed when required. It is necessary to promote a changing of social outlook, capable of overcoming the stereotypes that lead to discrimination and increase suffering. Respect for gender diversity in childhood and adolescence is a fundamental Human Right. The recognition of a positive value in diversity is an ethical imperative. All of this, without forgetting that we are talking about minors often in contexts of vulnerability, and currently very uncertain, so prudence is the main rule that should guide decision-making.
从儿童最大利益和防范脆弱性原则的角度,对儿童期和青春期的性别多样性进行了伦理和法律审视。识别儿童期和青春期的性别多样性是一个需要支持、协调以及多学科团队的过程,该团队可改善护理并有助于获取目前尚缺的证据。在需要时,应确保安全、公平且全面地获得护理和医疗保健。有必要推动社会观念的转变,以克服导致歧视并增加痛苦的刻板印象。尊重儿童期和青春期的性别多样性是一项基本人权。认识到多样性中的积极价值是一项伦理要求。所有这一切,不要忘记我们讨论的往往是处于脆弱环境且目前情况非常不确定的未成年人,因此审慎是指导决策的主要准则。