Kaltiala Riittakerttu, Bergman Hannah, Carmichael Polly, de Graaf Nastasja M, Egebjerg Rischel Karen, Frisén Louise, Schorkopf Martina, Suomalainen Laura, Waehre Anne
Department of Adolescent Psychiatry, Faculty of Medicine and Health Technoloy, Vanha Vaasa Hospital, Tampere, Finland.
Karolinska Institutet, Stockholm, Sweden.
Nord J Psychiatry. 2020 Jan;74(1):40-44. doi: 10.1080/08039488.2019.1667429. Epub 2019 Sep 26.
To explore whether the increase observed in referrals to child and adolescent gender identity services (GIDSs) has been similar in four Nordic countries and in the UK. Numbers of referrals per year in 2011-2017 were obtained from all GIDS in Denmark, Finland, Norway, Sweden and the UK and related to population aged <18. A similar pattern of increase in referral rates was observed across countries, resulting in comparable population adjusted rates in 2017. In children, male:female birth sex ratio was even; in adolescents, a preponderance of females (birth sex) was observed, particularly in Finland. The demand for GIDSs has evolved similarly across Nordic countries and the UK. The reasons for the increase are not known but increased awareness of gender identity issues, service availability, destigmatization as well as social and media influences may play a role.
探讨北欧四个国家和英国向儿童及青少年性别认同服务机构（GIDSs）转诊人数的增长情况是否相似。2011年至2017年每年的转诊人数来自丹麦、芬兰、挪威、瑞典和英国的所有GIDSs，且与18岁以下人群相关。各国转诊率呈现出相似的增长模式，导致2017年经人口调整后的比率相当。在儿童中，出生时的男女比例均衡；在青少年中，观察到女性（出生性别）占多数，尤其是在芬兰。北欧国家和英国对GIDSs的需求发展情况相似。增长的原因尚不清楚，但对性别认同问题的认识提高、服务可及性、污名化消除以及社会和媒体影响可能起到了作用。
