Postgraduate Program in Psychiatry and Behavioral Sciences, Department of Psychiatry and Legal Medicine, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Postgraduate Program in Psychology, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil.
LGBT Health. 2020 Jul;7(5):237-247. doi: 10.1089/lgbt.2019.0046. Epub 2020 May 25.
The present study aimed to evaluate the impact of each domain of gender affirmation (social, legal, and medical/surgical) on the mental health of transgender and gender nonbinary youth. Three hundred fifty transgender boys, transgender girls, and gender nonbinary Brazilian youth, from 16 to 24 years old, answered an online survey. The final sample consisted of 350 youth who participated in this study. A total of 149 (42.64%) youth identified as transgender boys, 85 (24.28%) identified as transgender girls, and 116 (33.14%) identified as gender nonbinary youth. The mean age was 18.61 (95% confidence interval 18.34-18.88) years. Having accessed multiple steps of gender affirmation (social, legal, and medical/surgical) was associated with fewer symptoms of depression and less anxiety. Furthermore, engaging in gender affirmation processes helped youth to develop a sense of pride and positivity about their gender identity and a feeling of being socially accepted. Enabling transgender and gender nonbinary youth to access gender affirmation processes more easily should be considered as a strategy to reduce depression and anxiety symptoms, as well as to improve gender positivity.
本研究旨在评估性别认同的各个领域（社会、法律和医疗/手术）对跨性别和性别非二元青年心理健康的影响。来自巴西的 350 名 16 至 24 岁的跨性别男孩、跨性别女孩和性别非二元青年回答了一份在线调查。最终样本由 350 名参与这项研究的青年组成。共有 149 名（42.64%）青年被确定为跨性别男孩，85 名（24.28%）被确定为跨性别女孩，116 名（33.14%）被确定为性别非二元青年。平均年龄为 18.61 岁（95%置信区间 18.34-18.88）。接受多个性别认同步骤（社会、法律和医疗/手术）与较少的抑郁症状和较少的焦虑有关。此外，参与性别认同过程有助于青年对自己的性别认同产生自豪感和积极性，以及对自己被社会接受的感觉。应考虑使跨性别和性别非二元青年更容易获得性别认同过程，作为减少抑郁和焦虑症状以及改善性别认同的一种策略。
