Andrology, Women's Endocrinology and Gender Incongruence Unit, Florence University Hospital, Florence, Italy.
Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy.
Int J Impot Res. 2020 Nov;33(7):687-693. doi: 10.1038/s41443-021-00427-6. Epub 2021 Mar 16.
Recent studies showed that transgender (TGN) adolescents are more at risk of negative sexual outcomes than their peers. However, little is known about the psychopathological and sociodemographic correlates of sexual-related experiences in TGN adolescents. This cross-sectional study aimed at overcoming this limitation describing this association in a sample of 18 transgirls and 32 transboys recruited at the Gender Clinic of the University of Florence between 2015 and 2020. Clinical, sociodemographic, and sexual-related features were collected through a face-to-face interview and anamnestic forms. Self-report questionnaires were administered to evaluate gender dysphoria (Gender Identity/Gender Dysphoria Questionnaire for Adolescents and Adults), emotional and behavioral problems (Youth Self Report), and body uneasiness (Body Uneasiness Test). The percentage of subjects reporting to have had at least one romantic relationship in life was 62.5% among transboys and 16.7% in transgirls (OR = 8.65, p < 0.01), whereas 28.1% of transboys and 5.6% of transgirls were sexually active (OR = 6.63, p > 0.05). A worse psychological functioning and risk-taking behaviors were associated with being sexually active (p < 0.05). These results underline the deep interconnection between psychological vulnerability and sexual-related features in TGN adolescents, confirming the importance of developing gender inclusive sex education programs to prevent negative sexual outcomes in this population.
最近的研究表明，跨性别（TGN）青少年比同龄人更容易出现负面的性结果。然而，对于 TGN 青少年与性相关的经历的心理病理学和社会人口统计学相关因素知之甚少。这项横断面研究旨在克服这一局限性，在 2015 年至 2020 年间于佛罗伦萨大学性别诊所招募的 18 名跨性别女孩和 32 名跨性别男孩样本中描述这种相关性。通过面对面访谈和病历表收集临床、社会人口统计学和与性相关的特征。通过自我报告问卷评估性别焦虑症（青少年和成人性别认同/性别焦虑症问卷）、情绪和行为问题（青少年自我报告）和身体不适（身体不适测试）。报告一生中至少有过一段浪漫关系的受试者比例，跨性别男孩为 62.5%，跨性别女孩为 16.7%（OR=8.65，p<0.01），而跨性别男孩中有 28.1%，跨性别女孩中有 5.6%有过性行为（OR=6.63，p>0.05）。较差的心理功能和冒险行为与性行为有关（p<0.05）。这些结果强调了 TGN 青少年中心理脆弱性与性相关特征之间的深刻联系，证实了制定包容性别认同的性教育计划的重要性，以防止该人群出现负面的性结果。
