Department of Sociology, The University of Texas at Austin, Austin, TX, 78712, USA.
Arch Sex Behav. 2022 May;51(4):1891-1902. doi: 10.1007/s10508-021-02214-2. Epub 2022 Jan 28.
In order to align with their inner sense of gender identity, adolescents suffering from gender dysphoria are increasingly being treated with cross-sex hormones and irreversible surgeries to alter their bodies. The present study is the first to examine attitudes about these recently emergent medical practices in a national population. We used data from the 2018 Post-Midterm Election Study, a survey representative of adults in the USA ages 20 to 65 years (N = 5285), to examine the social factors associated with approval or disapproval of hormonal and/or surgical interventions for adolescents seeking medical treatment for gender dysphoria. Higher fertility, race/ethnicity (in this case, black), sex (male), and heterosexual self-identity were each robustly associated with disapproval. Nested regression models revealed that a range of religion measures were statistically significant (toward disapproval). However, all but evangelical self-identification were no longer significant after accounting for support for abortion rights, the spectrum of political self-identification, and voting behavior. These findings, prompted by a high percentage of variance explained, led us to consider perspectives on medical transitions for adolescents as fitting the "culture war" framework, largely polarized between a "progressive" worldview of bodily autonomy and an "orthodox" worldview of bodily integrity.
为了与内在的性别认同相一致，患有性别焦虑症的青少年越来越多地接受跨性别激素治疗和不可逆的手术来改变他们的身体。本研究首次在全国范围内调查了对这些新出现的医学实践的态度。我们使用了 2018 年中期选举后研究的数据，该研究是一项代表美国 20 至 65 岁成年人的调查（N=5285），以研究与青少年因性别焦虑症寻求医疗治疗而接受激素和/或手术干预的社会因素相关的态度。更高的生育率、种族/民族（在这种情况下为黑人）、性别（男性）和异性恋自我认同与不赞成治疗的态度显著相关。嵌套回归模型显示，一系列宗教措施具有统计学意义（表示不赞成）。然而，在考虑了支持堕胎权、政治自我认同的范围以及投票行为之后，除了福音派的自我认同外，其他所有因素都不再具有统计学意义。这些发现表明，对青少年的医疗过渡的看法符合“文化战争”框架，主要在身体自主的“进步”世界观和身体完整性的“正统”世界观之间两极分化。
