Oregon Health & Science University-Portland State University School of Public Health, Portland, Oregon.
Department of Pediatrics, Oregon Health & Science University, School of Medicine, Portland, Oregon.
J Adolesc Health. 2024 Nov;75(5):772-779. doi: 10.1016/j.jadohealth.2024.06.016. Epub 2024 Aug 11.
Pediatric gender-affirming medical care has strong research evidence and support, and transition-related regret is uncommon. Misinformation about regret has nonetheless been used to limit adolescents from accessing this care. This study is the first of a 3-part initiative to clarify long-term satisfaction and regret related to pediatric gender-affirming care (GAC).
An anonymous survey was distributed to individuals of age 15 and older who participated in at least one prior appointment at a large pediatric gender clinic. The survey questions included (1) demographics; (2) use of gender-affirming interventions; (3) barriers to accessing medical interventions; (4) reasons for any discontinuation of medical interventions; (5) emotions associated with GAC; and (6) intervention-related regret.
Participants (N = 150; Mage = 18.6) were predominantly transmasculine-identified and/or assigned female at birth (86%). The most common emotions associated with GAC were satisfaction (88.0%) and confidence (86.7%). A total of 141 participants reported taking hormones, 30 of whom reported ever discontinuing (21.3%). Among these, 11 have already resumed hormones, and 16 might resume. Of the three with no plan to resume hormones, one is fully satisfied with the results, and the remaining two no longer identify as transgender. Only one participant (0.7% of those who ever took hormones) wishes they had never started testosterone or had top surgery, both of which occurred in adulthood.
Individuals who accessed GAC as adolescents are largely satisfied with this care. Care-related satisfaction and regret are more nuanced than sometimes portrayed and should not be used to limit access.
儿科性别肯定医疗护理有强有力的研究证据和支持，且与过渡相关的后悔并不常见。然而，关于后悔的错误信息被用来限制青少年获得这种护理。这项研究是澄清与儿科性别肯定护理（GAC）相关的长期满意度和后悔的 3 部分倡议中的第一项。
一项匿名调查分发给在大型儿科性别诊所至少参加过一次预约的年龄在 15 岁及以上的个人。调查问题包括（1）人口统计学；（2）使用性别肯定干预措施；（3）获得医疗干预措施的障碍；（4）任何停止医疗干预措施的原因；（5）与 GAC 相关的情绪；和（6）干预相关的遗憾。
参与者（N=150；Mage=18.6）主要是跨性别男性认同和/或出生时被指定为女性（86%）。与 GAC 相关的最常见情绪是满意（88.0%）和自信（86.7%）。共有 141 名参与者报告服用激素，其中 30 名报告曾停止服用（21.3%）。在这些人中，有 11 人已经重新开始服用激素，有 16 人可能会重新开始。在没有计划重新服用激素的三人中，有一人对结果完全满意，其余两人不再认同自己是跨性别者。只有一名参与者（服用过激素的人中的 0.7%）希望他们从未开始服用睾丸素或接受过胸部手术，这两种手术都发生在成年后。
作为青少年接受 GAC 的人对这种护理大多感到满意。与护理相关的满意度和后悔比有时描述的更为复杂，不应该被用来限制获得护理的机会。
