Croteau Terri A, Gelech Jan, Morrison Melanie A, Morrison Todd G
Department of Psychology and Health Studies, University of Saskatchewan, Saskatoon, SK S7N 5A5, Canada.
Healthcare (Basel). 2025 Jul 10;13(14):1659. doi: 10.3390/healthcare13141659.
Access of transgender and gender diverse (TGD) youth to gender-affirming medical care (GAMC) has become a contentious topic in the West, with many members of the general population, politicians, and even some experts and academic researchers voicing concerns about possible adverse effects of GAMC on the mental and physical health of TGD youth. Due to these concerns, recent years have seen a significant rise in legislation restricting TGD youth from accessing GAMC in countries such as the United States, the United Kingdom, and Canada. However, in this critical review of the literature on the psychological (e.g., anxiety, depression, suicide, and body satisfaction) and physical (e.g., bone health, cognitive function, and fertility) health outcomes associated with GAMC among TGD youth, we argue that, given the state of current research, youth should not be restricted from accessing GAMC. Our findings reinforce the importance of close monitoring by doctors, counselling for TGD youth with respect to potential risks, and increased studies on the topic, especially those focusing on reproductive health.
跨性别和性别多元（TGD）青年获得性别肯定医疗护理（GAMC）已成为西方一个有争议的话题，许多普通民众、政治家，甚至一些专家和学术研究人员都对GAMC可能对TGD青年的身心健康产生的不利影响表示担忧。由于这些担忧，近年来，在美国、英国和加拿大等国家，限制TGD青年获得GAMC的立法显著增加。然而，在对有关TGD青年中与GAMC相关的心理（如焦虑、抑郁、自杀和身体满意度）和身体（如骨骼健康、认知功能和生育能力）健康结果的文献进行的这项批判性综述中，我们认为，鉴于当前的研究状况，不应限制青年获得GAMC。我们的研究结果强化了医生密切监测、为TGD青年提供有关潜在风险的咨询以及增加对该主题的研究的重要性，特别是那些关注生殖健康的研究。
