PDF(Pubmed)
Abstract：
UNASSIGNED: The nonbinary and genderqueer (NBGQ) youth population is growing, yet scant research focuses on this distinct group. We aim to gain a deeper understanding of desired gender-affirming care and interventions pursued by NBGQ youth.
UNASSIGNED: A retrospective chart review of NBGQ patients seen at the University of California, San Francisco Child and Adolescent Gender Center from January 1, 2009, to December 31, 2020, was performed. Demographic information, desired gender-affirming care, and gender-affirming interventions pursued at initial and most recent visits were collected.
UNASSIGNED: Initial visit charts of 116 NBGQ youth who attended more than one clinic visit were reviewed. In total, 48 unique genders were documented; gender evolved over time for some youth, as did desired gender-affirming care. At the most recent visit, 15 youth (12.9%) had a binary gender, and 101 youth (87.1%) had an NBGQ gender. At the initial visit, 56 youth (48.3%) were interested in gender-affirming hormone therapy, compared with 75 youth (65.6%) at the most recent visit. In addition, 21 (18.1%) and 49 (42.2%) youth were interested in surgery at the initial and most recent visits, respectively. In general, interest in interventions was higher than pursuit of interventions.
UNASSIGNED: There is vast diversity of gender and differences in desired gender-affirming care within the NBGQ youth population. Desires for gender-affirming care within the cohort changed over time, and not all those who expressed a desire for an intervention received it. The reasons are likely multifactorial, highlighting the need for expectation-free and patient-specific affirming care and research on the NBGQ youth population, while also considering barriers to care.
UNASSIGNED: A retrospective chart review of NBGQ patients seen at the University of California, San Francisco Child and Adolescent Gender Center from January 1, 2009, to December 31, 2020, was performed. Demographic information, desired gender-affirming care, and gender-affirming interventions pursued at initial and most recent visits were collected.
UNASSIGNED: Initial visit charts of 116 NBGQ youth who attended more than one clinic visit were reviewed. In total, 48 unique genders were documented; gender evolved over time for some youth, as did desired gender-affirming care. At the most recent visit, 15 youth (12.9%) had a binary gender, and 101 youth (87.1%) had an NBGQ gender. At the initial visit, 56 youth (48.3%) were interested in gender-affirming hormone therapy, compared with 75 youth (65.6%) at the most recent visit. In addition, 21 (18.1%) and 49 (42.2%) youth were interested in surgery at the initial and most recent visits, respectively. In general, interest in interventions was higher than pursuit of interventions.
UNASSIGNED: There is vast diversity of gender and differences in desired gender-affirming care within the NBGQ youth population. Desires for gender-affirming care within the cohort changed over time, and not all those who expressed a desire for an intervention received it. The reasons are likely multifactorial, highlighting the need for expectation-free and patient-specific affirming care and research on the NBGQ youth population, while also considering barriers to care.
摘要：
■非二元和性别同性恋（NBGQ）青年人口正在增长，然而，很少有研究关注这个独特的群体。我们的目标是更深入地了解NBGQ青年所追求的性别确认护理和干预措施。
■对加州大学NBGQ患者的回顾性图表回顾，旧金山儿童和青少年性别中心于2009年1月1日至2020年12月31日进行。人口统计信息,所需的性别确认护理，并收集了初次和最近访问时进行的确认性别的干预措施。
■对116名NBGQ青年参加过一次以上临床就诊的初次就诊图进行了回顾。总的来说,记录了48种独特的性别；一些年轻人的性别随着时间的推移而演变，正如所期望的性别确认护理一样。在最近的一次访问中，15名青年（12.9%）有二元性别，101名青年(87.1%)具有NBGQ性别。在初次访问时,56名青年（48.3％）对性别确认激素治疗感兴趣，与最近一次访问的75名青年（65.6％）相比。此外,21名（18.1%）和49名（42.2%）青年在初次和最近一次就诊时对手术感兴趣，分别。总的来说,对干预的兴趣高于对干预的追求。
■NBGQ青年人口中的性别和所需性别确认护理存在巨大差异。随着时间的推移，队列中对性别确认护理的期望发生了变化，并不是所有表达了干预愿望的人都得到了它。原因可能是多方面的，强调需要对NBGQ青年人群进行无期望和针对患者的确认护理和研究，同时也考虑到护理的障碍。
■对加州大学NBGQ患者的回顾性图表回顾，旧金山儿童和青少年性别中心于2009年1月1日至2020年12月31日进行。人口统计信息,所需的性别确认护理，并收集了初次和最近访问时进行的确认性别的干预措施。
■对116名NBGQ青年参加过一次以上临床就诊的初次就诊图进行了回顾。总的来说,记录了48种独特的性别；一些年轻人的性别随着时间的推移而演变，正如所期望的性别确认护理一样。在最近的一次访问中，15名青年（12.9%）有二元性别，101名青年(87.1%)具有NBGQ性别。在初次访问时,56名青年（48.3％）对性别确认激素治疗感兴趣，与最近一次访问的75名青年（65.6％）相比。此外,21名（18.1%）和49名（42.2%）青年在初次和最近一次就诊时对手术感兴趣，分别。总的来说,对干预的兴趣高于对干预的追求。
■NBGQ青年人口中的性别和所需性别确认护理存在巨大差异。随着时间的推移，队列中对性别确认护理的期望发生了变化，并不是所有表达了干预愿望的人都得到了它。原因可能是多方面的，强调需要对NBGQ青年人群进行无期望和针对患者的确认护理和研究，同时也考虑到护理的障碍。
