PDF(Pubmed)
Abstract：
UNASSIGNED: Of late, there are many legal representations from select quarters to halt all medical interventions in children with differences of sex development (DSD). In this survey on management decisions in DSD, we distil the views of Indian stakeholders: parents, physicians, and grown-up patients with DSD on their management decisions to identify decisional satisfaction or gender dysphoria.
UNASSIGNED: The survey domains included the patient demographics, final diagnosis, decision on the sex of rearing, surgical interventions, opinion of the stakeholders on the preferred age of sex assignment, final sex of rearing, and agreement/disagreement about sex assignment (gender dysphoria).
UNASSIGNED: A total of 106 responses were recorded (66% parents, 34% grown-up patients aged 12-50 years). Among parents, 65/70 (95%) preferred the sex to be assigned soon after birth. All grown-up patients preferred sex to be assigned soon after birth. Regarding decisions on surgery, 74% of physicians and 75% of the grown-up patients felt parents should be allowed to decide interventions. Among Indian parents, 90% felt they should have the right to decide surgery in the best interest of their child for a safe social upbringing. Overall, gender dysphoria among Indian DSD patients was <1% (1/103, 0.97%).
UNASSIGNED: The predominant preference and opinion of major Indian stakeholders (physicians, parents, and grown-up DSD patients) support the existing approach toward DSD management, including early sex assignment and necessary medical intervention.
UNASSIGNED: The survey domains included the patient demographics, final diagnosis, decision on the sex of rearing, surgical interventions, opinion of the stakeholders on the preferred age of sex assignment, final sex of rearing, and agreement/disagreement about sex assignment (gender dysphoria).
UNASSIGNED: A total of 106 responses were recorded (66% parents, 34% grown-up patients aged 12-50 years). Among parents, 65/70 (95%) preferred the sex to be assigned soon after birth. All grown-up patients preferred sex to be assigned soon after birth. Regarding decisions on surgery, 74% of physicians and 75% of the grown-up patients felt parents should be allowed to decide interventions. Among Indian parents, 90% felt they should have the right to decide surgery in the best interest of their child for a safe social upbringing. Overall, gender dysphoria among Indian DSD patients was <1% (1/103, 0.97%).
UNASSIGNED: The predominant preference and opinion of major Indian stakeholders (physicians, parents, and grown-up DSD patients) support the existing approach toward DSD management, including early sex assignment and necessary medical intervention.
摘要：
■最近，有许多法律代表从选定的季度停止所有的医疗干预对儿童性别发育差异（DSD）。在这项关于渠务署管理决策的调查中，我们提炼印度利益相关者的观点：父母，医师,和成年DSD患者对他们的管理决策，以确定决策满意度或性别不安。
■调查领域包括患者人口统计，最终诊断,关于养育性别的决定，手术干预，利益相关者对性别分配的首选年龄的意见，最后的养育性别，和同意/不同意性别分配（性别不安）。
■总共记录了106个响应（66％的父母，34％的成年患者年龄在12-50岁之间）。在父母中，65/70（95％）更喜欢出生后不久分配的性别。所有成年患者都希望在出生后不久进行性别分配。关于手术的决定，74％的医生和75％的成年患者认为应该允许父母决定干预措施。在印度父母中，90％的人认为他们应该有权决定以孩子的最大利益进行手术，以获得安全的社会成长。总的来说,印度DSD患者的性别焦虑<1%(1/103,0.97%).
■印度主要利益相关者的主要偏好和意见(医生，父母,和成年DSD患者)支持DSD管理的现有方法，包括早期性别分配和必要的医疗干预。
■调查领域包括患者人口统计，最终诊断,关于养育性别的决定，手术干预，利益相关者对性别分配的首选年龄的意见，最后的养育性别，和同意/不同意性别分配（性别不安）。
■总共记录了106个响应（66％的父母，34％的成年患者年龄在12-50岁之间）。在父母中，65/70（95％）更喜欢出生后不久分配的性别。所有成年患者都希望在出生后不久进行性别分配。关于手术的决定，74％的医生和75％的成年患者认为应该允许父母决定干预措施。在印度父母中，90％的人认为他们应该有权决定以孩子的最大利益进行手术，以获得安全的社会成长。总的来说,印度DSD患者的性别焦虑<1%(1/103,0.97%).
■印度主要利益相关者的主要偏好和意见(医生，父母,和成年DSD患者)支持DSD管理的现有方法，包括早期性别分配和必要的医疗干预。
