A Multi-Lens Ethics Analysis of Gender-Affirming Care for Youth with Implications for Practice and Policy.

IF 17 1区哲学 Q1 ETHICS

American Journal of Bioethics Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI:10.1080/15265161.2025.2497983

Jeffrey Kirby

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引用次数: 0

Abstract

Currently, the provision of gender-affirming care to transgender and gender-diverse youth is highly contested. Fractious debate is being waged by GAC-permissive and GAC-restrictive proponents which has, importantly, spilled-over into the political domain. In the paper, an ethics analysis of gender-affirming care for youth is employed through the application of a set of relevant, ethics lenses, i.e., individual and relational autonomy; patient welfare (comparative benefits and burdens of GAC); health equity; traditional-distributive, formal and social justice; and injustices related to health research and political interference. In the author's view, this multi-lens analysis supports the continued use of a potentially adapted version of the gender-affirming care model in the assessment and treatment of transgender and gender-diverse youth. Arising from the analysis, a set of suggested recommendations is proposed that could potentially inform clinical practice and the development/revision of gender-affirming care for youth practice-standards, health policy and legislation.

查看原文本刊更多论文

青少年性别肯定关怀的多镜头伦理分析及其对实践和政策的影响。

目前，向跨性别和性别多样化的青年提供性别确认护理存在很大争议。支持和限制gac的支持者之间展开了激烈的辩论，重要的是，这场辩论已经蔓延到政治领域。在本文中，通过应用一套相关的伦理视角，即个人和关系自治，对青年性别肯定护理进行了伦理分析；患者福利（GAC的比较效益和负担）；卫生公平;传统的分配正义、形式正义和社会正义；以及与健康研究和政治干预有关的不公正。在作者看来，这种多视角分析支持在评估和治疗跨性别和性别多样化青年时继续使用性别肯定护理模式的潜在改编版本。根据分析，提出了一套建议，可能为临床实践和制定/修订青年性别肯定护理实践标准、卫生政策和立法提供参考。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Bioethics 社会科学-科学史与科学哲学

CiteScore

12.30

自引率

26.90%

发文量

250

审稿时长

6-12 weeks

期刊介绍： The American Journal of Bioethics (AJOB) is a renowned global publication focused on bioethics. It tackles pressing ethical challenges in the realm of health sciences. With a commitment to the original vision of bioethics, AJOB explores the social consequences of advancements in biomedicine. It sparks meaningful discussions that have proved invaluable to a wide range of professionals, including judges, senators, journalists, scholars, and educators. AJOB covers various areas of interest, such as the ethical implications of clinical research, ensuring access to healthcare services, and the responsible handling of medical records and data. The journal welcomes contributions in the form of target articles presenting original research, open peer commentaries facilitating a dialogue, book reviews, and responses to open peer commentaries. By presenting insightful and authoritative content, AJOB continues to shape the field of bioethics and engage diverse stakeholders in crucial conversations about the intersection of medicine, ethics, and society.