Transgender and Nonbinary Young Adult-Perceived Facilitators of Parental Consent for Gender-Affirming Medical Care as a Minor.

IF 1.8 Q2 PSYCHOLOGY, CLINICAL
Transgender health Pub Date : 2025-08-07 eCollection Date: 2025-09-01 DOI:10.1089/trgh.2024.0230
Kacie M Kidd, Nicole F Kahn, Peter G Asante, Moira A Kyweluk, Rachel Salyer, Dimitri A Christakis, Wanda Pratt, Laura P Richardson, Gina M Sequeira
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Abstract

Purpose: This study aimed to explore potential factors impacting parental consent for gender-affirming medical care (GAMC) among transgender and nonbinary (TNB) young adults who desired GAMC as minors but were unable to receive it due to the lack of parental consent.

Methods: Participants were recruited in 2023 from patients age 18-20 years old receiving care through Plume, a virtual GAMC provider, and completed a single online survey about their experiences. Post hoc pairwise comparisons were used to test for differences in potential facilitators of parental consent and the characteristics of doctors, other parents, and support groups by demographic characteristics.

Results: Respondents (N = 224) indicated that parental interaction with supportive medical providers, other parents, and support groups may have aided in parental consent; meeting with a doctor supportive of GAMC was rated as most helpful. Desired characteristics of doctors, parents, and support groups varied by race, ethnicity, and rurality.

Conclusion: Critical in addressing barriers to GAMC, these data aid in our understanding of the support needs of parents of TNB adolescents and how these needs vary by race, ethnicity, and rurality. These data support a need for GAMC education and support for a diverse workforce in subspecialist and primary care settings.

跨性别和非二元的年轻人-感知到父母同意作为未成年人的性别确认医疗护理的促进因素。
目的:本研究旨在探讨影响跨性别和非二元性别(TNB)青少年父母同意性别确认医疗(GAMC)的潜在因素,这些青少年在未成年时希望获得GAMC,但由于缺乏父母同意而无法获得GAMC。方法:参与者于2023年从18-20岁的患者中招募,通过Plume(一个虚拟的GAMC提供者)接受治疗,并完成了一项关于他们经历的在线调查。事后两两比较被用来测试潜在的促进父母同意的差异,以及医生、其他父母和支持团体的人口统计学特征。结果:受访者(N = 224)表明,父母与支持性医疗提供者、其他父母和支持团体的互动可能有助于父母同意;与支持GAMC的医生会面被认为是最有帮助的。医生、家长和支持团体的期望特征因种族、民族和农村地区而异。结论:这些数据对于解决GAMC障碍至关重要,有助于我们了解TNB青少年父母的支持需求,以及这些需求如何因种族、民族和农村地区而变化。这些数据支持需要GAMC教育和支持亚专科和初级保健机构的多样化劳动力。
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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