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
{"title":"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。","authors":"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","doi":"10.1089/trgh.2024.0230","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>Respondents (<i>N</i> = 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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":94256,"journal":{"name":"Transgender health","volume":"10 4","pages":"386-393"},"PeriodicalIF":1.8000,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12434154/pdf/","citationCount":"0","resultStr":"{\"title\":\"Transgender and Nonbinary Young Adult-Perceived Facilitators of Parental Consent for Gender-Affirming Medical Care as a Minor.\",\"authors\":\"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\",\"doi\":\"10.1089/trgh.2024.0230\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>Respondents (<i>N</i> = 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.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":94256,\"journal\":{\"name\":\"Transgender health\",\"volume\":\"10 4\",\"pages\":\"386-393\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-08-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12434154/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Transgender health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1089/trgh.2024.0230\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/9/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Transgender health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1089/trgh.2024.0230","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/9/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
Transgender and Nonbinary Young Adult-Perceived Facilitators of Parental Consent for Gender-Affirming Medical Care as a Minor.
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.
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