Gender Identification and Sex Reassignment Surgery in the Trans Population: A Survey Study in France
Gender Identification and Sex Reassignment Surgery in the Trans Population: A Survey Study in France
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DOI：
10.1007/s10508-014-0382-3
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发表时间：
2014-11-01
影响因子：
3.8
通讯作者：
Beaubatie, Emmanuelle
中科院分区：
文献类型：
--
作者：
Giami, Alain;Beaubatie, Emmanuelle
从医疗，法律的，和联想演员之间的争议，关于变性手术（SRS）的人谁打算改变他们的民事地位的义务，本文讨论了医疗程序，特别是SRS，在当代性别认同和过渡途径在法国发挥的作用。2010年，法国国家卫生和医学研究所进行了一项全国调查，以研究跨性别者的社会人口特征、获得医疗和心理护理的机会以及健康状况。经过长时间的人种学工作，在此期间建立了伙伴关系，与跨行为者映射跨社区的社会，医疗和政治景观，一份调查问卷的开发和分发在2010年7月至10月之间的合作，与大多数跨组织和公共和私人卫生专业人员在法国经营。总的来说，381名自我认定的跨性别者返回了匿名的自我管理问卷。结果凸显了跨性别人群的异质性，其定义不能简化为接受标准化激素治疗和SRS的一组个体。两个核心指标，出生时的性别分配和性别自我认同，使我们能够描述和分析不同的医疗和法律的途径，特别是对SRS，这往往是强制性的改变在法国的公民身份。虽然SRS仍然是个人主观评价过渡途径成功与否的一个重要因素，但其做法因出生时指定的性别和性别鉴定而异。
Drawing from controversies between medical, legal, and associative actors about the obligation of sex reassignment surgeries (SRS) for people who intend to change their civil status, this article discusses the role that medical procedures, and particularly SRS, play in contemporary gender identifications and transition pathways in France. In 2010, the French National Institute of Health and Medical Research conducted a national survey in order to study the sociodemographic characteristics, access to medical, and psychological care, and state of health among trans individuals. After a long period of ethnographic work during which a partnership was established with trans actors to map the social, medical, and political landscape of trans communities, a questionnaire was developed and distributed between July and October 2010 in collaboration with most of the transorganizations and public and private health professionals operating in France. Overall, 381 self-identified trans individuals returned the anonymous sel-fadministered questionnaire. The results highlighted the heterogeneity of the trans population, whose definition cannot be reduced to a group of individuals undergoing standardized hormonal treatments and SRS. Two central indicators, sex assigned at birth and gender self-identification, enabled us to describe and analyze different medical and legal pathways with a particular focus on SRS, which is often compulsory for a change of civil status in France. Although SRS remains an important factor in an individual's subjective evaluation of the success of the transition pathway, its practice varies depending on one's sex assigned at birth and gender identification.