Attitudes Toward Fertility and Reproductive Health Among Transgender and Gender-Nonconforming Adolescents
Attitudes Toward Fertility and Reproductive Health Among Transgender and Gender-Nonconforming Adolescents
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DOI：
10.1016/j.jadohealth.2017.11.306
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发表时间：
2018-07-01
影响因子：
7.6
通讯作者：
Mustanski, Brian
中科院分区：
文献类型：
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作者：
Chen, Diane;Matson, Margaret;Mustanski, Brian
目的：人们对跨性别和性别不一致 (TGNC) 青少年的生殖欲望知之甚少，他们可能会寻求性别肯定医疗护理，从而导致不孕。当前的研究通过考察不同 TGNC 青少年样本对生育和家庭形成的态度来解决这一差距。方法：2016 年 9 月至 10 月对 14-17 岁的性少数和性别少数 (SGM) 青少年进行了一项关于性/生殖健康的在线调查。结果：总共 156 名 TGNC 青少年（中年年龄 = 16.1 岁；83.3% 出生时为女性；58.3% 为有色人种青少年）回应道。总体而言，70.5% 的 TGNC 青少年对收养感兴趣，35.9% 对亲生父母感兴趣；与跨性别青年 (25.8%) 相比，不符合性别标准的青年 (43.8%) 表示对生物生育能力感兴趣。与医疗保健提供者讨论生育和生殖健康的情况并不常见——只有 20.5% 的年轻人普遍讨论过生育问题，只有 13.5% 的年轻人讨论过激素对生育的影响。然而，60.9% 的受访者有兴趣更多地了解他们的生育和家庭建设选择。定性评论中出现的关键主题包括与生育/生殖健康相关的担忧（例如，SGM 为人父母的耻辱、性别肯定治疗对生育的影响），以及需要根据个人经历和更广泛的 SGM 个人定制的额外生殖健康信息。讨论：TGNC 青少年对多种家庭建设选项表示兴趣，包括收养和亲生父母，并确定需要更多有关这些选项的信息。因此，从事青少年工作的临床医生应了解 TGNC 青少年独特的生育和生殖健康需求。 (c) 2017 年青少年健康与医学协会。版权所有。
Purpose: Little is known about the reproductive desires of transgender and gender-nonconforming (TGNC) adolescents who may seek gender-affirming medical care that leads to infertility. The current study addressed this gap by examining attitudes toward fertility and family formation in a diverse sample of TGNC youth.Method: An online survey about sexual/reproductive health in sexual and gender minority (SGM) adolescents ages 14-17 years was conducted from September to October 2016.Results: A total of 156 TGNC adolescents (M-age = 16.1 years; 83.3% assigned female at birth; 58.3% youth of color) responded. Overall, 70.5% of TGNC adolescents were interested in adoption and 35.9% in biological parenthood; more gender-nonconforming youth (43.8%) than transgender youth (25.8%) expressed interest in biological fertility. Discussions with health-care providers about fertility and reproductive health were uncommon-only 20.5% of youth had discussed fertility in general and only 13.5% had discussed effects of hormones on fertility. However, 60.9% of respondents were interested in learning more about their fertility and family building options. Key themes emerging from qualitative comments included concerns related to fertility/reproductive health (e.g., stigma of SGM parenthood, effect of gender-affirming treatments on fertility), and the need for additional reproductive health information both tailored to their individual experience and for SGM individuals more generally.Discussion: TGNC adolescents expressed interest in multiple family building options, including adoption and biological parenthood, and identified a need for more information about these options. Thus, clinicians working with adolescents should be aware of the unique fertility and reproductive health needs of TGNC youth. (c) 2017 Society for Adolescent Health and Medicine. All rights reserved.