Psychosocial Characteristics of Transgender Youth Seeking Gender-Affirming Medical Treatment: Baseline Findings From the Trans Youth Care Study

2020 ◽  
Author(s):  
Diane Chen ◽  
Mere Abrams ◽  
Leslie Clark ◽  
Diane Ehrensaft ◽  
Amy C. Tishelman ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Youth Care ◽  
Psychosocial Characteristics ◽  
Transgender Youth ◽  
Trans Youth ◽  
Care Study

scholarly journals Impact of Early Medical Treatment for Transgender Youth: Protocol for the Longitudinal, Observational Trans Youth Care Study

10.2196/14434 ◽  
2019 ◽  
Vol 8 (7) ◽  
pp. e14434 ◽  
Author(s):  
Johanna Olson-Kennedy ◽  
Yee-Ming Chan ◽  
Robert Garofalo ◽  
Norman Spack ◽  
Diane Chen ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Youth Care ◽  
Transgender Youth ◽  
Trans Youth ◽  
Care Study

scholarly journals Low Bone Mineral Density in Early Pubertal Transgender/Gender Diverse Youth: Findings From the Trans Youth Care Study

2020 ◽  
Vol 4 (9) ◽  
Author(s):  
Janet Y Lee ◽  
Courtney Finlayson ◽  
Johanna Olson-Kennedy ◽  
Robert Garofalo ◽  
Yee-Ming Chan ◽  
...  
Keyword(s):  
Physical Activity ◽  
Bone Mineral Density ◽  
Youth Care ◽  
Reference Standards ◽  
Mineral Density ◽  
Transgender Youth ◽  
Gender Diverse ◽  
Z Scores ◽  
Trans Youth ◽  
Care Study

Abstract Context Transgender youth may initiate GnRH agonists (GnRHa) to suppress puberty, a critical period for bone-mass accrual. Low bone mineral density (BMD) has been reported in late-pubertal transgender girls before gender-affirming therapy, but little is known about BMD in early-pubertal transgender youth. Objective To describe BMD in early-pubertal transgender youth. Design Cross-sectional analysis of the prospective, observational, longitudinal Trans Youth Care Study cohort. Setting Four multidisciplinary academic pediatric gender centers in the United States. Participants Early-pubertal transgender youth initiating GnRHa. Main Outcome Measures Areal and volumetric BMD Z-scores. Results Designated males at birth (DMAB) had below-average BMD Z-scores when compared with male reference standards, and designated females at birth (DFAB) had below-average BMD Z-scores when compared with female reference standards except at hip sites. At least 1 BMD Z-score was < -2 in 30% of DMAB and 13% of DFAB. Youth with low BMD scored lower on the Physical Activity Questionnaire for Older Children than youth with normal BMD, 2.32 ± 0.71 vs. 2.76 ± 0.61 (P = 0.01). There were no significant deficiencies in vitamin D, but dietary calcium intake was suboptimal in all youth. Conclusions In early-pubertal transgender youth, BMD was lower than reference standards for sex designated at birth. This lower BMD may be explained, in part, by suboptimal calcium intake and decreased physical activity–potential targets for intervention. Our results suggest a potential need for assessment of BMD in prepubertal gender-diverse youth and continued monitoring of BMD throughout the pubertal period of gender-affirming therapy.

Thinking an ethics of gender exploration: Against delaying transition for transgender and gender creative youth

2019 ◽  
Vol 24 (2) ◽  
pp. 223-236 ◽  
Author(s):  
Florence Ashley
Keyword(s):  
Ethical Issues ◽  
Youth Care ◽  
Social Transition ◽  
Default Option ◽  
Transgender Youth ◽  
Ready Access ◽  
And Gender ◽  
Trans Youth

Youth explore their genders – both theirs and those of others. Exploration is not only a vessel of discovery and understanding but also of creation. Centring the notion of gender exploration, this article inquires into the ethical issues surrounding care for transgender youth. Arguing that exploration is best seen not as a precondition to transition-related care but as a process that can operate through transitioning, the article concludes that the gender-affirmative approach to trans youth care best fosters youth’s capacity for healthy exploration. Unbounded social transition and ready access to puberty blockers ought to be treated as the default option, and support should be offered to parents who may have difficulty accepting their youth.

Narratives of Regret: Resisting Cisnormative and Bionormative Biases in Fertility and Family Creation Counseling for Transgender Youth

2021 ◽  
Vol 14 (2) ◽  
pp. 157-179
Author(s):  
Beth A. Clark
Keyword(s):  
Decision Making ◽  
Qualitative Study ◽  
Hormone Therapy ◽  
Healthcare Providers ◽  
Healthy Development ◽  
Ethical Concerns ◽  
Transgender Youth ◽  
Trans Youth

Gender-affirming hormone therapy is increasingly available to support healthy development of transgender (trans) youth, but ethical concerns have been raised regarding fertility-related implications. In this article, I present data from an exploratory qualitative study of the decision-making experiences of trans youth, parents of trans youth, and healthcare providers serving trans youth related to fertility and family creation. I discuss how cisnormative and bionormative biases can impact care and contribute to ethically problematic narratives of regret. Finally, I offer recommendations to support ethically sound, gender-affirmative fertility and family creation counseling with transgender youth.

scholarly journals Baseline Physiologic and Psychosocial Characteristics of Transgender Youth Seeking Care for Gender Dysphoria

2015 ◽  
Vol 57 (4) ◽  
pp. 374-380 ◽  
Author(s):  
Johanna Olson ◽  
Sheree M. Schrager ◽  
Marvin Belzer ◽  
Lisa K. Simons ◽  
Leslie F. Clark
Keyword(s):  
Gender Dysphoria ◽  
Psychosocial Characteristics ◽  
Transgender Youth

scholarly journals ETHICS IN CHILD AND YOUTH CARE PRACTICE WITH TRANSGENDER YOUTH

2017 ◽  
Vol 8 (1) ◽  
pp. 74 ◽  
Author(s):  
Beth A. Clark
Keyword(s):  
Youth Care ◽  
Relational Ethics ◽  
Care Practice ◽  
Model Of Care ◽  
Child And Youth Care ◽  
Case Vignettes ◽  
Ethical Approaches ◽  
Trans Youth ◽  
Negative Health Outcomes ◽  
Societal Stigma

Issues that arise in child and youth care practice with transgender (trans) youth and their families can be complex and ethically challenging. While many trans youth are thriving and have strong family and social supports, others face family conflict and experience negative health outcomes linked to societal stigma. The purpose of this paper is to explore how four ethical approaches — bioethics, rights-based ethics, relational ethics, and justice-doing — may be applied to practice situations involving trans youth and their families. This paper is grounded in the gender affirmative model of care and integrates empirical evidence, critical thinking, and explicit argumentation in ethical analysis. Following a brief overview of evidence related to trans youth care, case vignettes are analyzed using diverse ethical approaches. These approaches draw on a variety of philosophical and disciplinary traditions. However, the analyses consistently lead to three imperatives: providing support and affirmation for trans youth; supporting families to support their youth; and fighting injustice where it impedes these goals.

scholarly journals QUEER (RE)VISIONS OF ARCHIVE, AFFECT, AND PLACE IN CHILD AND YOUTH CARE

2021 ◽  
Vol 12 (3-4) ◽  
pp. 55-73
Author(s):  
August A.
Keyword(s):  
United States ◽  
Pacific Northwest ◽  
Object Oriented ◽  
Youth Care ◽  
The United States ◽  
White Supremacist ◽  
Child And Youth Care ◽  
The Pacific ◽  
Early English ◽  
Trans Youth

This article presents an autoethnography that interweaves the queering of archive, affect, and place using an object-oriented method. Engaging with a hundred-year-old antique photo album found in a thrift store, this article brings forth queer (re)visions of past, present, and future that (re)imagine queer (be)longing, which expand spheres of ancestral consciousness in 2SLGBTQIAA+ communities. Situated in the United States, this work traces the entanglements in this object-oriented autoethnography through a mapping of queer identity in the Pacific Northwest, capturing temporal reflections that reach from the present back into 1918 and back further still into the early English colonies. In orienting towards the realm of queering child and youth care this work seeks to contribute to a cultivation of discourse of collective (re)visions of past, present, and future that uproots the enshrined settler-colonial, white supremacist, heteropatriarchal, capitalist ethos that continuously crafts the layered erasures of sex, gender, and sexually diverse people in the United States. I endeavour in the threading of autoethnography, both as a white settler and in my being and continually becoming, a genderqueer, trans person struggling and thriving, to critically query the implications of this history within the present and to (re)affirm the possibilities for queer and trans youth in the future.

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