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초기 사회적 전환 5년 뒤에도 94%가 트랜스로 정체화 - 그러나 비교군은 없었다

사회적 전환 5년 후의 성정체성

코호트 및 등록 연구아동기 이행 중단
Authors
Kristina R. Olson, Lily Durwood, Rachel Horton, Natalie M. Gallagher, Aaron Devor
Journal
Pediatrics
Year
2022
Source
https://doi.org/10.1542/peds.2021-056082

Summary

The Trans Youth Project followed 317 US and Canadian children who had fully socially transitioned (changed name, pronouns and presentation) between ages 3 and 12. About five years later, 94% still identified as trans, 3.5% as nonbinary and 2.5% as their birth sex; 7.3% had changed identity at least once. By the end, about 60% had started puberty blockers or cross-sex hormones. The authors concluded that switching back is uncommon. Children in supportive, mostly well-off volunteer families usually kept their new identity. But there was no comparison group of similar children who did not transition, so the study cannot say whether this reflects the children or the transition itself. Zucker and others argue early social transition may itself lock in identity, a question the Cass Review's evidence review treated as unresolved.

Key findings

  • 완전히 사회적으로 전환한 아동 317명(트랜스 여아 208명, 트랜스 남아 109명)이 2013~2017년에 3~12세(평균 8세)로 연구에 참여했습니다.
  • 처음 전환한 지 약 5.4년 후, 94%가 트랜스 남아 또는 여아로, 3.5%가 논바이너리로, 2.5%(청소년 8명)가 출생 성별로 정체화했습니다.
  • 7.3%는 정체성을 적어도 한 번 바꿨고, 이후 다시 트랜스 정체성으로 돌아간 1.3%가 포함됩니다.
  • 6세 이전에 전환한 아동이 나중에 출생 성별로 정체화할 가능성이 더 높았습니다(5.6% 대 0.5%). 이런 변화의 대부분은 10세 이전에 일어났습니다.
  • 마지막에는 92명이 사춘기 차단제(사춘기를 멈추는 약)를, 98명이 반대 성 호르몬을 시작했으며, 집단의 약 60%가 의학적 경로에 있었습니다.
  • 가족들은 아동이 전환한 지 평균 1.6년 후에 참여했고, 26가족(8%)은 직전 2년간 연락이 없었습니다.
  • 추적 시점에 14세 이상인 사람은 70명뿐이어서 대부분의 결과는 청소년기 이전이나 초기에 측정되었습니다.

Abstract

BACKGROUND AND OBJECTIVES: Concerns about early childhood social transitions among transgender youth include that these youth may later change their gender identification (ie, retransition), a process that could be distressing. The current study aimed to provide the first estimate of retransitioning and to report the current gender identities of youth an average of 5 years after their initial social transitions. METHODS: The current study examined the rate of retransition and current gender identities of 317 initially transgender youth (208 transgender girls, 109 transgender boys; M = 8.1 years at start of study) participating in a longitudinal study, the Trans Youth Project. Data were reported by youth and their parents through in-person or online visits or via e-mail or phone correspondence. RESULTS: We found that an average of 5 years after their initial social transition, 7.3% of youth had retransitioned at least once. At the end of this period, most youth identified as binary transgender youth (94%), including 1.3% who retransitioned to another identity before returning to their binary transgender identity. A total of 2.5% of youth identified as cisgender and 3.5% as nonbinary. Later cisgender identities were more common among youth whose initial social transition occurred before age 6 years; their retransitions often occurred before age 10 years. CONCLUSIONS: These results suggest that retransitions are infrequent. More commonly, transgender youth who socially transitioned at early ages continued to identify that way. Nonetheless, understanding retransitions is crucial for clinicians and families to help make retransitions as smooth as possible for youth.

Conclusion

These results suggest that retransitions are infrequent. More commonly, transgender youth who socially transitioned at early ages continued to identify that way. Nonetheless, understanding retransitions is crucial for clinicians and families to help make retransitions as smooth as possible for youth. The authors caution against over-interpreting differences from older desistance studies, note that identities 'should not be interpreted as final', and say parents and clinicians should be informed that not all youth will continue on the same trajectory.