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Erken sosyal geçişten 5 yıl sonra %94'ü hâlâ trans olarak tanımlanıyordu—ama karşılaştırma grubu yoktu

Sosyal geçişten 5 yıl sonra cinsiyet kimliği

Kohort & kayıt çalışmalarıÇocuklukta desistans
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

  • Tam sosyal geçiş yapmış 317 çocuk (208 trans kız, 109 trans erkek), 2013 ile 2017 arasında 3 ila 12 yaşlarında (ortalama 8) çalışmaya katıldı.
  • İlk geçişten yaklaşık 5,4 yıl sonra, %94'ü trans erkek ya da kız, %3,5'i non-binary ve %2,5'i (8 genç) doğum cinsiyeti olarak tanımlanıyordu.
  • %7,3'ü kimliğini en az bir kez değiştirmişti; bunların %1,3'ü daha sonra bir trans kimliğe geri dönmüştü.
  • 6 yaşından önce geçiş yapan çocukların sonradan doğum cinsiyetiyle özdeşleşme olasılığı daha yüksekti (%5,6'ya karşı %0,5); bu değişikliklerin çoğu 10 yaşından önce gerçekleşti.
  • Sonunda 92'si ergenlik engelleyicilere (ergenliği durduran ilaçlar) ve 98'i karşı cinsiyet hormonlarına başlamıştı; grubun yaklaşık %60'ı tıbbi bir yolda.
  • Aileler çocuğun geçişinden ortalama 1,6 yıl sonra katıldı ve 26 aile (%8) önceki iki yılda iletişimde olmamıştı.
  • İzlemde yalnızca 70 kişi 14 yaş ya da üzerindeydi; bu yüzden sonuçların çoğu ergenlikten önce ya da erken ergenlikte ölçüldü.

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.