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Gender nonconforming and transgender children/youth: Family, community, and implications for practice

Christine Aramburu Alegría1

  • 1Orvis School of Nursing, University of Nevada Reno, Reno, Nevada. aramburu@unr.edu.

Journal of the American Association of Nurse Practitioners
|April 1, 2016
PubMed

Insights

Healthcare providers are seeing more gender nonconforming and transgender youth. A supportive, interdisciplinary approach is key for addressing the complex needs of these children and their families.

Area of Science:

  • Pediatrics
  • Adolescent Medicine
  • Gender Studies

Background:

  • The prevalence of gender nonconforming and transgender children and youth seeking healthcare is rising.
  • This demographic presents unique challenges for healthcare providers and families.
  • Foundational knowledge is essential for effective patient care.

Purpose of the Study:

  • To equip healthcare providers with essential knowledge regarding gender nonconforming/transgender children and youth.
  • To enhance provider confidence and competence in addressing patient and family needs.
  • To guide clinical practice in supporting gender diverse youth.

Main Methods:

  • Literature review utilizing academic databases such as Academic Search Premier, Cinahl, and PubMed.
  • Inclusion of guidelines and standards from the World Professional Association for Transgender Health (WPATH).

Main Results:

  • The identity development of gender nonconforming children is variable, necessitating a "watchful waiting" approach with ongoing family support.
  • Puberty blockers are recommended if gender dysphoria persists approaching puberty, aiding identity exploration and preventing unwanted physical changes.
  • Initiation of cross-sex hormones may be considered for individuals at age 16.

Conclusions:

  • An interdisciplinary approach is crucial for managing the complexities of care for gender nonconforming/transgender youth and their families.
  • Referral to or consultation with transgender health specialists is advised.
  • Creating a safe, supportive environment where patients feel heard is paramount for effective care.
Abstract

Keywords:
Familiesgender dysphoriagender nonconforming childrengender transitiontransgender

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