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Estabilidad después del cambio legal de género entre adultos con disforia de género
Kristen D Clark1, Richard A White1,2, Georgios Karamanis1,3
1Department of Medical Sciences, Clinical Psychiatry, Uppsala University, Uppsala, Sweden.
JAMA network open
|September 4, 2025
Resumen
El cambio legal de género es común para las personas con disforia de género (GD), con altas tasas de estabilidad. Este estudio encontró que casi el 98% de los cambios legales de género se mantuvieron estables durante diez años, lo que indica inversiones poco frecuentes.
Área de la Ciencia:
- Endocrinología y Metabolismo
- Salud pública y epidemiología
- Psiquiatría y Psicología
Sus antecedentes:
- El aumento de la prevalencia de los diagnósticos de disforia de género (GD) requiere la comprensión de los resultados de la transición.
- Existen datos limitados sobre la transición, en particular las inversiones legales de género.
- Los registros legales de cambio de género ofrecen información sobre la estabilidad de la transición.
Objetivo del estudio:
- Determinar la probabilidad de obtener un cambio legal de género en personas diagnosticadas con DM.
- Evaluar la estabilidad a largo plazo de los cambios legales de género.
- Analizar las inversiones legales de género como un indicador potencial de la transición.
Principales métodos:
- Estudio de cohorte basado en la población utilizando registros nacionales suecos (2013-2023).
- Inclusión de individuos con códigos de diagnóstico ICD-10 por primera vez para GD.
- Análisis de supervivencia Kaplan-Meier para calcular las probabilidades de cambio legal de género y estabilidad.
Principales resultados:
- Se incluyeron 7293 individuos con diagnóstico de GD; 2467 (aprox. un tercio) obtuvieron el cambio legal de género.
- La probabilidad de cambio legal de género a 10 años fue del 58,3%.
- La probabilidad de estabilidad legal de género a 10 años fue alta, con un 97,7%, y solo se identificaron 21 inversiones legales de género.
Conclusiones:
- Una proporción significativa de personas con GD en Suecia se someten a un cambio legal de género.
- El cambio legal de género demuestra una alta estabilidad en un período de 10 años.
- La inversión legal de género es poco frecuente en una muestra nacional, lo que sugiere resultados sólidos de cambio legal de género.
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