Academic Journal
Stability of Transgender Identity in Adolescents Seen in Multidisciplinary Specialized Gender Centers: A Multicenter Study in Canada.
| Τίτλος: | Stability of Transgender Identity in Adolescents Seen in Multidisciplinary Specialized Gender Centers: A Multicenter Study in Canada. |
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| Συγγραφείς: | Metzger DL; Endocrinology Division, BC Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada., Mokashi A; Division of Endocrinology, Department of Pediatrics, Dalhousie University, IWK Health Centre, Halifax, Nova Scotia, Canada., Pacaud D; Department of Pediatrics, Alberta Children's Hospital, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada., Thompson N; Department of Pediatrics, Alberta Children's Hospital, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada; Gynecology Division, Vancouver Coastal Health, Vancouver General Hospital, Vancouver, BC, Canada., Belaghi R; CHEO Research Institute, Ottawa, Ontario, Canada., Tsampalieros A; CHEO Research Institute, Ottawa, Ontario, Canada., Lawson ML; CHEO Research Institute, Ottawa, Ontario, Canada; Faculty of Medicine, Pediatrics Department, University of Ottawa, Ottawa, Ontario, Canada. Electronic address: lawsonresearch@cheo.on.ca. |
| Πηγή: | The Journal of adolescent health : official publication of the Society for Adolescent Medicine [J Adolesc Health] 2026 Aug; Vol. 79 (2), pp. 242-249. Date of Electronic Publication: 2026 Jun 03. |
| Τύπος έκδοσης: | Journal Article; Multicenter Study |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Elsevier Country of Publication: United States NLM ID: 9102136 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1972 (Electronic) Linking ISSN: 1054139X NLM ISO Abbreviation: J Adolesc Health Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: New York, NY : Elsevier, c1991- |
| Ιατρικοί όροι (MeSH): | Transgender Persons*/psychology , Transgender Persons*/statistics & numerical data , Gender Dysphoria*/psychology , Gender Dysphoria*/drug therapy , Gender Identity*, Humans ; Male ; Female ; Adolescent ; Canada ; Retrospective Studies ; Gender-Nonconforming Persons ; Child ; Gender-Affirming Care |
| Περίληψη: | Purpose: To determine the proportions of adolescents continuing with their gender identity after referral to specialized gender clinics, the proportion continuing with gender-affirming hormones, and the proportion who detransition. Methods: A retrospective chart review was conducted for adolescents referred with gender dysphoria to four Canadian pediatric endocrinology gender clinics between 2012 and 2017. Results: For the 445 adolescents, median gender clinic follow-up was 2.4 years (interquartile range: 1.1-7.2); 331 (74.4%) were assigned female sex at birth (AFAB) and 114 (25.6%) assigned male (AMAB). Mean (standard deviation) age of reported gender dysphoria onset was 9.5 (3.6) years. In total, 421 (94.6%) continued with their presenting gender identity or reidentified as non-binary, while 24 (5.4%) changed back to gender identity typically aligned with their birth sex. Among 317 AFAB identifying as male at referral, 15 (4.7%) changed gender identity: 10 to female and five to non-binary. Of the 109 AMAB youth identifying as female at referral, five (4.6%) changed gender identity: three to male and two to non-binary. Among the 19 adolescents identifying as non-binary at referral, four (21.0%) changed gender identity: three AMAB to female and one AFAB to male. Gender-affirming hormones were started by 353 (79.3%) and discontinued by only four (1.1%) of adolescents. Discussion: The majority (97.1%) of adolescents continued to identify with a gender not typically aligned with their birth sex. Only 2.9% reverted to a gender identity aligned with their birth sex. None who initially identified as non-binary returned to binary gender aligned with birth sex. Discontinuation of gender-affirming hormones was rare. (Copyright © 2026 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.) |
| Contributed Indexing: | Keywords: Adolescent; Detransition; Endocrinology; Gender dysphoria; Gender identity; Hormones; Nonbinary; Transgender |
| Entry Date(s): | Date Created: 20260604 Date Completed: 20260623 Latest Revision: 20260623 |
| Update Code: | 20260623 |
| DOI: | 10.1016/j.jadohealth.2026.03.016 |
| PMID: | 42240523 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1879-1972 |
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| DOI: | 10.1016/j.jadohealth.2026.03.016 |