Evidence map›Paper›PMID 38585244›Full record

ArticleTransgender health2024

Pediatric Gender Diversity Beyond the Binary: An Exploration of Gender-Affirming Care for Nonbinary and Genderqueer Youth Seen Over Time at a Single Institution Gender Center.

Cassidy S Mellin, Mitchell Braun, Abby Walch, Jessie Rose Cohen, Misha Kaufman, Molly Seligman, Rachel Percelay, Alex F Tang, Janet Y Lee

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Transgender health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Cassidy S MellinDepartment of Pediatrics, University of California, San Francisco, San Francisco, California, USA.
Mitchell BraunSchool of Medicine, University of California, San Francisco, San Francisco, California, USA.
Abby WalchDivision of Pediatric Endocrinology, Department of Pediatrics, University of California, San Francisco, San Francisco, California, USA.
Jessie Rose CohenDivision of Pediatric Endocrinology, Department of Pediatrics, University of California, San Francisco, San Francisco, California, USA.
Misha KaufmanDivision of Pediatric Endocrinology, Department of Pediatrics, University of California, San Francisco, San Francisco, California, USA.
Molly SeligmanDivision of Pediatric Endocrinology, Department of Pediatrics, University of California, San Francisco, San Francisco, California, USA.
Rachel PercelayDepartment of Psychiatry, New York University Langone Health, New York, New York, USA.
Alex F TangSchool of Medicine, University of California, San Francisco, San Francisco, California, USA.
Janet Y LeeDivision of Pediatric Endocrinology, Department of Pediatrics, University of California, San Francisco, San Francisco, California, USA.ORCID https://orcid.org/0000-0002-3563-8843

Funding

DIABETES, ENDOCRINOLOGY &METABOLISM TRAINING PROGRAMT32DK007418 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI EDWARD C HSIAO · 1986 to 2026
$14.3M
Training Program in Pediatric EndocrinologyT32DK007161 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Brian J Feldman, STEPHEN E GITELMAN · 1986 to 2026
$6.2M
Bone Density, Structure, and Estimated Strength in Transgender Youth Receiving Pubertal Suppression in Early PubertyF32HD098763 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LEE, JANET YI MAN · 2019 to 2020
$102k
NICHD NIH HHS F32 HD098763NIDDK NIH HHS T32 DK007161NIDDK NIH HHS T32 DK007418
6 · The paper itself

Abstract

Purpose: The nonbinary and genderqueer (NBGQ) youth population is growing, yet scant research focuses on this distinct group. We aim to gain a deeper understanding of desired gender-affirming care and interventions pursued by NBGQ youth. Methods: A retrospective chart review of NBGQ patients seen at the University of California, San Francisco Child and Adolescent Gender Center from January 1, 2009, to December 31, 2020, was performed. Demographic information, desired gender-affirming care, and gender-affirming interventions pursued at initial and most recent visits were collected. Results: Initial visit charts of 116 NBGQ youth who attended more than one clinic visit were reviewed. In total, 48 unique genders were documented; gender evolved over time for some youth, as did desired gender-affirming care. At the most recent visit, 15 youth (12.9%) had a binary gender, and 101 youth (87.1%) had an NBGQ gender. At the initial visit, 56 youth (48.3%) were interested in gender-affirming hormone therapy, compared with 75 youth (65.6%) at the most recent visit. In addition, 21 (18.1%) and 49 (42.2%) youth were interested in surgery at the initial and most recent visits, respectively. In general, interest in interventions was higher than pursuit of interventions. Conclusion: There is vast diversity of gender and differences in desired gender-affirming care within the NBGQ youth population. Desires for gender-affirming care within the cohort changed over time, and not all those who expressed a desire for an intervention received it. The reasons are likely multifactorial, highlighting the need for expectation-free and patient-specific affirming care and research on the NBGQ youth population, while also considering barriers to care.

Indexed as

gender-affirming caregenderqueernonbinarypediatricstransgender

Identifiers

PMID38585244
PMCPMC10998026

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.