Aportes del área de la salud a la construcción del género de niños, niñas y adolescentes con género diverso

Contributions of the health sector to the construction of gender identity in children and adolescents with diverse gender identities

Contenido principal del artículo

Yesenia Castro-Cely Universidad Antonio Nariño, Bogotá. Colombia
Olga Patricia Melo-Barbosa Universidad Antonio Nariño, Bogotá. Colombia.

Resumen

Introducción: La infancia y la adolescencia constituyen el periodo de mayor exploración y de consolidación de la identidad de género, debido a que la expresión de género está ligada al desarrollo físico, emocional y cognitivo del individuo, y es común que en esta etapa se manifiesten las señales de incongruencia de género y se inicie la atención médica y psicosocial para abordar los síntomas de malestar físico y mental de los niños, niñas y adolescentes con identidades de género diversas.


Objetivo: Identificar el aporte del área de la salud en la construcción del género de niños, niñas y adolescentes con género diverso.


Métodos: Revisión integrativa de la literatura de artículos originales y revisiones publicados en el periodo 2008-2023.


Resultados: Se identificaron cinco temáticas asociadas, así: diferentes etiquetas diagnósticas utilizadas, acceso a servicios en salud, tratamientos y sus efectos secundarios, salud mental y la autonomía para toma de decisiones en salud.


Conclusiones: Se debe comprender que las variaciones de género son parte de la diversidad humana y no tienen naturaleza inherentemente patológica, es decir, no son trastornos o enfermedades.

Descargas

Los datos de descargas todavía no están disponibles.

Datos de publicación

Metric
Este artículo
Otros artículos
Revisores/as por pares 
3
2.4

Perfil evaluadores/as  N/D

Declaraciones de autoría

Declaraciones de autoría
Este artículo
Otros artículos
Disponibilidad de datos 
N/D
16%
Financiación externa 
N/D
32%
Conflictos de intereses 
N/D
11%
Metric
Esta revista
Otras revistas
Artículos aceptados 
61%
33%
Días para la publicación 
80
145

Indexado en

Editor y equipo editorial
Perfiles
Sociedad académica 
Universidad de Boyacá
Editorial 
Universidad de Boyacá

Detalles del artículo

Referencias (VER)

Connolly MD, Zervos MJ, Barone CJ, Johnson CC, Joseph CLM. The mental health of transgender youth: advances in understanding. J Adolesc Health. 2016;59(5):489-95. https://doi.org/10.1016/j.jadohealth.2016.06.012 DOI: https://doi.org/10.1016/j.jadohealth.2016.06.012

Drescher J. Queer diagnoses revisited: the past and future of homosexuality and gender diagnoses in DSM and ICD. Int Rev Psychiatry. 2015;27(5):386-95. https://doi.org/10.3109/09540261.2015.1053847 DOI: https://doi.org/10.3109/09540261.2015.1053847

Downing L. Heteronormativity and repronormativity in sexological “perversion theory” and the dsm-5's “paraphilic disorder” diagnoses. Arch Sex Behav. 2015 Jul 18;44(5):1139-45. https://doi.org/10.1007/s10508-015-0536-y DOI: https://doi.org/10.1007/s10508-015-0536-y

Foucault M. Historia de la sexualidad, I: la voluntad de saber. Madrid: Siglo XXI; 2007.

Núñez A, Robertson-James C, Reels S, Jeter J, Rivera H, Yusuf Z, et al. Exploring the role of gender norms in nutrition and sexual health promotion in a piloted school-based intervention: the Philadelphia UjimaTM experience. Eval Program Plann. 2015;51:70-7. https://doi.org/10.1016/j.evalprogplan.2014.12.010 DOI: https://doi.org/10.1016/j.evalprogplan.2014.12.010

Liu M, King D, Mayer KH, Grasso C KA. Sexual orientation and gender identity data completeness at US Federally Qualified Health Centers. Am J Public Health. 2023;133 (8):883-92. https://doi.org/10.2105/AJPH.2023.307323 DOI: https://doi.org/10.2105/AJPH.2023.307323

Drescher J. Gender diagnoses in the DSM and ICD. Psychiatr Ann. 2016;46(6):350-4. https://doi.org/10.3928/00485713-20160415-01 DOI: https://doi.org/10.3928/00485713-20160415-01

Fernández Rodríguez M, Guerra Mora P, Méndez Díaz M. La disforia de género en la infancia en las clasificaciones diagnósticas. Cuad Med Psicosom Psiquiatr Enlac [internet]. 2014;(110):25-35. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=4802980

Organización Panamericana de la Salud. F64 trastornos de la identidad de género. En: Centro Venezolano de Clasificación de Enfermedades, editor. CIE 10 Clasificación Estadística Internacional de Enfermedades y Problemas relacionados con la Salud [internet]. Washington DC: Organización Panamericana de la Salud-Organización Mundial de la Salud; 1992. p. 344-5. Disponible en: http://ais.paho.org/classifications/Chapters/pdf/Volume1.pdf

Organización Mundial de la Salud. CIE-11 para las estadísticas de mortalidad y morbilidad (CIE-11 EMM). 2018 [internet]. Clasificación Internacional de Enfermedades y condiciones relacionadas con la salud onceava versión-CIE-11. Disponible en: https://icd.who.int/browse11/l-m/es

Robles García R, Ayuso-Mateos JL. CIE-11 y la despatologización de la condición transgénero. Rev Psiquiatr Salud Ment. 2019 Apr;12(2):65-7. https://doi.org/10.1016/j.rpsm.2019.01.002 DOI: https://doi.org/10.1016/j.rpsm.2019.01.002

Gadow K, Sprafkin J. Child Symptom Inventory-4 Screening and Norms Manual. Nueva York: Stony Broks; 2002.

Gadow K, Sprafkin J. Early childhood symptom inventory-4 screening manual. Nueva York: Stony Broks; 2000.

Cohen-Kettenis PT, Wallien M, Johnson LL, Owen-Anderson AFH, Bradley SJ, Zucker KJ. A parent-report Gender Identity Questionnaire for Children: a cross-national, cross-clinic comparative analysis. Clin Child Psychol Psychiatry. 2006 Jul;11(3):397-405. https://doi.org/10.1177/1359104506059135 DOI: https://doi.org/10.1177/1359104506059135

Gadow K, Sprafkin J. Youth's inventory-4 manual. Nueva York: Stony Broks; 1990.

Rider GN, Berg D, Pardo ST, Olson-Kennedy J, Sharp C, Tran KM, et al. Using the Child Behavior Checklist (CBCL) with transgender/gender nonconforming children and adolescents. Clin Pract Pediatr Psychol. 2019 Sep;7(3):291-301. https://doi.org/10.1037/cpp0000296 DOI: https://doi.org/10.1037/cpp0000296

Cohen-kettinis P, Van Gooze S. Sex reassignment of adolescent transsexuals: a follow-up study. J Am Acad Child Adolesc Psychiatry. 1997 Feb;36(2):263-71. https://doi.org/10.1097/00004583-199702000-00017 DOI: https://doi.org/10.1097/00004583-199702000-00017

Lindgren TW, Pauly IB. A body image scale for evaluating transsexuals. Arch Sex Behav. 1975 Nov;4(6):639-56. https://doi.org/10.1007/BF01544272 DOI: https://doi.org/10.1007/BF01544272

Kozee HB, Tylka TL, Bauerband LA. Measuring transgender individuals' comfort with gender identity and appearance. Psychol Women Q. 2012 Jun 19;36(2):179-96. https://doi.org/10.1177/0361684312442161 DOI: https://doi.org/10.1177/0361684312442161

Testa RJ, Habarth J, Peta J, Balsam K, Bockting W. Development of the gender minority stress and resilience measure. Psychol Sex Orientat Gend Divers. 2015 Mar;2(1):65-77. https://doi.org/10.1037/t39597-000 DOI: https://doi.org/10.1037/sgd0000081

Abidin R. Parenting Stress Index (Short Form). Odessa TX: Psychological Assessment Resource; 1995.

Shulman GP, Holt NR, Hope DA, Mocarski R, Eyer J, Woodruff N. A review of contemporary assessment tools for use with transgender and gender nonconforming adults. Psychol Sex Orientat Gend Divers. 2017 Sep;4(3):304-13. https://doi.org/10.1037/sgd0000233 DOI: https://doi.org/10.1037/sgd0000233

Chen D, Hidalgo MA, Leibowitz S, Leininger J, Simons L, Finlayson C, et al. Multidisciplinary care for gender-diverse youth: a narrative review and unique model of gender-affirming care. Transgender Heal. 2016;1(1):117-23. https://doi.org/10.1089/trgh.2016.0009 DOI: https://doi.org/10.1089/trgh.2016.0009

Hidalgo MA, Ehrensaft D, Tishelman AC, Clark LF, Garofalo R, Rosenthal SM, et al. The gender affirmative model: what we know and what we aim to learn. Hum Dev. 2013;56(5):285-90. https://doi.org/10.1159/000355235 DOI: https://doi.org/10.1159/000355235

Duany Navarro A. Trastornos de identidad sexual y violencia. Rev Hosp Psiquiátr La Habana [internet]. 2008;5(1). Disponible en: http://www.psiquiatricohph.sld.cu/revista/portal_revhph.html

Winter S, De Cuypere G, Green J, Kane R, Knudson G. The proposed ICD-11 gender incongruence of childhood diagnosis: a world professional association for transgender health membership survey. Arch Sex Behav. 2016;45(7):1605-14. https://doi.org/10.1007/s10508-016-0811-6 DOI: https://doi.org/10.1007/s10508-016-0811-6

Di Ceglie D. Working at the edge: engaging in therapeutic work with young people with atypical gender identity development. Neuropsychiatr Enfance Adolesc. 2008;56(6):403-6. https://doi.org/10.1016/j.neurenf.2008.06.005 DOI: https://doi.org/10.1016/j.neurenf.2008.06.005

World Professional Association for Transgender Health. Standards of care for the health of transsexual, transgender, and gender nonconforming people [internet]. 7.ª ed. WPATH; 2012. Disponible en: https://www.wpath.org/media/cms/Documents/SOC v7/SOC V7_English.pdf

Castañeda C. Developing gender: the medical treatment of transgender young people. Soc Sci Med. 2015;143:262-70. https://doi.org/10.1016/j.socscimed.2014.11.031 DOI: https://doi.org/10.1016/j.socscimed.2014.11.031

Hembree WC, Cohen-Kettenis PT, Gooren L, Hannema SE, Meyer WJ, Murad MH, et al. Endocrine treatment of gender-dysphoric/gender-incongruent persons: an endocrine society clinical practice guideline. J Clin Endocrinol Metab. 2017 Nov 1;102(11):3869-903. https://doi.org/10.1210/jc.2017-01658 DOI: https://doi.org/10.1210/jc.2017-01658

American Psychological Association. Guidelines for psychological practice with transgender and gender nonconforming people. Am Psychol. 2015 Dec;70(9):832-64. https://doi.org/10.1037/a0039906 DOI: https://doi.org/10.1037/a0039906

Milrod C. How young is too young: ethical concerns in genital surgery of the transgender MTF adolescent. J Sex Med. 2014;11(2):338-46. https://doi.org/10.1111/jsm.12387 DOI: https://doi.org/10.1111/jsm.12387

Mahfouda S, Moore JK, Siafarikas A, Hewitt T, Ganti U, Lin A, et al. Gender-affirming hormones and surgery in transgender children and adolescents. Lancet Diabetes Endocrinol [internet]. 2018; Disponible en: http://www.sciencedirect.com/science/article/pii/S221385871830305X

Mahfouda S, Moore JK, Siafarikas A, Zepf FD, Lin A. Puberty suppression in transgender children and adolescents. Lancet Diabetes Endocrinol. 2017;5(10):816-26. https://doi.org/10.1016/S2213-8587(17)30099-2 DOI: https://doi.org/10.1016/S2213-8587(17)30099-2

Stevenson MO, Tangpricha V. Osteoporosis and bone health in transgender persons. Endocrinol Metab Clin North Am [internet]. 2019. Disponible en: http://www.sciencedirect.com/science/article/pii/S0889852919300118

McFarlane T, Zajac JD, Cheung AS. Gender-affirming hormone therapy and the risk of sex hormone-dependent tumors in transgender individuals-A systematic review. Clin Endocrinol (Oxf). 2018;89(6):700-11. https://doi.org/10.1111/cen.13835 DOI: https://doi.org/10.1111/cen.13835

Hartley RL, Stone JP, Temple-Oberle C. Breast cancer in transgender patients: a systematic review. Part 1: male to female. Eur J Surg Oncol. 2018;44(10):1455-62. https://doi.org/10.1016/j.ejso.2018.06.035 DOI: https://doi.org/10.1016/j.ejso.2018.06.035

Stone JP, Hartley RL, Temple-Oberle C. Breast cancer in transgender patients: a systematic review. Part 2: female to male. Eur J Surg Oncol. 2018;44(10):1463-8. https://doi.org/10.1016/j.ejso.2018.06.021 DOI: https://doi.org/10.1016/j.ejso.2018.06.021

Nahata L, Tishelman AC, Caltabellotta NM, Quinn GP. Low fertility preservation utilization among transgender youth. J Adolesc Heal. 2017;61(1):40-4. https://doi.org/10.1016/j.jadohealth.2016.12.012 DOI: https://doi.org/10.1016/j.jadohealth.2016.12.012

Becker I, Ravens-Sieberer U, Ottová-Jordan V, Schulte-Markwort M. Prevalence of adolescent gender experiences and gender expression in Germany. J Adolesc Heal. 2017;61(1):83-90. https://doi.org/10.1016/j.jadohealth.2017.02.001 DOI: https://doi.org/10.1016/j.jadohealth.2017.02.001

Gontijo DT, Medeiros M. Adolescência, gênero e processo de vulnerabilidade/desfiliação social: compreendendo as relações de gênero para adolescentes em situação de rua. Rev Baiana Saúde Pública. 2010;33(4):605-17. https://doi.org/10.22278/2318-2660.2009.v33.n4.a292 DOI: https://doi.org/10.22278/2318-2660.2009.v33.n4.a292

Ferrari A. Homossexualidade e deficiência mental: jogos discursivos e de poder na construção dessas identidades no contexto escolar. Rev Mal-estar e Subjetividade [internet]. 2010;10(2):653-72. Disponible en: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1518-61482010000200013

Kosciw J, Greytak E, Palmer NA, Boesen M. The 2013 National School Climate Survey: the experiences of lesbian, gay, bisexual and transgender youth in our nation's schools [Internet]. Gay Lesbian & Straight Education Network (GLSEN); 2013. Disponible en: https://www.glsen.org/sites/default/files/2020-03/GLSEN-2013-National-School-Climate-Survey-Full-Report.pdf

Bockting WO. Vulnerability and resilience among gender-nonconforming children and adolescents: mental health professionals have a key role to play. J Am Acad Child Adolesc Psychiatry. 2016 Jun;55(6):441-3. https://doi.org/10.1016/j.jaac.2016.04.008 DOI: https://doi.org/10.1016/j.jaac.2016.04.008

Gartner RE, Sterzing PR. Social ecological correlates of family-level interpersonal and environmental microaggressions toward sexual and gender minority adolescents. J Fam Violence. 2018 Jan;33(1):1-16. https://doi.org/10.1007/s10896-017-9937-0 DOI: https://doi.org/10.1007/s10896-017-9937-0

Renaud J, Berlim MT, Begolli M, McGirr A, Turecki G. Sexual orientation and gender identity in youth suicide victims: an exploratory study. Can J Psychiatry. 2010 Jan;55(1):29-34. https://doi.org/10.1177/070674371005500105 DOI: https://doi.org/10.1177/070674371005500105

Kuyper L, de Roos S, Iedema J, Stevens G. Growing up with the right to marry: sexual attraction, substance use, and well-being of dutch adolescents. J Adolesc Health. 2016;59(3):276-82. https://doi.org/10.1016/j.jadohealth.2016.05.010 DOI: https://doi.org/10.1016/j.jadohealth.2016.05.010

Gegenfurtner A, Gebhardt M. Sexuality education including lesbian, gay, bisexual, and transgender (LGBT) issues in schools. Educ Res Rev. 2017;22(September):215-22. https://doi.org/10.1016/j.edurev.2017.10.002 DOI: https://doi.org/10.1016/j.edurev.2017.10.002

D'Augelli AR, Grossman AH, Starks MT. Childhood gender atypicality, victimization, and PTSD among lesbian, gay, and bisexual youth. J Interpers Violence. 2006 Nov;21(11):1462-82. https://doi.org/10.1177/0886260506293482 DOI: https://doi.org/10.1177/0886260506293482

Robles R, Fresán A, Vega-Ramírez H, Cruz-Islas J, Rodríguez-Pérez V, Domínguez-Martínez T, et al. Removing transgender identity from the classification of mental disorders: a Mexican field study for ICD-11. The Lancet Psychiatry. 2016 Sep;3(9):850-9. https://doi.org/10.1016/S2215-0366(16)30165-1 DOI: https://doi.org/10.1016/S2215-0366(16)30165-1

Priest M. Transgender children and the right to transition: medical ethics when parents mean well but cause harm. Am J Bioeth. 2019 Feb;19(2):45-59. https://doi.org/10.1080/15265161.2018.1557276

Schulz SL. The informed consent model of transgender care: an alternative to the diagnosis of gender dysphoria. J Humanist Psychol. 2018 Jan 13;58(1):72-92. https://doi.org/10.1177/0022167817745217 DOI: https://doi.org/10.1177/0022167817745217

Parra-Villarroel J, Rodrigues L, Nogueira C. Access to healthcare for transgender adolescents: the current situation and challenges in Chile and Portugal. Anal Soc. 2023;58:248-69. Disponible en: http://analisesocial.ics.ul.pt/documentos/n247_a03.pdf

Priest M. Transgender children and the right to transition: medical ethics when parents mean well but cause harm. Am J Bioeth. 2019;19:45-59. https://doi.org/10.1080/15265161.2018.1557276 DOI: https://doi.org/10.1080/15265161.2018.1557276

Romero K, Reingold R. Advancing adolescent capacity to consent to transgender-related health care in Colombia and the USA. Reprod Health Matters. 2013;21(41):186-95. https://doi.org/10.1016/S0968-8080(13)41695-6

Rickett B, Johnson K, Ingle H RM. Reynolds M. Support for parents/carers of primary school aged gender diverse children in England, UK: a mixed-method analysis of experiences with health services. Heal Sociol Rev. 2021;30:9-24. https://doi.org/10.1080/14461242.2020.1857656 DOI: https://doi.org/10.1080/14461242.2020.1857656

Romero K, Reingold R. Advancing adolescent capacity to consent to transgender-related health care in Colombia and the USA. Reprod Health Matters. 2013;21(41):186-95. https://doi.org/10.1016/S0968-8080(13)41695-6 DOI: https://doi.org/10.1016/S0968-8080(13)41695-6

Melo Barbosa OP. El cuerpo del deseo: narrativas sobre cuidados de mujeres transgénero de Cali en sus intervenciones corporales artesanales (1980-2015) [tesis de doctorado]. Bogotá: Pontificia Universidad Javeriana; 2019.

Stone S. El imperio contraataca: un manifiesto postransexual. En: Políticas trans una antología de textos desde los estudios trans norteamericanos. Barcelona: Egales Editorial; 2015. p. 31-66.

Neira PM. Caring for the transgender patient. J Radiol Nurs. 2017;36:88-9. https://doi.org/10.1016/j.jradnu.2017.03.002 DOI: https://doi.org/10.1016/j.jradnu.2017.03.002

Kcomt L, Gorey KM, Barrett BJ, McCabe SE. Healthcare avoidance due to anticipated discrimination among transgender people: a call to create trans-affirmative environments. SSM-Popul Heal. 2020 Aug;11:1-8. https://doi.org/10.1016/j.ssmph.2020.100608 DOI: https://doi.org/10.1016/j.ssmph.2020.100608

Radix A. Addressing needs of transgender patients: the roles of family physicians. J Am Board Fam Med. 2020;314-21. https://doi.org/10.3122/jabfm.2020.02.180228 DOI: https://doi.org/10.3122/jabfm.2020.02.180228

Citado por