Estudio sociodemográfico comparativo de los períodos 2007-2009 y 2015-2019 de la Unidad de Tratamiento de Identidad de Género del Principado de Asturias / Sociodemographic comparative between the periods 2007-2009 and 2015-2019 of the Gender Identity Treatment Unit of Asturias

Antecedentes y objetivo: La elevada demanda asistencial sanitaria realizada por las personas trans en los últimos años ha dirigido el foco de la investigación hacia el estudio de sus aspectos clínicos y sociodemográficos. Este trabajo tuvo por objetivo comparar y analizar algunas variables sociodemográficas en personas trans en 2 períodos temporales: el período de inicio de funcionamiento de la unidad y el período más reciente. Materiales y método: Se comparó una muestra de 131 usuarios que asistió a la Unidad de Tratamiento de Identidad de Género del Principado de Asturias (UTIGPA) entre 2015-2019, con una muestra de 33 que acudió entre 2007-2009. Los datos se extrajeron de historias clínicas. Resultados: Respecto al período 2007-2009 entre 2015-2019 la ratio se invierte a favor de los hombres trans (HT). Los usuarios de ambos géneros solicitan consulta a edades más tempranas (especialmente los HT), provienen menos del extranjero, alcanzan una mayor cualificación educativa y laboral, presentan menos paro y solicitan más el cambio registral; y aunque las mujeres trans (MT) continúan siendo las que, mayoritariamente, se dedican a la prostitución y se autohormonan, en este período más reciente lo reportan menos y, además, conviven más acompañadas. Conclusiones: Se observan cambios en las variables sociodemográficas de los usuarios de la UTIGPA entre 2007-2009 y 2015-2019, en dirección a una mayor inclusión. No obstante, las condiciones sociodemográficas de las MT siguen en desventaja en comparación con las de los HT. (AU)

Background and objective: The high demand of assistance made by trans people in recent years has directed the focus of research towards the study of their clinical and sociodemographic aspects. The objective of this work was to compare and analyze some sociodemographic variables in trans people in two periods: the period when the unit began to operate and the most recent period. Materials and method: A sample of 131 users who attended the Gender Identity Treatment Unit of the Principality of Asturias (UTIGPA) between 2015-2019 was compared with a sample of 33 who attended between 2007-2009. Data were extracted from medical records. Results: Regarding 2007-2009, in 2015-2019 the ratio is inverted in favor of Trans Men (TM). Users of both genders request consultation at an earlier age (specially TM), come less from abroad, achieve higher educational and work qualifications, are less unemployed and request more name changes. And, although Trans Women (TW) continue to be those who are mostly engaged in prostitution and self-administration of hormones, in the most recent period they report it less and, furthermore, they live more accompanied tan in the past. Conclusions: Changes are observed in the sociodemographic variables of UTIGPA users between 2007-2009 and 2015-2019, in the direction of a greater inclusion. However, the sociodemographic conditions of the TW are still at a disadvantage in comparison to those of the TM. (AU)

[Sociodemographic comparative between the periods 2007-2009 and 2015-2019 of the Gender Identity Treatment Unit of Asturias]. / Estudio sociodemográfico comparativo de los períodos 2007-2009 y 2015-2019 de la Unidad de Tratamiento de Identidad de Género del Principado de Asturias.

BACKGROUND AND OBJECTIVE: The high demand of assistance made by trans people in recent years has directed the focus of research towards the study of their clinical and sociodemographic aspects. The objective of this work was to compare and analyze some sociodemographic variables in trans people in two periods: the period when the unit began to operate and the most recent period. MATERIALS AND METHOD: A sample of 131 users who attended the Gender Identity Treatment Unit of the Principality of Asturias (UTIGPA) between 2015-2019 was compared with a sample of 33 who attended between 2007-2009. Data were extracted from medical records. RESULTS: Regarding 2007-2009, in 2015-2019 the ratio is inverted in favor of Trans Men (TM). Users of both genders request consultation at an earlier age (specially TM), come less from abroad, achieve higher educational and work qualifications, are less unemployed and request more name changes. And, although Trans Women (TW) continue to be those who are mostly engaged in prostitution and self-administration of hormones, in the most recent period they report it less and, furthermore, they live more accompanied tan in the past. CONCLUSIONS: Changes are observed in the sociodemographic variables of UTIGPA users between 2007-2009 and 2015-2019, in the direction of a greater inclusion. However, the sociodemographic conditions of the TW are still at a disadvantage in comparison to those of the TM.

La disforia de género en menores trans: nicho ecológico / Gender dysphoria in trans minors: Ecological niche

Antecedentes y objetivo: El objetivo del presente estudio es investigar las características contextuales de la aparición de la disforia de género (DG) en menores trans.Materiales y método: Participaron todos los menores de edad que solicitaron consulta en la Unidad de Tratamiento de Identidad de Género desde marzo de 2007 hasta junio de 2019. Se procedió a la revisión de historias clínicas para la obtención de los datos. Se garantizó la confidencialidad.Resultados: Demandaron atención 64 menores, el 39,1% eran mujeres trans (MT) y el 60,9% hombres trans (HT). El rango de edad estuvo comprendido entre los 6 y los 17 años, con una media de 14,98. El 75% de los menores trans ubicaron el inicio de la DG en la infancia y el 25% en la adolescencia. La reacción de los progenitores fue de sospecha en un 55,6% de los casos y de sorpresa en un 36,5%. El 55,6% presentaron malestar psicológico importante previamente a acudir a la unidad.El apoyo familiar estuvo presente en el 57,1%. El papel de las redes sociales e Internet fue relevante para el 39,7% de la muestra. Tenían pertenencia o contacto con grupos de pares o asociaciones LGTBIQ el 44,4% de los menores. Se analizaron los resultados en función del género sentido.Conclusiones: Los menores continúan demandando atención en las unidades, sobre todo las MT. Aunque la DG aparece en ambos grupos fundamentalmente en la infancia, en la adolescencia es más frecuente en los HT. Los menores trans nacen, se desarrollan y construyen su identidad en un contexto determinado que está en interacción. (AU)

Background and objective: The objective of the present study is to investigate the contextual characteristics of the onset of gender dysphoria (GD) in trans minors.Materials and method: All minors who requested consultation in the Gender Identity Treatment Unit from March 2007 to June 2019 participated. Clinical histories were reviewed to obtain the information. Confidentiality was guaranteed.Results: Sixty-four minors required care, 39.1% were trans women (TW) and 60.9% trans men (TM). The age range was between 6-17 years, with a mean of 14.98. Seventy-five percent of the trans minors located the onset of DG in childhood and 25% in adolescence. Parental reaction was suspicious in 55.6% of cases and surprise in 36.5%; 55.6% presented significant psychological distress before going to the unit.Family support was present in 57.1%. The role of social networks and the Internet was relevant for 39.7% of the sample. Of the minors, 44.4% had membership or contact with peer groups or LGTBIQ associations. Results were analysed according to sense of gender.Conclusions: Minors continue to require care in the units, especially TW. Although GD onset in both groups is mainly in childhood, in adolescence it is more frequent in TM. Trans minors are born, develop and build their identity in a specific context, which is in interaction. (AU)

[Gender dysphoria in trans minors: Ecological niche]. / La disforia de género en menores trans: nicho ecológico.

BACKGROUND AND OBJECTIVE: The objective of the present study is to investigate the contextual characteristics of the onset of gender dysphoria (GD) in trans minors. MATERIALS AND METHOD: All minors who requested consultation in the Gender Identity Treatment Unit from March 2007 to June 2019 participated. Clinical histories were reviewed to obtain the information. Confidentiality was guaranteed. RESULTS: Sixty-four minors required care, 39.1% were trans women (TW) and 60.9% trans men (TM). The age range was between 6-17 years, with a mean of 14.98. Seventy-five percent of the trans minors located the onset of DG in childhood and 25% in adolescence. Parental reaction was suspicious in 55.6% of cases and surprise in 36.5%; 55.6% presented significant psychological distress before going to the unit. Family support was present in 57.1%. The role of social networks and the Internet was relevant for 39.7% of the sample. Of the minors, 44.4% had membership or contact with peer groups or LGTBIQ associations. Results were analysed according to sense of gender. CONCLUSIONS: Minors continue to require care in the units, especially TW. Although GD onset in both groups is mainly in childhood, in adolescence it is more frequent in TM. Trans minors are born, develop and build their identity in a specific context, which is in interaction.

[Sex/gender ratio of adolescents with gender dysphoria of the Gender Identity Treatment Unit of Asturias]. / Ratio sexo/género de los adolescentes con disforia de género de la Unidad de Tratamiento de Identidad de Género de Asturias.

BACKGROUND AND OBJECTIVE: Demand from minors with complaints of gender dysphoria has increased in recent years. This increase has been more pronounced in adolescent trans men in some international research studies. The first objective of this research study was to determine the sex/gender ratio of minors requesting a consultation in the Gender Identity Treatment Unit of the Principality of Asturias (UTIGPA) and presenting complaints of gender dysphoria. The second objective was to analyse the relationship of the sex/gender ratio with the age variable at which they requested the first consultation and the year in which they requested it. MATERIALS AND METHOD: The sample consisted of 42 children under 18, attended between January 2016 and January 2019. The medical records were then reviewed to obtain information. Descriptive statistics were analysed with the collected data. RESULTS: The sex / gender ratio over the period was 2/1 in favour of trans men. The average age at the request for consultation was 15.02 years (SD=1.84), with a range of 6 to 17 years. A higher percentage of applications was recorded (35.7%) in 2018, mostly made by trans men (93.3%). CONCLUSIONS: There was an inversion of the sex/gender ratio, a favour of trans men, over the last 3years, and an increase in the number of applications by adolescent trans men, coinciding with several international investigations.