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1.
Yale J Biol Med ; 93(4): 579-585, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-33005122

RESUMO

Not only do epidemics such as HIV/AIDS, Ebola Virus Disease (EVD), and the current Coronavirus Disease (COVID-19) cause the loss of millions of lives, but they also cost the global economy billions of dollars. Consequently, there is an urgent need to formulate interventions that will help control their spread and impact when they emerge. The education of young girls and women is one such historical approach. They are usually the vulnerable targets of disease outbreaks - they are most likely to be vehicles for the spread of epidemics due to their assigned traditional roles in resource-limited countries. Based on our work and the work of others on educational interventions, we propose six critical components of a cost-effective and sustainable response to promote girl-child education in resource-limited settings.


Assuntos
Doenças Transmissíveis Emergentes , Infecções por Coronavirus , Identidade de Gênero , Saúde Global , Educação em Saúde , Pandemias , Pneumonia Viral , Betacoronavirus , Criança , Doenças Transmissíveis Emergentes/epidemiologia , Doenças Transmissíveis Emergentes/prevenção & controle , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Países em Desenvolvimento , Feminino , Saúde Global/economia , Saúde Global/educação , Infecções por HIV/epidemiologia , Infecções por HIV/prevenção & controle , Educação em Saúde/métodos , Educação em Saúde/organização & administração , Doença pelo Vírus Ebola/epidemiologia , Doença pelo Vírus Ebola/prevenção & controle , Humanos , Determinação de Necessidades de Cuidados de Saúde , Pandemias/economia , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle
2.
Rev Med Suisse ; 16(709): 1877-1880, 2020 Oct 07.
Artigo em Francês | MEDLINE | ID: mdl-33026731

RESUMO

This article is the result of the joint work of psychiatrists-psychotherapists working with patients with gender dysphoria (children, adolescents and adults) in Lausanne and Geneva university hospitals. It emphasizes the importance of their clinical interventions when hormone therapy and sex reassignment surgery are requested.


Assuntos
Disforia de Gênero/diagnóstico , Disforia de Gênero/terapia , Papel do Médico , Psiquiatria , Psicoterapia , Disforia de Gênero/psicologia , Identidade de Gênero , Humanos , Cirurgia de Readequação Sexual
3.
Hist Philos Life Sci ; 42(4): 49, 2020 Oct 13.
Artigo em Inglês | MEDLINE | ID: mdl-33048278

RESUMO

COVID-19 has been called "a disaster for feminism" (Lewis in The coronavirus is a disaster for feminism, 2020) for numerous reasons. In this short piece, we make sense of this claim, drawing on intersectional feminism(s) to understand why an analysis that considers gender alone is inadequate to address both the risks and consequences of COVID-19.


Assuntos
Infecções por Coronavirus/epidemiologia , Feminismo , Identidade de Gênero , Pandemias , Pneumonia Viral/epidemiologia , Política , Humanos
5.
Prax Kinderpsychol Kinderpsychiatr ; 69(6): 541-553, 2020 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-32988299

RESUMO

TransIdentity - Identity Development Among Adolescent Trans*people Identity development is one of the most important developmental tasks of adolescence. Adolescents whose gender identity does not correspond to the gender assigned at birth (trangender people) are also faced with this challenge, as are cis-gender adolescents of the same age. This study is the first to examine the personality function of identity in transgender adolescents. Based on the self report of a population of 69 adolescents from the outpatient unit for gender dysphoria the extent of identity diffusion measured by AIDA (Assessment of Identity Development in Adolescence) was compared with the values of the normative sample consisting of German-speaking pupils. Both the overall construct of identity diffusion and the areas of continuity and coherence showed average values in the examined young people, which speaks against pathological identity development. Nevertheless, identity diffusion was found in over a third (36 %). Most notably the aspect of stabilising relationships and roles was above average, which suggests that positive role identification from the areas of culture, family and body-self is present to a lesser extent than in the norm sample. The identity-stabilizing feeling of social anchoring appears to be impaired in the young transidents studied.


Assuntos
Disforia de Gênero/psicologia , Identidade de Gênero , Pessoas Transgênero/psicologia , Adolescente , Feminino , Humanos , Masculino , Personalidade
6.
Prax Kinderpsychol Kinderpsychiatr ; 69(6): 517-523, 2020 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-32988305

RESUMO

Trans-Identity in Minors: Basic Ethical Principles for Individual Decision-Making in Healthcare The treatment of minors with gender incongruence has been the subject of controversial discussion for some time. In 2020, the German Ethics Council adopted the ad-hoc recommendation "Trans-identity in children and adolescents: Therapeutic Controversies - Ethical Orientations" with the aim of sensitising to the relevant ethically problematic aspects and of setting out orienting guidelines for medical and psychotherapeutic support and treatment. According to the Ethics Council, every person has the constitutional right to lead a life in accordance with one's own gender identity and to be respected in this identity. Healthcare professionals must assess the consequences of treatment as well as the consequences of refraining to provide treatment. All interactions with the child must be designed in such a way that the child can participate in decision-making and is ultimately enabled to give full informed consent. Stigmatisation and discriminatory pathologisation of gender incongruence must be avoided.


Assuntos
Tomada de Decisão Clínica/ética , Identidade de Gênero , Menores de Idade/psicologia , Adolescente , Criança , Feminino , Humanos , Consentimento Livre e Esclarecido , Masculino
7.
Prax Kinderpsychol Kinderpsychiatr ; 69(6): 590-602, 2020 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-32988307

RESUMO

Therapeutic Models for Children and Adolescents with Gender Dysphoria: Overview with Focus on Austrian Treatment Reality Young people whose experienced gender differs from their aligned sex are increasingly visible in public life as well as in the medical care system. For those children and adolescents, who can experience a high degree of suffering because of the discrepancy between aligned sex and desired gender, treatment guidelines have been developed. In this short narrative review, classification options, epidemiological data, health-care data and treatment guidelines are presented with an emphasis on the Austrian health care system.


Assuntos
Disforia de Gênero/terapia , Adolescente , Áustria , Criança , Identidade de Gênero , Humanos
8.
Prax Kinderpsychol Kinderpsychiatr ; 69(6): 570-589, 2020 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-32988309

RESUMO

The Zurich Specialist Clinic for Adolescent with Gender Dysphoria - Preliminary Follow-up Results The specialist clinic for children and adolescents with gender dysphoria (GD) of the Psychiatric University Hospital of Zurich shows an increasing number of referrals since its foundation in 2009. Since 2014 we started an observational study including adolescents aged 13 years and older. At the time of the first appointment (T0) N = 77 participants completed a battery of questionnaires assessing demographic factors, general psychopathology, quality of life as well as gender identity, social transitioning and GD treatment modalities. Few of the adolescents were socially transitioned and had hormone therapy but 77.9 % wished to get hormone therapy. Follow up assessment T1 was performed after at least one year of treatment in our specialist clinic. 51 adolescents completed an online follow-up examination including the same questionnaires and baseline parameters as well as a scale measuring treatment satisfaction. At T0, 77.3 % of the adolescents scored in the clinical range of the Youth Self Report (YSR) total score, which did not decrease significantly until T1 in our preliminary follow up sample. Puberty blocking before T0 correlated negatively with the YSR score, indicating less psychopathology in treated patients. Preliminary longitudinal analysis suggests that social transitioning influences quality of life (Kidscreen subscale autonomy and parental relationship). At T1, 52 % of the adolescents were socially transitioned in all contexts and 70 % received gender affirming hormonal treatment. Gender identity changed between T0 and T1 in about 18 % of the cases. Treatment satisfaction in most cases was high.


Assuntos
Disforia de Gênero/terapia , Adolescente , Instituições de Assistência Ambulatorial , Feminino , Seguimentos , Disforia de Gênero/psicologia , Identidade de Gênero , Humanos , Masculino , Qualidade de Vida
10.
Psychiatr Danub ; 32(2): 145-150, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32796778

RESUMO

On June 18th, 2018, the World Health Organization officially released its new International Classification of Diseases (ICD-11) for preview; it was presented on World Health Assembly in May 2019 for adoption by Member States. Since ICD 11 is planned to come into effect and be officially used as from January 1st, 2022, this early sneak peek allows health care professionals enough time to prepare for the new classification and all the changes it brings along. ICD 11 moves away from stigmatizing practices of psychiatrization of transgender persons and finally excludes issues of gender identity from the chapter on mental and behavioral disorders. This reconceptualization consequently sets the stage for different roles of psychiatrists in meeting transgender patients' health care needs. This article addresses the most important changes to the ICD related to Gender incongruence, a new nosological entity formerly known as Gender Identity Disorder or Gender Dysphoria. The paper offers an overview of the current and future positions of transgender health issues through contemporary medical conceptualization and classification. It aims to eliminate barriers to quality care for transgender patients, by attending to the recognized knowledge gaps and by providing recommendations for psychiatrists and other health care professionals who commonly receive low levels of exposure to transgender content in their education.


Assuntos
Disforia de Gênero , Classificação Internacional de Doenças , Pessoas Transgênero , Transexualidade , Feminino , Identidade de Gênero , Humanos , Masculino
12.
PLoS One ; 15(8): e0237707, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32797069

RESUMO

BACKGROUND: Gender role non-conforming behaviors are a significant risk factor for school-related violence. The objective of this study is to describe the types, prevalence and correlates of social violence among Thai secondary school students, with a focus on gender role non-conformity. METHODS: This article uses secondary data from a national study of 2070 secondary school students aged 13-20 years representing Bangkok and all four regions of Thailand. Students were asked about their gender/sexual identity, self-perception of their masculinity or femininity, and experiences of social violence. Correlates of social violence were examined using multivariable logistic regression models. RESULTS: Prevalence of social violence victimization was high (57%). Most students considered themselves to be as masculine or as feminine as other members of their sex (82.6%), while 9.1% thought that they were less masculine/less feminine, and 8.3% thought they were more masculine/more feminine. Students who considered themselves less masculine or less feminine than others of their sex (AOR = 1.59, 95% CI: 1.13, 2.25) were more likely to experience social violence, compared to students who considered themselves equally masculine/feminine. Students who self-identified as lesbian, gay, bisexual or transgender (LGBT) (AOR = 1.37, 95% CI: 1.01, 1.86) were also more likely to experience social violence, compared to students who did not identify as LGBT. However, students who considered themselves more masculine or feminine than other students of their sex (AOR = 0.62, 95% CI: 0.44, 0.88) were less likely to experience social violence. DISCUSSION: Students who identified as LGBT, or considered themselves to be less masculine or less feminine than other students of their sex, had higher odds of social violence victimization. Anti-bullying campaigns need to emphasize that perpetrating social violence is not tolerated, and gender-based violence needs to be included in comprehensive sexuality education curricula.


Assuntos
Bullying , Identidade de Gênero , Sexualidade , Adolescente , Adulto , Vítimas de Crime , Feminino , Feminilidade , Humanos , Masculino , Masculinidade , Instituições Acadêmicas , Autoimagem , Estudantes , Tailândia , Violência , Adulto Jovem
19.
Rev. Asoc. Odontol. Argent ; 108(2): 41-45, mayo-ago. 2020.
Artigo em Espanhol | LILACS | ID: biblio-1120976

RESUMO

La atención de salud abre una ventana de reflexiones compartidas entre los distintos actores que convergen hoy alrededor de la infancia y la adolescencia: profesionales de la salud, de la educación, instituciones y familias. El desarrollo humano implica una interacción dinámica. El conjunto de cuidados que conforman la crianza tiene lugar en múltiples contextos: la casa, la familia extendida, la escuela y la sociedad, cuyos valores, creencias y prácticas definen la cultura. Somos parte de una realidad que está evolucionando y creciendo en complejidad, en un escenario multifactorial y polifacético. Emergen enfermedades que, si bien son conocidas por parte de los profesionales de la salud, ganan una importancia creciente en la sociedad actual. Varias de estas patologías emergentes vienen catalizadas por factores medioambientales y por determinantes de tipo social que antes tenían una influencia menor o que, sencillamente, no se tenían en cuenta. Las transformaciones que experimentan los/as niños/as existen de manera visible, por lo que se hace imprescindible que madres, padres, docentes y profesionales de la salud, desde nuestro lugar de adultos, actuemos con responsabilidad en todos los espacios en los que deambulan los/as niños/as y los/as adolescentes de hoy (AU)


Health care opens a window for shared reflections among the different people who interact with children and adolescents: family, health professionals, educators and institutions today. Human development involves dynamic interaction. Care takes place in multiple contexts: the immediate and the extended family, the school and society with its values, beliefs and practices that define the culture where the individual grows up. We are part of a reality that is evolving and growing in complexity, facing a multifactorial and multifaceted scenario. A number of diseases while known by health professionals, gain increasing importance in today's society. Several of these emerging pathologies are catalyzed by environmental factors and by social determinants that previously had less influence or that were simply not taken into account. The transformations that the child undergoes nowadays are visible, and for that reason, it is essential that mothers, fathers, teachers and health professionals viewed from our position as adults, act responsibly in all the spaces where children and adolescents of today are (AU)


Assuntos
Humanos , Masculino , Feminino , Criança , Comportamento Infantil , Saúde da Criança , Medicina do Adolescente , Relações Pais-Filho , Argentina , Gravidez na Adolescência , Suicídio , Tabagismo , Violência , Transtornos da Alimentação e da Ingestão de Alimentos , Pessoas com Deficiência , Depressão , Alcoolismo , Transtornos do Neurodesenvolvimento , Identidade de Gênero , Obesidade
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