Extrafamilial stressors in families of transgender adolescents referred for gender-affirming medical care: a mixed-methods analysis

Transgender and nonbinary (TNB) adolescents and their families often experience trans-specific, extrafamilial stressors, which may increase when adolescents come out and try to access gender-affirming medical care. While studies have described such stressors, it is unclear whether distinct underlyin...

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Veröffentlicht in:International Journal of LGBTQ+ Youth Studies Jg. 22; H. 1; S. 87 - 105
Hauptverfasser: Douglas, Laura, Pullen Sansfaçon, Annie, Daigneault, Mathé-Manuel, Speechley, Kathy Nixon, Sanders, Emily, Bauer, Greta R.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Routledge 02.01.2025
Schlagworte:
adolescent
family relations
gender-affirming care
youth
ISSN:2996-8992, 2996-900X
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Abstract Transgender and nonbinary (TNB) adolescents and their families often experience trans-specific, extrafamilial stressors, which may increase when adolescents come out and try to access gender-affirming medical care. While studies have described such stressors, it is unclear whether distinct underlying patterns of stressor experiences exist, shaping family experience. 159 adolescent-parent dyads attending an initial hormone appointment for gender-affirming medical care at any of 10 clinics in Canada reported on trans-specific, extrafamilial stressor experiences in Trans Youth CAN! Latent class analysis (LCA) assessed underlying patterns; parent and family characteristics were then described for each stressor class in the final model. LCA interpretation was supplemented with thematic analysis of qualitative interviews with 36 parents at 3 of the clinics from the Stories of Care study. The optimal model had four stressor classes: "Low Disruption, Some Advocacy" (estimated 30.4%); "Some Disruption, Some Advocacy" (9.8%); "Low Disruption, Low Advocacy" (55.7%); and "Major Disruption, High Advocacy" (4.1%). Family characteristics suggested a heterogeneous sample, with differing proportions of sociodemographic and family characteristics across stressor classes. Quotations from parent interviews in Stories of Care supported the four-class stressor model. Families of TNB adolescents accessing gender-affirming medical care may experience trans-specific, extrafamilial stressors according to four latent class groupings.
AbstractList Transgender and nonbinary (TNB) adolescents and their families often experience trans-specific, extrafamilial stressors, which may increase when adolescents come out and try to access gender-affirming medical care. While studies have described such stressors, it is unclear whether distinct underlying patterns of stressor experiences exist, shaping family experience. 159 adolescent-parent dyads attending an initial hormone appointment for gender-affirming medical care at any of 10 clinics in Canada reported on trans-specific, extrafamilial stressor experiences in Trans Youth CAN! Latent class analysis (LCA) assessed underlying patterns; parent and family characteristics were then described for each stressor class in the final model. LCA interpretation was supplemented with thematic analysis of qualitative interviews with 36 parents at 3 of the clinics from the Stories of Care study. The optimal model had four stressor classes: "Low Disruption, Some Advocacy" (estimated 30.4%); "Some Disruption, Some Advocacy" (9.8%); "Low Disruption, Low Advocacy" (55.7%); and "Major Disruption, High Advocacy" (4.1%). Family characteristics suggested a heterogeneous sample, with differing proportions of sociodemographic and family characteristics across stressor classes. Quotations from parent interviews in Stories of Care supported the four-class stressor model. Families of TNB adolescents accessing gender-affirming medical care may experience trans-specific, extrafamilial stressors according to four latent class groupings.
Author Speechley, Kathy Nixon
Douglas, Laura
Bauer, Greta R.
Pullen Sansfaçon, Annie
Sanders, Emily
Daigneault, Mathé-Manuel
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  givenname: Laura
  surname: Douglas
  fullname: Douglas, Laura
  organization: Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University
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  givenname: Annie
  surname: Pullen Sansfaçon
  fullname: Pullen Sansfaçon, Annie
  organization: School of Social Work, Université de Montréal
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  givenname: Mathé-Manuel
  surname: Daigneault
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  organization: School of Social Work, Université de Montréal
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  givenname: Kathy Nixon
  surname: Speechley
  fullname: Speechley, Kathy Nixon
  organization: Paediatics and Children's Health Research Institute, Lawson Health Research Institute
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  givenname: Emily
  surname: Sanders
  fullname: Sanders, Emily
  organization: Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University
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  givenname: Greta R.
  surname: Bauer
  fullname: Bauer, Greta R.
  organization: Eli Coleman Institute for Sexual and Gender Health, Department of Family Medicine and Community Health, University of Minnesota
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  grantid: PJT-148607
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Snippet Transgender and nonbinary (TNB) adolescents and their families often experience trans-specific, extrafamilial stressors, which may increase when adolescents...
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SubjectTerms adolescent
family relations
gender-affirming care
youth
Title Extrafamilial stressors in families of transgender adolescents referred for gender-affirming medical care: a mixed-methods analysis
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