{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T22:02:28Z","timestamp":1791583348118,"version":"4.3.4"},"reference-count":60,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,9,9]],"date-time":"2024-09-09T00:00:00Z","timestamp":1725840000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000155","name":"Social Sciences and Humanities Research Council of Canada","doi-asserted-by":"publisher","award":["435\u20102018\u20100626"],"award-info":[{"award-number":["435\u20102018\u20100626"]}],"id":[{"id":"10.13039\/501100000155","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Genetic Counseling"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Intersex, an umbrella term, describes individuals with sex characteristics that cannot be exclusively categorized into binary definitions of male or female. The intersex community faces a lack of social visibility perpetuated by a history of medical discrimination and pathologization shaped by \u201cnormalizing\u201d genital surgeries without the child's consent. Despite efforts to reform clinical practice, there remains a paucity of research centering the needs of the intersex community and their families. This study explored parents' perspectives on how healthcare professionals (HCPs), such as genetics professionals, can provide patient\u2010centered education and support when parents first learn of their child's intersex variation, with the aim of offering recommendations to HCPs to promote parental adjustment and protect intersex children's right to autonomy. Thirteen qualitative semi\u2010structured interviews were conducted with 14 parents of intersex children. Through reflexive thematic analysis, under the framework of an agency\u2010based approach to intersex health, thematic categories were inductively conceptualized, including barriers and facilitators to HCPs' sensitivity and to parental adjustment in the early disclosure environment. Barriers to HCPs' sensitivity were imposed by educational, religious, or medical institutions, along with sociocultural prejudices and pathologizing language. Barriers to parental adaptation included uncertainty regarding their child's future, sociocultural gender norms, and unsuitable information provision. Incorporating parental needs in the disclosure environment can facilitate familial acceptance, including normalization of variations of sex characteristics (VSCs), enhanced medical education, facilitation of patients' navigation, and prioritization of parents' social support needs.<\/jats:p>","DOI":"10.1002\/jgc4.1962","type":"journal-article","created":{"date-parts":[[2024,9,10]],"date-time":"2024-09-10T05:35:07Z","timestamp":1725946507000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Navigating the disclosure landscape: Parents' perspectives on healthcare professionals' role in supporting intersex children and families"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8319-2188","authenticated-orcid":false,"given":"Kayla","family":"Horowitz","sequence":"first","affiliation":[{"name":"Department of Human Genetics McGill University  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1712-6403","authenticated-orcid":false,"given":"Kimberly","family":"Zayhowski","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Boston University Chobanian &amp; Avedisian School of Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4163-9105","authenticated-orcid":false,"given":"Nicole","family":"Palmour","sequence":"additional","affiliation":[{"name":"Centre of Genomics and Policy McGill University  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6684-8157","authenticated-orcid":false,"given":"Darius","family":"Haghighat","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Boston University Chobanian &amp; Avedisian School of Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8775-2322","authenticated-orcid":false,"given":"Yann","family":"Joly","sequence":"additional","affiliation":[{"name":"Centre of Genomics and Policy McGill University  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,9]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1515\/jpem\u20102014\u20100522"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1159\/000363634"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1819"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1520\u20106300(200003\/04)12:2<151::AID\u2010AJHB1>3.0.CO;2\u2010F"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1897"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rhm.2016.06.003"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11673-018-9855-8"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/13691058.2020.1743882"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(01)05343-0"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1687-9856-2011-10"},{"key":"e_1_2_12_14_1","first-page":"1","article-title":"Towards an agency\u2010based model of intersex, variations of sex characteristics (VSC) and DSD\/dsd health","volume":"23","author":"Crocetti D.","year":"2020","journal-title":"Culture, Health & Sexuality"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732317697100"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1108\/S1057-6290(2011)0000012012"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12573"},{"key":"e_1_2_12_18_1","volume-title":"Making sense of intersex: Changing ethical perspectives in biomedicine","author":"Feder E. 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