{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:09:26Z","timestamp":1778630966335,"version":"3.51.4"},"reference-count":25,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"03","license":[{"start":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T00:00:00Z","timestamp":1644364800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003To identify the age when individuals first perceive gender incongruence (GI) and to compare sociodemographic data of female-to-male (FtM) and male-to-female (MtF) transgender individuals assisted at an outpatient service.<\/jats:p><jats:p>\n          Methods\u2003The present cross-sectional study was conducted through a review of the medical records of individuals diagnosed with GI at a single specialized outpatient service in the city of Ribeir\u00e3o Preto, state of S\u00e3o Paulo, Brazil.<\/jats:p><jats:p>\n          Results\u2003A total of 193 medical records from 2010 to 2018 were evaluated, and 109 (56.5%) patients had GI since childhood. The FtM transgender individuals perceived GI in childhood more often than the MtF transgender individuals (odds ratio [OR]: 2.06, 95% confidence interval [95%CI]: 1.11\u20133.81) Unattended hormone use was highest among the MtF group (69.6% versus 32.3%; OR: 4.78, 95%CI: 2.53\u20139.03). All of the individuals who were engaged in prostitution or were diagnosed with a sexually-transmitted infection, including HIV, were in the MtF group.<\/jats:p><jats:p>\n          Conclusion\u2003Despite the more prevalent perception of GI in childhood among the FtM group, social issues were more prevalent among the MtF group, which may be the result of social marginalization.<\/jats:p>","DOI":"10.1055\/s-0042-1742407","type":"journal-article","created":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T23:53:28Z","timestamp":1644450808000},"page":"258-263","source":"Crossref","is-referenced-by-count":6,"title":["Characteristics of a Population with Gender Incongruence Assisted at a Specialized Outpatient Service in the City of Ribeir\u00e3o Preto"],"prefix":"10.61622","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6046-2659","authenticated-orcid":false,"given":"S\u00e9rgio Henrique Pires","family":"Okano","sequence":"additional","affiliation":[{"name":"Human Reproduction Division, Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeir\u00e3o Preto, Universidade de S\u00e3o Paulo, Ribeir\u00e3o Preto, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5896-6524","authenticated-orcid":false,"given":"Silvio Ant\u00f4nio","family":"Franceschini","sequence":"additional","affiliation":[{"name":"Human Reproduction Division, Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeir\u00e3o Preto, Universidade de S\u00e3o Paulo, Ribeir\u00e3o Preto, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8597-2615","authenticated-orcid":false,"given":"Maria Rita","family":"Lerri","sequence":"additional","affiliation":[{"name":"Human Reproduction Division, Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeir\u00e3o Preto, Universidade de S\u00e3o Paulo, Ribeir\u00e3o Preto, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0270-5496","authenticated-orcid":false,"given":"Omero Benedicto","family":"Poli-Neto","sequence":"additional","affiliation":[{"name":"Human Reproduction Division, Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeir\u00e3o Preto, Universidade de S\u00e3o Paulo, Ribeir\u00e3o Preto, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7364-4718","authenticated-orcid":false,"given":"Luiz Gustavo Oliveira","family":"Brito","sequence":"additional","affiliation":[{"name":"Department of Tocogynecology, Faculdade de Ci\u00eancias Medicas, Universidade Estadual de Campinas, Campinas, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1073-238X","authenticated-orcid":false,"given":"L\u00facia Alves da Silva","family":"Lara","sequence":"additional","affiliation":[{"name":"Human Reproduction Division, Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeir\u00e3o Preto, Universidade de S\u00e3o Paulo, Ribeir\u00e3o Preto, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"47794","published-online":{"date-parts":[[2022,2,9]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"publisher","first-page":"807","DOI":"10.1016\/j.eurpsy.2015.04.005","article-title":"Systematic review and meta-analysis of prevalence studies in transsexualism","volume":"30","author":"J Arcelus","year":"2015","journal-title":"Eur Psychiatry"},{"issue":"02","key":"ref2","doi-asserted-by":"publisher","first-page":"288","DOI":"10.1016\/j.yhbeh.2013.02.020","article-title":"Gender identity development in adolescence","volume":"64","author":"T D Steensma","year":"2013","journal-title":"Horm Behav"},{"issue":"04","key":"ref3","doi-asserted-by":"publisher","first-page":"826","DOI":"10.1111\/j.1467-8624.2005.00880.x","article-title":"Genetic and environmental influences on sex-typed behavior during the preschool years","volume":"76","author":"A C Iervolino","year":"2005","journal-title":"Child Dev"},{"issue":"12","key":"ref4","doi-asserted-by":"publisher","first-page":"1413","DOI":"10.1097\/CHI.0b013e31818956b9","article-title":"Psychosexual outcome of gender-dysphoric children","volume":"47","author":"M S Wallien","year":"2008","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"ref5","volume-title":"ICD-11: International Classification of Diseases 11th Revision","author":"World Health Organization","year":"2018"},{"issue":"10","key":"ref6","doi-asserted-by":"publisher","first-page":"545","DOI":"10.1055\/s-0037-1604134","article-title":"Clinical characteristics in a sample of transsexual people","volume":"39","author":"M R Lerri","year":"2017","journal-title":"Rev Bras Ginecol Obstet"},{"issue":"01","key":"ref7","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1016\/j.psychres.2011.04.024","article-title":"Suicidal ideation among patients with gender identity disorder","volume":"190","author":"S Terada","year":"2011","journal-title":"Psychiatry Res"},{"issue":"03","key":"ref8","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1300\/J082v51n03_04","article-title":"Attempted suicide among transgender persons: The influence of gender-based discrimination and victimization","volume":"51","author":"K Clements-Nolle","year":"2006","journal-title":"J Homosex"},{"issue":"01","key":"ref9","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1080\/00926230903375560","article-title":"An affirmative intervention for families with gender variant children: parental ratings of child mental health and gender","volume":"36","author":"D B Hill","year":"2010","journal-title":"J Sex Marital Ther"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"467","DOI":"10.1146\/annurev.clinpsy.1.102803.144050","article-title":"Gender identity disorder in children and adolescents","volume":"1","author":"K J Zucker","year":"2005","journal-title":"Annu Rev Clin Psychol"},{"issue":"05","key":"ref11","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1111\/j.1746-1561.2011.00583.x","article-title":"Lesbian, gay, bisexual, and transgender adolescent school victimization: implications for young adult health and adjustment","volume":"81","author":"S T Russell","year":"2011","journal-title":"J Sch Health"},{"key":"ref12","volume-title":"Young people's health - a challenge for society report of a WHO Study Group on Young People and \u201cHealth for All by the Year 2000?\u201d","author":"World Health Organization","year":"1986"},{"key":"ref13","first-page":"73","volume-title":"O contexto do aluno transexual","author":"M C Ziotti","year":"2018"},{"issue":"08","key":"ref14","doi-asserted-by":"publisher","first-page":"2276","DOI":"10.1111\/j.1743-6109.2010.01943.x","article-title":"Puberty suppression in adolescents with gender identity disorder: a prospective follow-up study","volume":"8","author":"A L de Vries","year":"2011","journal-title":"J Sex Med"},{"issue":"02","key":"ref15","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1192\/bjp.bp.112.121954","article-title":"Psychiatric characteristics in transsexual individuals: multicentre study in four European countries","volume":"204","author":"G Heylens","year":"2014","journal-title":"Br J Psychiatry"},{"issue":"10","key":"ref16","doi-asserted-by":"publisher","first-page":"e27","DOI":"10.2105\/AJPH.2013.301507","article-title":"Prevalence of gender identity disorder and suicide risk among transgender veterans utilizing veterans health administration care","volume":"103","author":"J R Blosnich","year":"2013","journal-title":"Am J Public Health"},{"issue":"05","key":"ref17","doi-asserted-by":"publisher","first-page":"e00135917","DOI":"10.1590\/0102-311X00135917","article-title":"Estigma e resist\u00eancia entre travestis e mulheres transexuais em Salvador, Bahia, Brasil","volume":"34","author":"L Magno","year":"2018","journal-title":"Cad Saude Publica"},{"key":"ref18","volume-title":"Committee on Lesbian, Gay, Bisexual, and Transgender Health Issues and Research Gaps and Opportunities","author":"Institute of Medicine","year":"2011"},{"issue":"02","key":"ref19","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1007\/s10508-014-0386-z","article-title":"Population-based HIV prevalence and associated factors in male-to-female transsexuals from Southern Brazil","volume":"44","author":"A B Costa","year":"2015","journal-title":"Arch Sex Behav"},{"issue":"01","key":"ref20","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.1016\/j.amepre.2016.11.022","article-title":"Transgender use of cigarettes, cigars, and E-cigarettes in a national study","volume":"53","author":"F O Buchting","year":"2017","journal-title":"Am J Prev Med"},{"issue":"11","key":"ref21","doi-asserted-by":"publisher","first-page":"3869","DOI":"10.1210\/jc.2017-01658","article-title":"Endocrine treatment of gender-dysphoric\/gender-incongruent persons: an endocrine society clinical practice guideline","volume":"102","author":"W C Hembree","year":"2017","journal-title":"J Clin Endocrinol Metab"},{"issue":"03","key":"ref22","doi-asserted-by":"publisher","first-page":"e00008815","DOI":"10.1590\/0102-311X00008815","article-title":"Hazardous alcohol use among transwomen in a Brazilian city","volume":"33","author":"F Kerr-Corr\u00eaa","year":"2017","journal-title":"Cad Saude Publica"},{"issue":"06","key":"ref23","doi-asserted-by":"publisher","first-page":"729","DOI":"10.1016\/j.jadohealth.2017.06.024","article-title":"Transgender youth substance use disparities: results from a population-based sample","volume":"61","author":"J K Day","year":"2017","journal-title":"J Adolesc Health"},{"key":"ref24","volume-title":"Secretaria de Gest\u00e3o Estrat\u00e9gica e Participativa. Departamento de Apoio \u00e0 Gest\u00e3o Participativa. Pol\u00edtica nacional de sa\u00fade integral de l\u00e9sbicas, gays, bissexuais, travestis e transexuais","author":"Minist\u00e9rio da Sa\u00fade.","year":"2017"},{"issue":"06","key":"ref25","doi-asserted-by":"publisher","first-page":"1454","DOI":"10.1097\/AOG.0b013e31823ed1c1","article-title":"Committee Opinion no. 512: health care for transgender individuals","volume":"118","year":"2011","journal-title":"Obstet Gynecol"}],"container-title":["Revista Brasileira de Ginecologia e Obstetr\u00edcia \/ RBGO Gynecology and Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journalrbgo.org\/article\/characteristics-of-a-population-with-gender-incongruence-assisted-at-a-specialized-outpatient-service-in-the-city-of-ribeirao-preto\/","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0042-1742407.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,18]],"date-time":"2024-07-18T20:57:38Z","timestamp":1721336258000},"score":1,"resource":{"primary":{"URL":"https:\/\/journalrbgo.org\/article\/characteristics-of-a-population-with-gender-incongruence-assisted-at-a-specialized-outpatient-service-in-the-city-of-ribeirao-preto\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,9]]},"references-count":25,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2022,5,16]]},"published-print":{"date-parts":[[2022,3]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0042-1742407","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0100-7203","1806-9339"],"issn-type":[{"value":"0100-7203","type":"print"},{"value":"1806-9339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,9]]}}}