{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T17:10:51Z","timestamp":1778173851981,"version":"3.51.4"},"reference-count":20,"publisher":"American Academy of Pediatrics (AAP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>With this study, we aim to describe transgender and nonbinary adolescents and young adults\u2019 stated gender treatment goals at the time of initial presentation to medical care.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>This is a retrospective chart review of transgender and nonbinary patients aged 10 to 24 seeking specific gender-affirming health care. Charts were reviewed for specifically stated goals of future hormonal or surgical care for gender and analyzed by the experienced or asserted gender (man, woman, nonbinary, eclectic) of participants.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>In total, 176 patient encounters were reviewed. Of these, 71% were assigned female at birth. Most participants experienced a masculine gender (46.6%), identified as white (65.3%), and had private health insurance (73.3%). Most patients had a goal of initiating hormone therapy (97.4%) and eventual surgery (87.1%). Of those who had a surgical goal, most (87.5%) desired surgery of the chest or breast, and a minority (29.3%) desired eventual genital surgery. The second-largest gender group was patients who either declined to state an asserted gender or felt unable to describe their gender experience (eclectic, 23.3%), and this group\u2019s treatment goals did not mirror any other group\u2019s goals.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>At the time of initial presentation to medical care for gender-specific needs, many adolescents are capable of asserting specific treatment goals. Most do not desire genital surgery. A large minority of patients decline to state an asserted gender or feel unable to assert a specific gender, and this population appears distinct from more traditional genders in terms of treatment goals.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2023-062202","type":"journal-article","created":{"date-parts":[[2023,12,20]],"date-time":"2023-12-20T08:13:41Z","timestamp":1703060021000},"source":"Crossref","is-referenced-by-count":8,"title":["Treatment Goals of Adolescents and Young Adults for Gender Dysphoria"],"prefix":"10.1542","volume":"153","author":[{"given":"Rosemary Claire","family":"Roden","sequence":"first","affiliation":[{"name":"aDivision of Adolescent Medicine, Department of Pediatrics, Pennsylvania State Health Children\u2019s Hospital, Hershey, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marley","family":"Billman","sequence":"additional","affiliation":[{"name":"aDivision of Adolescent Medicine, Department of Pediatrics, Pennsylvania State Health Children\u2019s Hospital, Hershey, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelea","family":"Francesco","sequence":"additional","affiliation":[{"name":"bPennsylvania State University, Abington, Abington, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Mullin","sequence":"additional","affiliation":[{"name":"aDivision of Adolescent Medicine, Department of Pediatrics, Pennsylvania State Health Children\u2019s Hospital, Hershey, Pennsylvania"},{"name":"cMilton S. Hershey Medical Center, Hershey, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christelle","family":"Tassi","sequence":"additional","affiliation":[{"name":"dPennsylvania State University, Harrisburg, Middletown, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Boni","family":"Wozolek","sequence":"additional","affiliation":[{"name":"bPennsylvania State University, Abington, Abington, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandyn","family":"Heppard","sequence":"additional","affiliation":[{"name":"ePace University, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamal","family":"Essayli","sequence":"additional","affiliation":[{"name":"aDivision of Adolescent Medicine, Department of Pediatrics, Pennsylvania State Health Children\u2019s Hospital, Hershey, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Stuckey-Peyrot","sequence":"additional","affiliation":[{"name":"cMilton S. 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