Time to First Onset of Chest Binding–Related Symptoms in Transgender Youth
نویسندگان
چکیده
BACKGROUND AND OBJECTIVES: Most transgender individuals assigned female at birth use chest binding (ie, wearing a tight garment to flatten tissue for the purpose of gender expression), often beginning in adolescence, explore their identity. Although is critical mental health, negative physical side effects, ranging from chronic pain rib fractures, are common. Time first onset symptoms unknown. METHODS: A community-engaged, online, cross-sectional survey (“The Binding Health Project”) enrolled 1800 or intersex who had ever used binding. Lifetime prevalence 27 pain, musculoskeletal, neurologic, gastrointestinal, generalized, respiratory, and skin soft related was assessed. Nonparametric likelihood estimation methods were estimate survival curves. RESULTS: More than one-half (56%) participants begun by age 21, 30% 18. In 18 symptoms, majority people go on experience event will do so within binding-year, but several skin-related rare serious outcomes (eg, fracture) took longer occur. Pain presents rapidly continues rise intensity over time, peaking >5 years CONCLUSIONS: many emerge quickly, others can take develop. Individuals clinicians this information make informed decisions how structure practices top surgery timing while meeting goals expression health. Access puberty blockers may delay initiation binding, preventing binding-related youth.
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ژورنال
عنوان ژورنال: Pediatrics
سال: 2021
ISSN: ['1098-4275', '0031-4005']
DOI: https://doi.org/10.1542/peds.2020-0728