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      Gender Identity 5 Years After Social Transition

      1 , 2 , 1 , 1 , 3
      Pediatrics
      American Academy of Pediatrics (AAP)

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          Abstract

          BACKGROUND AND OBJECTIVES

          Concerns about early childhood social transitions amongst transgender youth include that these youth may later change their gender identification (i.e., retransition), a process that could be distressing. The present study aimed to provide the first estimate of retransitioning and to report the current gender identities of youth an average of 5 years after their initial social transitions.

          METHODS

          The present study examined the rate of retransition and current gender identities of 317 initially-transgender youth (208 transgender girls, 109 transgender boys; M=8.1 years at start of study) participating in a longitudinal study, the Trans Youth Project. Data were reported by youth and their parents through in-person or online visits or via email or phone correspondence.

          RESULTS

          We found that an average of 5 years after their initial social transition, 7.3% of youth had retransitioned at least once. At the end of this period, most youth identified as binary transgender youth (94%), including 1.3% who retransitioned to another identity before returning to their binary transgender identity. 2.5% of youth identified as cisgender and 3.5% as nonbinary. Later cisgender identities were more common amongst youth whose initial social transition occurred before age 6 years; the retransition often occurred before age 10.

          CONCLUSIONS

          These results suggest that retransitions are infrequent. More commonly, transgender youth who socially transitioned at early ages continued to identify that way. Nonetheless, understanding retransitions is crucial for clinicians and families to help make them as smooth as possible for youth.

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          Author and article information

          Journal
          Pediatrics
          American Academy of Pediatrics (AAP)
          0031-4005
          1098-4275
          May 04 2022
          May 04 2022
          Affiliations
          [1 ]Princeton University
          [2 ]University of Washington
          [3 ]University of Victoria
          Article
          10.1542/peds.2021-056082
          35505568
          a6275d3c-bcfe-4526-81eb-0c5284804a7c
          © 2022
          History

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