<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1135-5727</journal-id>
<journal-title><![CDATA[Revista Española de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Esp. Salud Publica]]></abbrev-journal-title>
<issn>1135-5727</issn>
<publisher>
<publisher-name><![CDATA[Ministerio de Sanidad]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1135-57272018000100220</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Atención sanitaria a adolescentes con disforia de género]]></article-title>
<article-title xml:lang="en"><![CDATA[Health care for adolescents with gender dysphoria]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerra]]></surname>
<given-names><![CDATA[Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martín]]></surname>
<given-names><![CDATA[Eloya]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[Noelia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez-Diz]]></surname>
<given-names><![CDATA[Jose Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidad de Tratamiento de Identidad de Género del Principado de Asturias (UTIGPA)  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario San Agustín de Avilés Centro de Salud Mental I "La Magdalena" Área sanitaria III ]]></institution>
<addr-line><![CDATA[ Asturias]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario San Agustín de Avilés Área sanitaria III ]]></institution>
<addr-line><![CDATA[ Asturias]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Eloya MS Psicología  ]]></institution>
<addr-line><![CDATA[ Asturias]]></addr-line>
<country>España</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Nacional de Educación a Distancia  ]]></institution>
<addr-line><![CDATA[ Asturias]]></addr-line>
<country>España</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Hospital Universitario San Agustín de Avilés Servicio de endocrinología ]]></institution>
<addr-line><![CDATA[ Asturias]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<volume>92</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1135-57272018000100220&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1135-57272018000100220&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1135-57272018000100220&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamentos. El tratamiento de la disforia de género (DG) en adolescentes es reciente. Son reducidos los estudios de adolescentes que han recibido tratamiento con análogos. Para garantizar la calidad asistencial y la seguridad del menor es necesario realizar estudios de seguimiento. El objetivo de la presente investigación fue describir las características del proceso de atención médica y psicológica en adolescentes con DG en la Unidad de Tratamiento de Identidad de Género del Principado de Asturias.  Métodos. La muestra se compuso de 20 menores de edad que solicitaron consulta en la UTIGPA desde su apertura en 2007 hasta 2015. Se revisaron de forma retrospectiva las historias clínicas para recoger las variables. Se llevaron a cabo análisis de estadísticos descriptivos.  Resultados. El 10% de los adolescentes abandonó en el proceso de acompañamiento psicológico, el 80% empezó a ser valorado por endocrinología y el 10% continuaba exclusivamente en consultas psicológicas. De los tratados médicamente, el 13,3% fue tratado con análogos y el 86,7% recibió directamente tratamiento hormonal cruzado (THC). Los efectos secundarios más prevalentes fueron los problemas dermatológicos (40%), seguidos de mastodinia sin galactorrea (26,7%) y sofocos (20%). El 20% realizó cirugías de confirmación de género.  Conclusiones. El perfil del adolescente tratado en la unidad de Asturias es un sujeto que comienza tratamiento hormonal tras acompañamiento psicológico y evaluación endocrinológica. Presenta efectos adversos tras el tratamiento. Una vez instaurado el tratamiento hormonal no abandona el proceso.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background. Dysphoria gender treatment in adolescents is recent. Studies of adolescents treated with analogs are reduced. To ensure the quality of care and safety of the child, follow-up studies are necessary. The aim of the present research was to describe the characteristics of the process of medical and psychological attention in adolescents with the DG in the Gender Identity Treatment Unit of Asturias in the period 2007-2015.  Methods. The sample included 20 minors. The clinical history was made to collect the variables. It was made descriptive analysis.  Results. 10% of adolescents abandoned in the process of psychological counseling, 80% began to be valued by endocrinology and 10% continued exclusively in psychological consultations. Of the medical treated adolescents, 13.3% were treated with analogues and 86.7% received cross-hormonal treatment (THC) directly. The most prevalent secondary effects were dermatological problems (40%), followed by mastodynia without galactorrhea (26.7%) and hot flashes (20%). 20% performed gender confirmation surgeries.  Conclusions. The profile of the adolescent treated in the unit of Asturias is a subject that begins hormonal treatment after psychological accompaniment and endocrinological evaluation. The minor has adverse effects after treatment. Once the hormonal treatment has been established, they do not abandon the process.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Disforia de género]]></kwd>
<kwd lng="es"><![CDATA[Personas transgénero]]></kwd>
<kwd lng="es"><![CDATA[Necesidades y demandas de servicios de Salud]]></kwd>
<kwd lng="es"><![CDATA[Servicios de salud para las personas transgénero]]></kwd>
<kwd lng="es"><![CDATA[Hormona Liberadora de Gonadotropina]]></kwd>
<kwd lng="es"><![CDATA[Calidad de vida]]></kwd>
<kwd lng="es"><![CDATA[Adolescencia]]></kwd>
<kwd lng="en"><![CDATA[Gender dysphoria]]></kwd>
<kwd lng="en"><![CDATA[Transgender persons]]></kwd>
<kwd lng="en"><![CDATA[Health Services Needs and Demand]]></kwd>
<kwd lng="en"><![CDATA[Health Services for Transgender Persons]]></kwd>
<kwd lng="en"><![CDATA[Gonadotropin-Releasing Hormone]]></kwd>
<kwd lng="en"><![CDATA[Quality of Life]]></kwd>
<kwd lng="en"><![CDATA[Adolescence]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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