Résumés
Résumé
De plus en plus de recherches démontrent l’importance du soutien parental comme facteur de protection face aux risques de santé mentale pour les jeunes trans et de la diversité de genre (TDG). Ces études sont primordiales pour l’accompagnement et le bien-être de ces jeunes. Toutefois, la perspective des parents vivant hors des grandes métropoles reste peu connue et leur vécu demeure mal compris. Cette recherche, la première sur le sujet, explore ainsi les expériences, les défis et les points plus positifs rencontrés en tant que parents de jeunes TDG vivant en région. Nous avons interviewé 9 parents vivant hors d’un grand centre urbain, dans différentes régions du Québec, et réalisé une analyse thématique. Les résultats montrent un vécu globalement positif pour les parents, qui toutefois rencontrent de gros défis quant à l’accessibilité aux services de santé et sociaux pour leurs enfants. Des recommandations sont discutées afin d’améliorer l’expérience des jeunes TDG vivant en région ainsi que de leurs parents.
Mots-clés :
- soutien parental,
- transgenre,
- diversité de genre,
- milieu rural,
- enfants,
- adolescent.e.s
Abstract
There is growing evidence that strong parental support is an important protector factor for the mental health of transgender and gender diversity (TGD) youth. Studies about parental support are essential to insure greater well-being of TNB youth. However, most studies concentrate on parent living in large urban area and the perspective of parents living outside major cities are rare. This exploratory research is the first looking specifically at this topic. It aims at understanding the experiences, challenges and opportunities of parents of TGD living outside large urban areas. We interviewed 9 parents living in different regions of Québec and completed thematic analysis. The results suggest a global positive experience for these parents, but they nevertheless experience challenges with access to health and social services for their youth. We propose recommendations to improve the experience of youth TDG and their parent living in region.
Keywords:
- parental support,
- transgender,
- gender diversity,
- rural area,
- children,
- adolescents
Parties annexes
Bibliographie
- Abreu, R. L., Rosenkrantz, D. E., Ryser-Oatman, J. T., Rostosky, S. S., et Riggle, E. D. B. (2019). « Parental reactions to transgender and gender diverse children: A literature review », Journal of GLBT Family Studies, vol. 15, no 5, p. 461‑485.
- Alegría, C. A. (2018). « Supporting families of transgender children/youth: Parents speak on their experiences, identity, and views », International Journal of Transgenderism, vol. 19, no 2, p. 132‑143.
- Aparicio-García, M. E., Díaz-Ramiro, E. M., Rubio-Valdehita, S., López-Núñez, M. I., et García-Nieto, I. (2018). « Health and well-being of cisgender, transgender and non-binary young people », International Journal of Environmental Research and Public Health, vol. 15, no 10, p. 1-11.
- Bauer, G. R., Pacaud, D., Couch, R., Metzger, D. L., Gale, L., Gotovac, S., Mokashi, A., Feder, S., Raiche, J., Speechley, K. N., Newhook, J. T., Ghosh, S., Sansfaçon, A. P., Susset, F., et Lawson, M. L. (2021). « Transgender youth referred to clinics for gender-affirming medical care in Canada », Pediatrics, e2020047266.
- Braun, V., et Clarke, V. (2019). « Reflecting on reflexive thematic analysis », Qualitative Research in Sport, Exercise and Health, vol. 11, no 4, p. 589‑597.
- Caldarera, A. M., Davidson, S., Vitiello, B., et Baietto, C. (2021). « A psychological support group for parents in the care of families with gender diverse children and adolescents », Clinical Child Psychology and Psychiatry, vol. 26, no 1, p. 64‑78.
- Clark, B. A., Veale, J. F., Townsend, M., Frohard-Dourlent, H., et Saewyc, E. (2018). « Non-binary youth: Access to gender-affirming primary health care », International Journal of Transgenderism, vol. 19, no 2, p. 158‑169.
- Coolhart, D., Ritenour, K., et Grodzinski, A. (2018). « Experiences of ambiguous loss for parents of transgender male youth: A phenomenological exploration », Contemporary Family Therapy, vol. 40, no 1, p. 28‑41.
- Davey, A., Bouman, W. P., Arcelus, J., et Meyer, C. (2014). « Social support and psychological well-being in gender dysphoria: A comparison of patients with matched controls », The Journal of Sexual Medicine, vol. 11, no 12, p. 1-10.
- Dunn, K. M., Jordan, K., Lacey, R. J., Shapley, M., et Jinks, C. (2004). « Patterns of consent in epidemiologic research: Evidence from over 25,000 responders », American Journal of Epidemiology, vol. 159, no 11, p. 1087‑1094.
- Glenn, C. (2017). « Au temps de l’homonationalisme : mythologie nationaliste et inclusivité LGBT / In Homonational Times: Nationalist Mythology and LGBT Inclusivity », Esse arts + opinions, no 91, p. 8‑15.
- Gridley, S. J., Crouch, J. M., Evans, Y., Eng, W., Antoon, E., Lyapustina, M., Schimmel-Bristow, A., Woodward, J., Dundon, K., Schaff, R., McCarty, C., Ahrens, K., et Breland, D. J. (2016). « Youth and caregiver perspectives on barriers to gender-affirming health care for transgender youth », Journal of Adolescent Health, vol. 59, no 3, p. 254‑261.
- Halberstam, J (2005) In a Queer Time and Space: Transgender Bodies, Subcultural Lives. New York: New York University Press.
- Hidalgo, M. A., et Chen, D. (2019). « Experiences of gender minority stress in cisgender parents of transgender/gender-expansive prepubertal children: A qualitative study », Journal of Family Issues, vol. 40, no 7, p. 865‑886.
- Horvath, K. J., Iantaffi, A., Swinburne-Romine, R., et Bockting, W. (2014). « A comparison of mental health, substance use, and sexual risk behaviors between rural and non-rural transgender persons », Journal of Homosexuality, vol. 61, no 8, p. 1117‑1130.
- Ishii, Y. (2018). « Rebuilding relationships in a transgender family: The stories of parents of Japanese transgender children », Journal of GLBT Family Studies, vol. 14, no 3, p. 213‑237.
- Kaplan, S. C., Butler, R. M., Devlin, E. A., Testa, R. J., Horenstein, A., Swee, M. B., et Heimberg, R. G. (2019). « Rural living environment predicts social anxiety in transgender and gender nonconforming individuals across Canada and the United States », Journal of Anxiety Disorders, vol. 66, 102116.
- Katz-Wise, S. L., Ehrensaft, D., Vetters, R., Forcier, M., et Austin, S. B. (2018). « Family functioning and mental health of transgender and gender-nonconforming youth in the trans teen and family narratives project », The Journal of Sex Research, vol. 55, no 4‑5, p. 582‑590.
- Knutson, D., Koch, J. M., Arthur, T., Mitchell, T. A., et Martyr, M. A. (2016). « “Trans broken arm”: Health care stories from transgender people in rural areas », Journal of Research on Women and Gender, vol. 7, nº 1, p. 30-46.
- Lawlis, S. M., Donkin, H. R., Bates, J. R., Britto, M. T., et Conard, L. A. E. (2017). « Health concerns of transgender and gender nonconforming youth and their parents upon presentation to a transgender clinic », Journal of Adolescent Health, vol. 61, no 5, p. 642‑648.
- Malpas, J., Glaeser, E., et Giammattei, S. V. (2018). « Building resilience in transgender and gender expansive children, families, and communities: A multidimentional family approach », dans C. Keo-Meier et D. Ehrensaft, The Gender Affirmative Model: An Interdisciplinary Approach to Supporting Transgender and Gender Expansive Children, Washington, D. C., American Psychological Association.
- Marple, L. (2007). « Rural queers? The loss of the rural in queer », Resources for Feminist Research, vol. 24, no 2‑3, p. 71‑74.
- Meyer, I. H. (2003). « Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence », Psychological Bulletin, vol. 129, no 5, p. 674‑697.
- Nadeau, R. (2019). Une absente à Rimouski ; suivi de Écriture trans de région et métronormativité, mémoire de maîtrise (Études littéraires), Université du Québec à Montréal, Montréal, 152 p.
- O’Bryan, J., Scribani, M., Leon, K., Tallman, N., Wolf-Gould, C., Wolf-Gould, C., et Gadomski, A. (2020). « Health-related quality of life among transgender and gender expansive youth at a rural gender wellness clinic », Quality of Life Research, vol. 29, no 6, p. 1597‑1607.
- Olson, K. R., Durwood, L., DeMeules, M., et McLaughlin, K. A. (2016). « Mental health of transgender children who are supported in their identities », Pediatrics, vol. 137, no 3, e20153223.
- Owen-Smith, A. A., Gerth, J., Sineath, R. C., Barzilay, J., Becerra-Culqui, T. A., Getahun, D., Giammattei, S., Hunkeler, E., Lash, T. L., Millman, A., Nash, R., Quinn, V. P., Robinson, B., Roblin, D., Sanchez, T., Silverberg, M. J., Tangpricha, V., Valentine, C., Winter, S., et Goodman, M. (2018). « Association between gender confirmation treatments and perceived gender congruence, body image satisfaction, and mental health in a cohort of transgender individuals », The Journal of Sexual Medicine, vol. 15, no 4, p. 591‑600.
- Puckett, J., Cleary, P., Rossman, K., Mustanski, B., et Newcomb, M. (2018). « Barriers to gender-affirming care for transgender and gender nonconforming individuals », Sexuality Research and Social Policy, vol. 15, no 1, p. 48-59.
- Pullen Sansfaçon, A., (2015). « Parentalité et jeunes transgenres : un survol des enjeux vécus et des interventions à privilégier pour le développement de pratiques transaffirmatives », Santé mentale au Québec, vol. 40, no 3, p. 93‑107.
- Pullen Sansfaçon, A., Kirichenko, V., Holmes, C., Feder, S., Lawson, M. L., Ghosh, S., Ducharme, J., Newhook, J. T., et Suerich-Gulick, F. (2019). « Parents’ journeys to acceptance and support of gender-diverse and trans children and youth », Journal of Family Issues, vol. 41, no 1, p. 1214-1236.
- Pullen Sansfaçon, A., Gelly, M. A., Faddoul, M., et Lee, E. O. J. (2020). « Soutien et non soutien parental des jeunes trans : vers une compréhension nuancée des formes de soutien et des attentes des jeunes trans », Enfances Familles Générations. Revue interdisciplinaire sur la famille contemporaine, no 36.
- Pullen Sansfaçon, A., Pineault, D., Davis, J., Dyer, J., Julie, J., Manning, K. E., Temple-Newhook, J., et Pickett, S. (2021). « Applying self-directed groupwork and social action research methodology with francophone parents of trans children and youth in rural Quebec », Groupwork, vol. 30, no 1, p. 114-133.
- Riggs, D. W., et Bartholomaeus, C. (2018). « Cisgenderism and certitude: Parents of transgender children negotiating educational contexts », TSQ: Transgender Studies Quarterly, vol. 5, no 1, p. 67‑82.
- Scandurra, C., Vitelli, R., Maldonato, N. M., Valerio, P., et Bochicchio, V. (2019). « Une étude qualitative sur le stress minoritaire ressenti par les personnes transgenres et de genre non conforme en Italie », Sexologies, vol. 28, no 3, p. 142‑146.
- Shute, T. (2018). « The health needs and experiences of trans residents in small and rural areas », Diversity of Research in Health Journal, vol. 2, p. 157‑164.
- Simons, L., Schrager, S. M., Clark, L. F., Belzer, M., et Olson, J. (2013). « Parental support and mental health among transgender adolescents », Journal of Adolescent Health, vol. 53, no 6, p. 791‑793.
- Slauson-Blevins, K., et Johnson, K. M. (2010). « Doing gender, doing surveys? Women’s gatekeeping and men’s non-participation in multi-actor reproductive surveys », Sociological Inquiry, vol. 86, no 3, p. 427‑449.
- Taliaferro, L. A., McMorris, B. J., et Eisenberg, M. E. (2018). « Connections that moderate risk of non-suicidal self-injury among transgender and gender non-conforming youth », Psychiatry Research, vol. 268, p. 65‑67.
- Taylor, A. B., Chan, A., Pullen Sansfacon, A., Saewyc, E., et l’équipe de recherche de l’Enquête canadienne sur la santé des jeunes trans. (2020). Être en sécurité, être soi-même 2019. Résultats de l’Enquête canadienne sur la santé des jeunes trans, Vancouver, C.-B., Stigma and Resilience Among Vulnerable Youth Centre (SARAVYC). [https://www.saravyc.ubc.ca/2020/03/31/etre-en-securite-etre-soi-meme-2019/]
- Travers, R., Bauer, G., Pyne, J., et Bradley, K. (2012). Impacts of Strong Parental Support for Trans Youth: A Report Prepared for Children’s Aid Society of Toronto and Delisle Youth Services, London, Ont., Trans PULSE. [http://transpulseproject.ca/research/impacts-of-strong-parental-support-for-trans-youth/]
- Warren, J. C., Smalley, K. B., et Barefoot, K. N. (2016). « Rural/urban differences in health risk behaviors among gender and sexual minorities », Health Behavior and Policy Review, vol. 3, no 1, p. 43‑53.
- White Hughto, J. M., Reisner, S. L., et Pachankis, J. E. (2015). « Transgender stigma and health: A critical review of stigma determinants, mechanisms, and interventions », Social Science & Medicine, vol. 147, p. 222‑231.
- Wilson, E. C., Chen, Y.-H., Arayasirikul, S., Raymond, H. F., et McFarland, W. (2016). « The impact of discrimination on the mental health of trans*female youth and the protective effect of parental support », AIDS and Behavior, vol. 20, no 10, p. 2203‑2211.