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. 2015;16(2):103-115.
doi: 10.1080/15532739.2015.1075930.

Gender Affirmation and Body Modification Among Transgender Persons in Bogotá, Colombia

Rodrigo A Aguayo-Romero  1 , Carol A Reisen  1 , Maria Cecilia Zea  1 , Fernanda T Bianchi  1 , Paul J Poppen  1
Affiliations

Gender Affirmation and Body Modification Among Transgender Persons in Bogotá, Colombia

Rodrigo A Aguayo-Romero et al. Int J Transgend. 2015.

Abstract

This paper examined structural, social, and personal characteristics that shape the processes of gender affirmation and body modification among transgender persons (assigned male at birth) in Bogotá, Colombia. Qualitative data from life-history interviews (N=14) and a focus group (N=11) explored research questions concerning the ways in which the internal psychological and external contextual processes influence individuals' decisions and behaviors concerning hormonal treatment, injections, or surgery. Research questions concerning practices and consequences of treatment performed without medical supervision were addressed through qualitative data, as well as quantitative data from 58 transgender participants. Findings indicated variation in ways participants conceptualized gender (e.g., binary or fluid), but an increased feminine presentation was a strong personal desire expressed by many and often encouraged by romantic partners and transgender friends. Transgender individuals within participants' social networks were frequently instrumental not only in providing information about hormones and contouring injections, but also in carrying out procedures-sometimes with negative consequences. Body modification procedures occurred primarily outside the health care system, due to limited access to or awareness of medical care, societal stigma, social norms within the transgender community, and personal decision-making. Public health approaches to protect the health of transgender persons undergoing body modification were suggested.

Keywords: Colombia; Gender affirmation; body modification; gender non-conforming; transgender.

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References

    1. Abadia CE, Oviedo DG. Bureaucratic itineraries in Colombia. A theoretical and methodological tool to assess managed-care health care systems. Social Science & Medicine. 2009;68(6):1153–60. doi: 10.1016/j.socscimed.2008.12.049. - DOI - PubMed
    1. Bem SL. Dismantling gender polarization and compulsory heterosexuality: Should we turn the volume down or up? The Journal of Sex Research. 1995;32(4):329–334.
    1. Bianchi FT, Reisen Ca, Zea MC, Vidal-Ortiz S, Gonzales Fa, Betancourt F, Poppen PJ. Sex work among men who have sex with men and transgender women in Bogotá. Archives of Sexual Behavior. 2014;43:1637–1650. doi: 10.1007/s10508-014-0260-z. - DOI - PMC - PubMed
    1. Bockting WO. Psychotherapy and the real-life experience: From gender dichotomy to gender diversity. Sexologies : European Journal of Sexology. 2008;17(4):211–224.
    1. Bockting WO. The impact of stigma on transgender identity development and mental health. In: Kreukels BPC, Steensma TD, de Vries ALC, editors. Gender dysphoria and disorders of sex development Progress in care and knowledge. US: Springer; 2014. pp. 319–330.

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