Medical costs related to gender disagreement of children, youth and young people in Germany: Analysis of prevalence using legal health insurance data

Thompson, L., Sarovic, D., Wilson, P., Sämfjord, A., Gillberg, C.: Prism Systematic Review of Youth Sexual Anxiety Literature: 1) Mechanics. Plos glob public. health. 2(3), E0000245 (2022). https://doi.org/10.1371/journal.pgph.0000245

Åhs, jw, dhejne, C., Magnusson, C., Dal, H., Lundin, A., Arver, S., S., Dalman, C., Kosidou, K.: The ratio of adults in the general population of Stockholm County. Plos one. 13(10), E0204606 (2018). https://doi.org/10.1371/journal.pone.0204606

article
Cass
PubMed
PUBMED CENTRAL

Thompson, L., Sarovic, D., Wilson, P., Sämfjord, A., Gillberg, C.: Prism Systematic Review of Youth Sexual Anxiety Literature: 2) Mental Health. Plos glob public. health. 2(5), E0000426 (2022). https://doi.org/10.1371/journal.pgph.0000426

De freeitas, LD, Léda-Rêo, G., Bezerra-Filho, S., Miranda-Scippa, â. : Personal mental disorders diagnosed with gender discomfort: systematic review. Cleared mind. NEUROSCI. 74(2), 99–104 (2020). https://doi.org/10.111/pcn.12947

Marconi, E., Monti, L., Marfoli, A., Kotzalidis, GD, Janiri, D., Manfriglia, C., Moriconi, F., Costa, S., Veredice, C., Sani, G., DPR: Systematic review of adults and youth: Suical and Suppialing and Suppialing and Suppialing. children. Adolesc. Psychiatric health. 17(1), 110 (2023). https://doi.org/10.1186/s13034-023-00654-3

article
PubMed
PUBMED CENTRAL

BRECHT, A., BOS, S., Ries, L., Hübner, K., Widenka, P.-M., Winter, SM, Calvano, C.: Body complaints and gender discomfort analysis in the context of minority stress among transgender teenagers. Children Adolesc. Psychiatric mental health. 18(1), 30 (2024). https://doi.org/10.1186/s13034-024-00718-Y

article

Google Academic Search

Becker, I., Auer, M., Barkmann, C., Fuss, J., Möller, B., Nieder, to, Fahrenkrug, S., Hildebrandt, T., Richter-Applet, H.: Adults with transfer and medical medical medical care transferred and medical medical care. A cross -sectional multi -interval study of adult multidimensional body image. arch. sex. action. 47(8), 2335–2347 (2018). https://doi.org/10.1007/S10508-018-1278-4

article
PubMed

Hendricks, ML, Testa, RJ: Conceptual Framework for Clinical Work with Transgender and Gender Non -Non -Combined Customers: Adaptation of Minority Stress Models. Psychology Professor: Res. practice. 43(5), 460–467 (2012). https://doi.org/10.1037/A0029597

Kallitsounaki, A., Williams, DM: Autism spectrum disorder and gender discomfort/inconsistency. Systematic literature review and meta analysis. J. Autistic Developer. obstacle. 53(8), 3103–3117 (2023). https://doi.org/10.1007/S10803-022-05517-Y

article
PubMed

Turner, D., Briken, P., Nieder, To: Gender Sync Gruenz, Gender Dominated and Trans Health. Psych up2date. 14(04), 347–363 (2020). https://doi.org/10.1055/A-0973-2535

Taylor, J., Hall, R., Heathcote, C., Hewitt, Ce, Langton, T., Fraser, L. arch. Disc child. (2024). https://doi.org/10.1136/archdischild-2023-326499

Block, J.: Gender disorder of young people is increasing and the same is true for professional inconsistency. Bmj. 380382 (2023). https://doi.org/10.1136/bmj.p382

Children and Youth Psychiatry, Psychological Planning and Psychological Therapy (DGKJP): S2K Guidelines for Children and Adolescents Sasis Mismatch and Sex Diagnosis and Treatment (S2K-Guideline Gender Mismatch and Children’s Gastric Gourmet: Diagnosis of Children and Adolescents: Diagnostic). AWMF registration agency. 028-014. Version 1.0. (2025). https://register.awmf.org/de/leitlinien/detail/028-014

Swiss National Advisory Committee on biological ethics: Treatment of minors with sexual gourmets -ethical and legal considerations (the treatment of minors with gender discomfort -ethical and legal consideration). Review number 43/2024. Bern (2024). https://www.nek-cne.admin.ch/inhalte/themen/stellungnahmen/de/NEK-cne_stellungnahme_geschlechtsphorie_de.pdf

Doyle, DM, Lewis, Tog, Barreto, M.: Systematic review of psychosocial function changes after hormonal treatment of gender among transgender people. Nat. Hum. action. 7(8), 1320–1331 (2023). https://doi.org/10.1038/s41562-023-01605-w

GUPTA, P., CUNHA, LM, DIEGO, D., TangPricha, V.: Continuous Hormon Therapy to Check Gender in Transgender and Gender A variety of individuals: systematic review. environment. practice. (2024). https://doi.org/10.1016/j.eprac.2024.09.007

Swan, J., Phillips, TM, Sanders, T., Mullens, Ab, Debattista, J., Brömdal, A. J. Gay Lesbian Mental Health. 27(1), 2–45 (2023). https://doi.org/10.1080/19359705.2021.2016537

Shelemy, L., Cotton, S., Crane, C., Knight, M.: Systematic review of preliminary adult mental health results after positive arbitration of gender discomfort. int. J. Transgender Health. 1–21 (2024). https://doi.org/10.1080/26895269.2024.2333525

Thompson, L., Sarovic, D., Wilson, P., Irwin, L., Visnitchi, D., Sämfjord, A., Gillberg, C.: Prism systematic review of youth disability literature: 3) Treatment. Plos glob public. health. 3(8), e0001478 (2023). https://doi.org/10.1371/journal.pgph.0001478

Ravindranath, O., Perica, Mi, PARR, AC, Ojha, A., MCKEON, SD, Montano, G., ULLENDORFF, N. Dev. cognation. NEUROSCI. 67101351 (2024). https://doi.org/10.1016/j.dcn.2024.101351

GIORDANO, S., Garland, F., HOLM, S.: Adolescent Gender Dominations: Can adolescents or parents make a valid agreement on puberty blockers? J. Med. ethics. (2021). https://doi.org/10.1136/Medethics-2020-106999

Health insurance companies and GVK-SpitzenverBand’s Supreme Association’s Medical Service: Evaluation Guidelines § 282 SGB V’s Guidelines for GKV Top Association (ICD-10. In: F64.0). MDS, ESSEN (2020)

Medical Service of the Supreme Association: Health Insurance Federation and GVK-Spitzenverband MDS, ESSEN (2009)

Nieder, to, Strauß, B.: (S3 -guideline, sexual inadequate, sex discomfort and transition -background, method and major recommendations S3 -guideline on diagnosis, counseling and treatment). Z. Sex. Posh. 32(02), 70–79 (2019). https://doi.org/10.1055/A-0895-8176

Baker, K., Restar, A.: Utilization and cost of gender suspension in commercially insured transgender population. J. Law Med. ethics. 50(3), 456–470 (2022). https://doi.org/10.1017/jme.2022.87

Chu, J., NAGPAL, M., Dobberfuhl, AD: The use and cost of the US gender conversion surgery from 2012-2019. Anne. Surgery (2024). https://doi.org/10.1097/sla.00000000006296

Grocchtdrreis, T., Konnopka, A., Renner, J., König, H.-H., Dekker, A., Briken, P., Nieder, T., DAMS, J. Compared to the Gender Indecruence and Gender Disphooria, excess costs of transgender and gender double sporia: Secondly compared to randomly: Randomized: BMJ open. 15(4), (2025). https://doi.org/10.1136/bmjopen-2024-089663

Horenkamp-SUNDAY, D., Linder, R., Wenzel, F., Gerte, B., IHLE, P.: Data quality and effectiveness of GKV routine data. In: Swart, E., IHLE, P., GOTHE, H., MATUSIEWICZ, D. (Eds.) Daily data auxiliary data analysis of medical system handbook: Basic, method and perspective, pp. 314–330. Huber, Bern (2014)

OECD: Inflation (CPI) (indicator): (2022). https://doi.org/10.1787/ee82e6e-en

Hainmueller, J.: Entrophy balancing for causal effect: Multi -quantity re -adjustment method that produces a balanced sample in observation studies. Political anal. 20(1), 25–46 (2012)

Mason, A., Crowe, E., Haragan, B., Smith, S., Kyriakou, A.: Gender discomfort for young people: Model of chronic stress. Hormonal resolution. pediatrics 96(1), 54–65 (2023). https://doi.org/10.1159/000520361

article
Cass

Google Academic Search

CONNOLLY, D., GILCHRIST, G.: Correlation with the prevalence of material use among transgender adults: systematic review. Addict. action. 111106544 (2020). https://doi.org/10.1016/j.addbeh.2020.106544

Padula, WV, HERU, S., CAMPBELL, JD: Social impacts on the scope of health insurance coverage for medical services in the US transgender population: cost efficiency analysis. J. Gen. intern. Med. 31(4), 394–401 (2016). https://doi.org/10.1007/s11606-015-3529-6

article
PubMed