期刊
JOURNAL OF FAMILY NURSING
卷 23, 期 4, 页码 516-533出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/1074840717735499
关键词
nontypical genitalia; congenital adrenal hyperplasia; family management
资金
- National Institute of Nursing Research [5T32NR007091-18]
- American Nurses Foundation/Southern Nursing Research Society (ANF) Research Grant
- CARES Foundation Research Grant
Children with congenital adrenal hyperplasia (CAH) are exposed to high levels of testosterone in utero often resulting in nontypical genitalia at birth for girls. The purpose of this analysis, which draws on data from a larger study, was to examine, based on the gender of the child, the family experiences of having a child with CAH. Sixteen parents were interviewed, and comparisons were made across all categories coded in the parents' interviews to examine similarities and differences in the experiences of families based on the child's gender. Families having a daughter with CAH experienced additional challenges when compared with families having a son. These include fear of stigmatization, challenging surgical decisions, and concerns regarding disclosure of the condition. Acknowledging this and creating support programs tailored for girls that address surgical procedures and complications resulting from being born with elevated testosterone are critical to promoting a healthy family and child response.
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