By: Jason Rafferty MD, MPH, EdM, FAAP
There are many ways parents can promote healthy gender development in children. It helps to understand gender identity and how it forms.
What’s the difference between gender and sex?
Being a boy or a girl, for most children, is something that feels very natural. At birth, babies are assigned male or female based on physical characteristics. This refers to the “sex” or “assigned gender” of the child. Meanwhile, “gender identity” refers to an internal sense people have of who they are that comes from an interaction of biological traits, developmental influences, and environmental conditions. This may be male, female, somewhere in between, a combination of both or neither.
Self-recognition of gender identity develops over time, much the same way a child’s physical body does. Most children’s asserted gender identity aligns with their assigned gender (sex). However, for some children, the match between their assigned gender and gender identity is not so clear.
How does gender identity develop in children?
Gender identity typically develops in stages:
- Around age two: Children become conscious of the physical differences between boys and girls.
- Before their third birthday: Most children can easily label themselves as either a boy or a girl.
- By age four: Most children have a stable sense of their gender identity.
During this same time of life, children learn gender role behavior—that is, doing “things that boys do” or “things that girls do.” However, cross-gender preferences and play are a normal part of gender development and exploration regardless of their future gender identity. See The Power of Play – How Fun and Games Help Children Thrive.
The point is that all children tend to develop a clearer view of themselves and their gender over time. At any point, research suggests that children who assert a gender-diverse identity know their gender as clearly and consistently as their developmentally matched peers and benefit from the same level of support, love, and social acceptance.
Last Updated 9/18/2018
Source American Academy of Pediatrics (Copyright © 2018)
The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.
