Disparities in behaviors and experiences among transgender and cisgender high school students - 18 U.S. states, 2021.

Autor: Suarez NA; Division of Adolescent and School Health, National Center for Chronic Disease Prevention and Health Promotion, CDC 4770 Buford Hwy NE, Atlanta, GA 30341, USA. Electronic address: NSuarez@cdc.gov., McKinnon II; Division of Adolescent and School Health, National Center for Chronic Disease Prevention and Health Promotion, CDC 4770 Buford Hwy NE, Atlanta, GA 30341, USA., Krause KH; Division of Adolescent and School Health, National Center for Chronic Disease Prevention and Health Promotion, CDC 4770 Buford Hwy NE, Atlanta, GA 30341, USA., Rasberry CN; Division of Adolescent and School Health, National Center for Chronic Disease Prevention and Health Promotion, CDC 4770 Buford Hwy NE, Atlanta, GA 30341, USA., Pampati S; Division of Adolescent and School Health, National Center for Chronic Disease Prevention and Health Promotion, CDC 4770 Buford Hwy NE, Atlanta, GA 30341, USA., Michael Underwood J; Division of Adolescent and School Health, National Center for Chronic Disease Prevention and Health Promotion, CDC 4770 Buford Hwy NE, Atlanta, GA 30341, USA.
Jazyk: angličtina
Zdroj: Annals of epidemiology [Ann Epidemiol] 2024 Jun; Vol. 94, pp. 113-119. Date of Electronic Publication: 2024 May 09.
DOI: 10.1016/j.annepidem.2024.05.004
Abstrakt: Purpose: Transgender youth (those whose gender identity differs from their sex assigned at birth) experience stigma and discrimination that can place them at increased risk for poor health outcomes compared with cisgender youth (those whose gender identity aligns with their sex assigned at birth). Limited population-based data exist on disparities among transgender and cisgender youth.
Methods: We examined differences in experiences of violence, substance use, mental health, suicide, sexual behavior, unstable housing, parental monitoring, and school connectedness among 98,174 transgender and cisgender high school students using data from 18 states that included an item to assess transgender identity on their 2021 Youth Risk Behavior Survey.
Results: Overall, 2.9% of students identified as transgender and 2.6% questioned whether they were transgender. Among transgender students, 71.5% reported that their mental health was not good, 32.3% had attempted suicide, and 29.0% experienced sexual violence. Transgender students were more likely than cisgender students to report experiences of violence, substance use, poor mental health, suicide risk, some sexual risk behaviors, and unstable housing, and were less likely to report feeling connected to others at school.
Conclusions: Interventions that can address the causes of these adverse outcomes and promote the health and wellbeing of transgender youths are warranted.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE