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. 2019 Jan 25;68(3):67-71.
doi: 10.15585/mmwr.mm6803a3.

Transgender Identity and Experiences of Violence Victimization, Substance Use, Suicide Risk, and Sexual Risk Behaviors Among High School Students - 19 States and Large Urban School Districts, 2017

Michelle M Johns, Richard Lowry, Jack Andrzejewski, Lisa C Barrios, Zewditu Demissie, Timothy McManus, Catherine N Rasberry, Leah Robin, J Michael Underwood

Transgender Identity and Experiences of Violence Victimization, Substance Use, Suicide Risk, and Sexual Risk Behaviors Among High School Students - 19 States and Large Urban School Districts, 2017

Michelle M Johns et al. MMWR Morb Mortal Wkly Rep. .

Abstract

Transgender youths (those whose gender identity* does not align with their sex†) experience disparities in violence victimization, substance use, suicide risk, and sexual risk compared with their cisgender peers (those whose gender identity does align with their sex) (1-3). Yet few large-scale assessments of these disparities among high school students exist. The Youth Risk Behavior Survey (YRBS) is conducted biennially among local, state, and nationally representative samples of U.S. high school students in grades 9-12. In 2017, 10 states (Colorado, Delaware, Hawaii, Maine, Maryland, Massachusetts, Michigan, Rhode Island, Vermont, Wisconsin) and nine large urban school districts (Boston, Broward County, Cleveland, Detroit, District of Columbia, Los Angeles, New York City, San Diego, San Francisco) piloted a measure of transgender identity. Using pooled data from these 19 sites, the prevalence of transgender identity was assessed, and relationships between transgender identity and violence victimization, substance use, suicide risk, and sexual risk behaviors were evaluated using logistic regression. Compared with cisgender males and cisgender females, transgender students were more likely to report violence victimization, substance use, and suicide risk, and, although more likely to report some sexual risk behaviors, were also more likely to be tested for human immunodeficiency virus (HIV) infection. These findings indicate a need for intervention efforts to improve health outcomes among transgender youths.

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Conflict of interest statement

All authors have completed and submitted the ICMJE form for disclosure of potential conflicts of interest. No potential conflicts of interest were disclosed.

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References

    1. Reisner SL, Greytak EA, Parsons JT, Ybarra ML. Gender minority social stress in adolescence: disparities in adolescent bullying and substance use by gender identity. J Sex Res 2015;52:243–56. 10.1080/00224499.2014.886321 - DOI - PMC - PubMed
    1. Reisner SL, Vetters R, Leclerc M, et al. Mental health of transgender youth in care at an adolescent urban community health center: a matched retrospective cohort study. J Adolesc Health 2015;56:274–9. 10.1016/j.jadohealth.2014.10.264 - DOI - PMC - PubMed
    1. Stieglitz KA. Development, risk, and resilience of transgender youth. J Assoc Nurses AIDS Care 2010;21:192–206. 10.1016/j.jana.2009.08.004 - DOI - PubMed
    1. Dane County Youth Commission. Dane County youth assessment overview report. Madison, WI: Dane County Youth Commission; 2015. https://danecountyhumanservices.org/yth/dox/asmt_survey/2015/2015_exec_s...
    1. Almeida J, Johnson RM, Corliss HL, Molnar BE, Azrael D. Emotional distress among LGBT youth: the influence of perceived discrimination based on sexual orientation. J Youth Adolesc 2009;38:1001–14. 10.1007/s10964-009-9397-9 - DOI - PMC - PubMed

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