The Health and Well-Being of Transgender High School Students: Results From the New Zealand Adolescent Health Survey (Youth'12)

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• 作者：Terryann C. Clark ; Ph.D. ; M.P.H. ; N.Z.R.N.^a ; ^{t.clark@auckland.ac.nz" class="auth_mail} ; Mathijs F.G. Lucassen ; Ph.D. ; N.Z.R.O.T.^b ; Pat Bullen ; Ph.D.^c ; Simon J. Denny ; Ph.D. ; F.R.A.C.P.^d ; Theresa M. Fleming ; Ph.D.^b ; ^d ; Elizabeth M. Robinson ; M.Sc.^e ; Fiona V. Rossen ; Ph.D.^f
• 关键词：Transgender ; Sexuality ; Adolescent ; Health ; Well-Being
• 刊名：Journal of Adolescent Health
• 出版年：July 2014
• 年：2014
• 卷：55
• 期：1
• 页码：93-99
• 全文大小：380 K

文摘

To report the prevalence of students according to four gender groups (i.e., those who reported being non-transgender, transgender, or not sure about their gender, and those who did not understand the transgender question), and to describe their health and well-being.

d="absSec_2">Methods

d="abspara0015">Logistic regressions were used to examine the associations between gender groups and selected outcomes in a nationally representative high school health and well-being survey, undertaken in 2012.

d="absSec_3">Results

d="abspara0020">Of the students (n = 8,166), 94.7% reported being non-transgender, 1.2% reported being transgender, 2.5% reported being not sure about their gender, and 1.7% did not understand the question. Students who reported being transgender or not sure about their gender or did not understand the question had compromised health and well-being relative to their non-transgender peers; in particular, for transgender students perceiving that a parent cared about them (odds ratio [OR], .3; 95% confidence interval [CI], .2–.4), depressive symptoms (OR, 5.7; 95% CI, 3.6–9.2), suicide attempts (OR, 5.0; 95% CI, 2.9–8.8), and school bullying (OR, 4.5; 95% CI, 2.4–8.2).

d="absSec_4">Conclusions

d="abspara0025">This is the first nationally representative survey to report the health and well-being of students who report being transgender. We found that transgender students and those reporting not being sure are a numerically small but important group. Transgender students are diverse and are represented across demographic variables, including their sexual attractions. Transgender youth face considerable health and well-being disparities. It is important to address the challenging environments these students face and to increase access to responsive services for transgender youth.