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

Bibliographic Data

ID23340751
AuthorsMichelle M Johns (0000-0002-9057-2752, University of California System, corresponding author), Richard Lowry (0000-0003-1595-5814, University of California System), Jack Andrzejewski (0000-0002-3109-9774, University of California System), Lisa C Barrios (0000-0001-8135-959X, University of California System), Zewditu Demissie (0000-0003-0624-819X, University of California System), Timothy McManus (0000-0001-6480-9931, University of California System), Catherine N Rasberry (0000-0001-8256-6961, University of California System), Leah Robin (0000-0003-0946-6635, University of California System), J Michael Underwood (0000-0002-9583-1442, University of California System)
Year2019
Volume68
Issue3
Pages67-71
Publication date2019-01-25
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMMWR. Surveillance Summaries (JOURNAL)
Journal identifiersISSN: 1546-0738 • E-ISSN: 1545-8636
PublisherCenters for Disease Control MMWR Office (PUBLISHER)
DOI10.15585/mmwr.mm6803a3
PMID30677012
OpenAlexW2911994102
LanguageEN
Citations received163
References cited6

) 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.

Environmental health · Human sexuality · Logistic regression · Poison control · Sexual identity · Sociology · Suicide prevention · Transgender · Youth Risk Behavior Survey · Demography · Gender Studies · Hate Speech and Cyberbullying Detection · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Sexuality, Behavior, and Technology · Gerontology

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