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Keywords = gender nonconformity

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31 pages, 724 KiB  
Review
Sexuality, Gender Identity, Romantic Relations, and Intimacy Among Individuals with Autism Spectrum Disorder: A Narrative Review of the Literature
by Miriam Belluzzo, Veronica Giaquinto, Erica De Alfieri, Camilla Esposito and Anna Lisa Amodeo
Psychiatry Int. 2025, 6(2), 44; https://doi.org/10.3390/psychiatryint6020044 - 17 Apr 2025
Cited by 1 | Viewed by 1814
Abstract
Sexual health is a vital aspect of overall well-being, yet individuals with autism spectrum disorder (ASD) face significant stigma and discrimination, affecting self-esteem, relationships, and sexual expression. This review examined the recent literature (2020–January 2024) on intimacy and sexuality among adolescents and young [...] Read more.
Sexual health is a vital aspect of overall well-being, yet individuals with autism spectrum disorder (ASD) face significant stigma and discrimination, affecting self-esteem, relationships, and sexual expression. This review examined the recent literature (2020–January 2024) on intimacy and sexuality among adolescents and young adults with ASD, incorporating 32 studies. Findings highlight poorer sexual health among autistic individuals compared to the general population, with difficulties in forming romantic relationships and navigating sexual interactions due to hypersensitivity. Autism is also linked to non-conforming gender identities and asexuality, exposing individuals to dual stigma within the LGBTQ+ community. Autism-related traits hinder sexual health knowledge, increasing risks of victimisation, abuse, and sexually transmitted infections. Comprehensive sexual education and inclusive support are crucial to address these challenges and promote sexual well-being for autistic individuals. Full article
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29 pages, 763 KiB  
Article
A Comparative Analysis of Attitudes Toward Sexual Orientation and Gender Identity Minority People
by B. J. Rye and Rebecca Goldszmidt
Soc. Sci. 2025, 14(3), 145; https://doi.org/10.3390/socsci14030145 - 27 Feb 2025
Viewed by 1296
Abstract
Attitudes toward sexual and gender minority people is a generative field of study leading to theoretical and practical advances. Adding to this body of literature, we sought to investigate relationships between attitudes toward different sexual orientation and gender identity (SOGI) minority groups. University [...] Read more.
Attitudes toward sexual and gender minority people is a generative field of study leading to theoretical and practical advances. Adding to this body of literature, we sought to investigate relationships between attitudes toward different sexual orientation and gender identity (SOGI) minority groups. University student participants (N = 495) were asked to rate 11 targets using a 101-point feeling thermometer scale. The targets included trans, bisexual, asexual, and polyamorous men and women, along with lesbians, gay men, and gender non-conforming persons. Heterosexual men and women targets were included for comparison. Analyses addressed two main question areas: (1) Were the various SOGI minority targets rated similarly/differently? (2) Do ratings of the targets differ as a function of target and participant demographic characteristics? Generally, SOGI ratings were favourable (78–85%) except for polyamorous targets (66%). While there were some statistically significant rating differences between some SOGI targets (e.g., lesbians were rated more favourably than asexual women; 85% versus 83%, respectively), data reduction analyses (i.e., Principal Components Analysis) with the 11 SOGI target ratings supported the possibility of aggregating attitudes into a single SOGI target group variable. The second research goal involved exploring whether ratings differed as a function of participant characteristics, including sexual orientation, gender, and religiosity. The analysis revealed that attitudes significantly differed based on all three participant factors. In general, those who rated the targets most favourably were those who were queer, women, or not-at-all religious. However, the SOGI target gender did not result in differences in target ratings (e.g., asexual women and asexual men were equal). The findings further the literature on attitudes toward various SOGI minorities, providing support for the theory that there is a latent factor underlying perceiver attitudes toward SOGI minorities and indicating a need to consider demographic characteristics of social perceivers. Full article
(This article belongs to the Special Issue Activism for LGBTQI+ Rights and Equalities)
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13 pages, 591 KiB  
Article
Associations Among Religiosity, Religious Rejection, Mental Health, and Suicidal Ideation in Transgender and Gender Nonconforming Adults
by Steph L. Cull, Paul B. Perrin and Richard S. Henry
Behav. Sci. 2025, 15(3), 270; https://doi.org/10.3390/bs15030270 - 25 Feb 2025
Cited by 1 | Viewed by 1177
Abstract
Objectives: Religiosity has generally been shown to be a protective factor against adverse mental health in the general population. Transgender and gender non-conforming (TGNC) individuals, however, may not experience the same protective effects, as many religions are unsupportive of diverse gender identities. This [...] Read more.
Objectives: Religiosity has generally been shown to be a protective factor against adverse mental health in the general population. Transgender and gender non-conforming (TGNC) individuals, however, may not experience the same protective effects, as many religions are unsupportive of diverse gender identities. This study examined whether increased religiosity and having been rejected by a religious community because of one’s gender identity were associated with mental health issues in TGNC individuals. Methods: A sample of TGNC adults (n = 154), predominantly from the United States, completed an online survey assessing these constructs. Results: These constructs were highly represented in the sample, with 46.1% of participants having experienced religious rejection at some point throughout their lifetime because of their gender identity, 40.3% currently experiencing symptoms of elevated depression and 34.4% of elevated anxiety, and 48.7% with suicidal ideation over the past 2 weeks. Religious rejection was associated with increased depression, anxiety, and suicidal ideation. Neither interpersonal nor intrapersonal religiosity was associated in a bivariate way with any of the three mental health outcomes. However, among participants who experienced rejection by one’s religious community, interpersonal religiosity was strongly associated with increased depression symptoms and suicidal ideation, whereas conversely among TGNC individuals who had not experienced rejection by their religious community, interpersonal religiosity was weakly associated with depression and suicidal ideation. Conclusion: The results underscore the extremely harmful effects of religious rejection due to one’s gender identity on religious TGNC individuals, pointing to the active contributions of the behaviors of traditional religious groups towards TGNC mental health problems and suicide. Full article
(This article belongs to the Special Issue Intersectionality and Health Disparities: A Behavioral Perspective)
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16 pages, 288 KiB  
Review
Gender Dysphoria and Related Symptoms in Autism Spectrum Disorder: A Bilingual Review of the Literature
by Masaru Tateno, Ryotaro Shimomura, Eri Shiraishi, Kotaro Nanba and Yukie Tateno
Brain Sci. 2024, 14(12), 1202; https://doi.org/10.3390/brainsci14121202 - 28 Nov 2024
Viewed by 1964
Abstract
The association between autism spectrum disorder (ASD) and gender dysphoria (GD) has attracted a great deal of interest among child and adolescent psychiatrists in Japan. In clinical settings, it is common to hear complaints or concerns related to GD from adolescents with ASD. [...] Read more.
The association between autism spectrum disorder (ASD) and gender dysphoria (GD) has attracted a great deal of interest among child and adolescent psychiatrists in Japan. In clinical settings, it is common to hear complaints or concerns related to GD from adolescents with ASD. In the past few years, several review articles have been published on ASD and GD. The Initial Clinical Guidelines for co-occurring ASD and GD in adolescents were published in 2018, suggesting the increasing need of intervention for these conditions worldwide. Although a large amount of evidence has been accumulated regarding the co-occurrence of ASD and GD, all review articles were based solely on case reports and articles published in English. In this article, we performed a bilingual literature review using English- and Japanese-language literature databases. We found 13 case reports in English and 11 case reports in Japanese. The Japanese literature included articles on gender-related symptoms in ASD, but not limited to ASD with comorbid GD. Wattel and her colleagues proposed 15 theories on the link between ASD and GD. We classified the reported cases into one or more of the fifteen theories proposed by Wattel. These theories seemed useful in understanding the co-occurrence of ASD and GD, especially in AMAB cases. Wattel’s 15 theories are categorized into biological, psychological, and social factors, respectively. With regard to the social factors, we discussed Japanese school culture and psychological burden among gender-dysphoric students. Further studies are awaited. Full article
(This article belongs to the Special Issue Exploring the Mental Health of People with Autism)
20 pages, 341 KiB  
Article
“Chickens in the Slaughterhouse” Police-Inflicted Trauma and Mental Health Consequences for an Urban African American LGBTQI+ Community
by Daniela Jauk-Ajamie, Robert L. Peralta and Courtney Michael
Soc. Sci. 2024, 13(10), 505; https://doi.org/10.3390/socsci13100505 - 26 Sep 2024
Cited by 1 | Viewed by 2341
Abstract
In this paper, we discuss qualitative findings drawn from a larger community-engaged project in a predominantly Black Midwestern city. Data collection for the project, which focused on the effects of policing on the city’s African American community, was carried out in collaboration with [...] Read more.
In this paper, we discuss qualitative findings drawn from a larger community-engaged project in a predominantly Black Midwestern city. Data collection for the project, which focused on the effects of policing on the city’s African American community, was carried out in collaboration with Black community organizations and an independent police oversight board. Using an intersectional queer politics lens, we present findings from a thematic analysis of field observations that focused on the city’s LGBTQI+ community. Major themes that emerged include the social context of Black LGBTQI+ oppression, the criminalization of the Black LGBTQI+ body, and mental health impact of policing experiences. Overall, we found that transgender and gender non-conforming experiences with police were particularly harmful. We conclude with insights into the strategies of resilience and resistance used by the community to navigate the impact police work has on their lived experience. Policy implications of our findings and the importance of queer politics to enable Black LGBTQI+ populations to access services and thrive, rather than survive are also addressed. Full article
20 pages, 335 KiB  
Article
“She’ll Never Be a Man” A Corpus-Based Forensic Linguistic Analysis of Misgendering Discrimination on X
by Lucia Sevilla Requena
Languages 2024, 9(9), 291; https://doi.org/10.3390/languages9090291 - 30 Aug 2024
Cited by 1 | Viewed by 2134
Abstract
Misgendering is a form of microaggression that reinforces gender binarism and involves the use of incorrect pronouns, names or gendered language when referring to a transgender and gender non-conforming (TGNC) individual. Despite growing awareness, it remains a persistent form of discrimination, and it [...] Read more.
Misgendering is a form of microaggression that reinforces gender binarism and involves the use of incorrect pronouns, names or gendered language when referring to a transgender and gender non-conforming (TGNC) individual. Despite growing awareness, it remains a persistent form of discrimination, and it is crucial not only to understand and address misgendering but also to analyse its impact within online discourse towards the TGNC community. The present study examines misgendering directed at the TGNC community present on platform X. To achieve this, a representative sample of 400 tweets targeting two TGNC individuals is compiled, applying an annotation scheme to manually classify the polarity of each tweet and instances of misgendering, and then comparing the manual annotations with those of an automatic sentiment detection system. The analysis focuses on the context and frequency of intentional misgendering, using word lists to examine the data. The results confirm that misgendering perpetuates discrimination, tends to co-occur with other forms of aggression, and is not effectively identified by automatic sentiment detection systems. Finally, the study highlights the need for improved automatic detection systems to better identify and address misgendering in online discourse and provides potentially useful tools for future research. Full article
(This article belongs to the Special Issue New Challenges in Forensic and Legal Linguistics)
23 pages, 368 KiB  
Article
Can the Cultural Transmission of Trans-Affirming Values Serve as a Protective Factor for Transgender/Gender-Nonconforming Youth?
by Ashley Shank and Emily Troshynski
Soc. Sci. 2024, 13(9), 453; https://doi.org/10.3390/socsci13090453 - 28 Aug 2024
Viewed by 2198
Abstract
Through a social learning theoretical framework, this article seeks to understand how gender normativity is perpetuated, as well as how it results in the marginalization of transgender and gender-nonconforming (TGNC) youth. Additionally, ways in which TGNC youth navigate oppression and how discrimination against [...] Read more.
Through a social learning theoretical framework, this article seeks to understand how gender normativity is perpetuated, as well as how it results in the marginalization of transgender and gender-nonconforming (TGNC) youth. Additionally, ways in which TGNC youth navigate oppression and how discrimination against TGNC youth may be reduced through disruption of gender normativity are explored. Using qualitative methods, including the analysis of community meeting transcripts as well as town hall meetings with gender-diverse participants, the present study will answer the following research questions: (1) how do transgender and gender-nonconforming youth navigate discrimination and marginalization? (2) How can social learning theory be leveraged to disrupt gender normativity and reduce the discrimination, marginalization, and victimization of transgender and gender-nonconforming youth? This article aims to bridge the gap in the literature by expanding on research specifically pertaining to TGNC youth and directly addressing how social learning mechanisms can both perpetuate and mitigate gender-normative ideologies. Full article
(This article belongs to the Special Issue Activism for LGBTQI+ Rights and Equalities)
12 pages, 250 KiB  
Article
The Association between Attention-Deficit–Hyperactivity Disorder and Autistic Traits with Psychotic-like Experiences in Sample of Youths Who Were Referred to a Psychiatric Outpatient Service
by Laura Fusar-Poli, Chiara Avanzato, Giuliana Maccarone, Elide Di Martino, Gabriele Avincola, Stefania Grasso, Giovanni Rapisarda, Francesco Guarnieri and Maria Salvina Signorelli
Brain Sci. 2024, 14(8), 844; https://doi.org/10.3390/brainsci14080844 - 22 Aug 2024
Cited by 3 | Viewed by 1798
Abstract
The aim of this study is to identify autism spectrum disorder (ASD) and attention-deficit–hyperactivity disorder (ADHD) traits in adolescents who experience psychotic-like experiences (PLEs), often ignored in clinical practice but widely prevalent in the general population. A total of 57 adolescents and young [...] Read more.
The aim of this study is to identify autism spectrum disorder (ASD) and attention-deficit–hyperactivity disorder (ADHD) traits in adolescents who experience psychotic-like experiences (PLEs), often ignored in clinical practice but widely prevalent in the general population. A total of 57 adolescents and young adults (aged between 16 and 24 years old) were recruited consecutively in the outpatient services. A total of 37 were females (64.9%), 18 were males (31.6%), and two participants (3.5%) were non-binary or gender non-conforming, with a mean age at referral of 18.26 ± 2.06. To investigate these symptoms, three sets of standardized questionnaires were used, as follows: the Autism Spectrum Quotient–short form (AQ-10), the Community Assessment of Psychic Experiences (CAPE-42), and the Adult ADHD Self-Report Scale (ASRS). We found significant associations between the ASRS and AQ-10 total scores and all CAPE scales. The model which explained the highest variance was CAPE Score’s Total Frequency score (p < 0.001). Our findings underline the importance of investigating the presence of subthreshold ASD and ADHD symptoms in clinical populations, particularly in the period of adolescence and young adulthood, to promptly identify the presence of PLEs and, thus, prevent the onset of a frank psychotic disorder, particularly in the presence of a comorbid psychopathological condition, leading to better diagnosis and treatment for individuals with two or more of these conditions. Full article
(This article belongs to the Special Issue Exploring the Mental Health of People with Autism)
22 pages, 7715 KiB  
Article
Reading Cisheteronormativity into the Art Historical Archives
by Kirstin Ringelberg
Arts 2024, 13(3), 89; https://doi.org/10.3390/arts13030089 - 14 May 2024
Viewed by 2720
Abstract
Madeleine Lemaire (1845–1928) might appear to be a typical “woman artist” of the Belle Époque, a painter of images of fashionable women, equally popular for her watercolor flowers and her skills as a salon hostess, with biographical sketches of her then and now [...] Read more.
Madeleine Lemaire (1845–1928) might appear to be a typical “woman artist” of the Belle Époque, a painter of images of fashionable women, equally popular for her watercolor flowers and her skills as a salon hostess, with biographical sketches of her then and now assuming that if she had sex or romance, it was with men. However, a closer look has also revealed Lemaire to be potentially atypical. Unlike her women colleagues, she exhibited salacious nudes; her work was once described as having “a bit of the mustache”; and she generally dodged discussions of either her gender or her sexuality, even though her social group included those who openly flaunted their own non-conformities. Using archival materials, artworks, and contemporary theory to unpack the possibilities presented by Lemaire’s case, I also explore the gains for art history in reconsidering previously female-identified and straight-seeming artists in more fluid gender and sexual terms. What might we discover if we recognize ourselves as the constructors of a cisheteronormative past, reading into the archives the assumptions that our current culture’s binary norms enforce? Full article
(This article belongs to the Special Issue Queerness in 18th- and 19th-Century European Art and Visual Culture)
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13 pages, 680 KiB  
Article
Trans-Inclusive Communication and Self-Perceived Barriers to It, as Reported by Doctors—A Mixed-Methods Survey in Germany
by Rieka von der Warth, Mirjam Körner and Erik Farin-Glattacker
Healthcare 2024, 12(7), 707; https://doi.org/10.3390/healthcare12070707 - 23 Mar 2024
Cited by 2 | Viewed by 1452
Abstract
The majority of transgender and gender-nonconforming people (TGNC) report negative experiences with doctors in the healthcare system. As there is little knowledge about the communication behaviour of doctors towards TGNC, this survey aimed to assess the self-reported trans-inclusive communication of doctors and their [...] Read more.
The majority of transgender and gender-nonconforming people (TGNC) report negative experiences with doctors in the healthcare system. As there is little knowledge about the communication behaviour of doctors towards TGNC, this survey aimed to assess the self-reported trans-inclusive communication of doctors and their willingness to communicate trans-inclusively, as well as their self-perceived barriers to it. A mixed-methods survey was applied for this. Firstly, we measured self-reported trans-inclusive communication behaviour based on the CommTrans questionnaire. Based on this, the overall willingness, as well as self-perceived barriers (qualitative) to communication, were assessed. In total, N = 57 doctors took part in the survey. Most participants reported not introducing themselves using pronouns (79.4%). Of these, 61.4% said that they would not be able to do this in the future either. Perceived barriers were classified into the following eight categories: necessity, sample-dependency, habit, structural barriers in practice, uncertainties in dealing with the topic, limits of patient-centredness, gender as a binary concept, and transphobia. In summary, doctors in Germany show different degrees of trans-inclusive communication. It is likely that this has a negative effect on TGNC, their health and access to the healthcare system. Full article
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15 pages, 7840 KiB  
Article
Bridging the Vantage Point of Distance: Reynaldo Rivera and the Visual Legacies of Queer Spectacle across Time and Space
by Estefanía Vélez
Arts 2024, 13(2), 54; https://doi.org/10.3390/arts13020054 - 12 Mar 2024
Viewed by 2457
Abstract
Gender impersonators and trans gender-nonconforming people have long been a source of fascination within the visual arts. Nevertheless, illustrators and photographers alike have perpetually instrumentalized the image of the queer subject as a visual shorthand for criminality, freakishness, and deception. Beginning with the [...] Read more.
Gender impersonators and trans gender-nonconforming people have long been a source of fascination within the visual arts. Nevertheless, illustrators and photographers alike have perpetually instrumentalized the image of the queer subject as a visual shorthand for criminality, freakishness, and deception. Beginning with the broadside illustrations of José Guadalupe Posada, this article examines how visual representations of Latinx queerness and gender nonconformity shifted across the Americas and throughout the late nineteenth century into the late twentieth century. Ultimately, I contend that Reynaldo Rivera’s photography of late-twentieth-century ballroom culture provides a substantial departure from these speculatory conventions by visually legitimizing the lived authenticity of the queer Latinx people who populate his work. Full article
(This article belongs to the Special Issue Queer Latinx Artists and the Human Body)
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12 pages, 997 KiB  
Article
Environmental Literacy Differences Based on Gender Identity and Race: A Social Justice Concern
by Katya C. Drake, James H. Speer, Margaret L. Stachewicz, Tina M. K. Newsham and Virgil L. Sheets
Sustainability 2024, 16(1), 282; https://doi.org/10.3390/su16010282 - 28 Dec 2023
Cited by 1 | Viewed by 2517
Abstract
Environmental literacy can empower students to make positive changes in their environment. Understanding the rates of environmental literacy in college students of color is particularly important because African American, Asian, and indigenous peoples (BIPOC) are most likely to be disproportionately impacted by environmental [...] Read more.
Environmental literacy can empower students to make positive changes in their environment. Understanding the rates of environmental literacy in college students of color is particularly important because African American, Asian, and indigenous peoples (BIPOC) are most likely to be disproportionately impacted by environmental degradation. We administered a survey with questions regarding environmental literacy to undergraduate students at a comprehensive midwestern university in the fall of 2019 resulting in 2560 participants (about 25% of the student population). An ANOVA comparing environmental literacy summary scores demonstrated that Caucasian respondents had a statistically higher environmental literacy than African American and Native American students but were not statistically different from Asian, native Hawaiian, and mixed-race students, although all scores were low with Caucasian students scoring 39% and African American students scoring 31%. We also found that Caucasian and BIPOC women had a greater concern for the environment (F = 20.675, p < 0.001) and felt that their actions can make a difference following two separate tests (F = 18.916, p < 0.001; F = 19.003, p < 0.001) than men or gender-nonconforming students. Caucasian students have a slightly higher environmental literacy, but the scores overall are low. Women consistently report more concern for the environment and also greater empowerment to make a difference. Full article
(This article belongs to the Section Social Ecology and Sustainability)
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14 pages, 514 KiB  
Article
Using Video Vignettes to Understand Perceptions of Leaders
by Derek Moskowitz, Diana R. Sanchez and Brian Trinh
Multimodal Technol. Interact. 2023, 7(12), 110; https://doi.org/10.3390/mti7120110 - 28 Nov 2023
Viewed by 2700
Abstract
Video vignettes are one form of virtualized vignettes that may build upon traditional text vignettes and enable research participants to see and experience a unique scenario that is better translated visually than through a written text. This study examined using video vignettes to [...] Read more.
Video vignettes are one form of virtualized vignettes that may build upon traditional text vignettes and enable research participants to see and experience a unique scenario that is better translated visually than through a written text. This study examined using video vignettes to study perceptions of leaders. Participants watched virtualized, video vignettes depicting a male leader expressing either a masculine, gender-conforming expression or a feminine, gender-nonconforming expression. Participants evaluated these leaders on measures of leadership likability and leadership effectiveness. Results demonstrated that the videos of the masculine male leader were perceived as more likable and more effective than the videos of the feminine male leader. This relationship was not moderated by gender-related expectations the participants had. This finding reveals that there is a prototypical expectation that male leaders who depicted masculine expressions are more likable and effective. Additionally, we also found that the participant’s individual ideologies of gender-related expectations and conformity expectations were related to the results in unique ways. When the participant believed an ideal leader should have higher versus lower feminine traits, those participants also rated both leaders more positively regardless of the type of gender expression that was depicted in the video vignettes. In contrast, participants with strong expectations that others should conform to gender norms in social situations generally rated both leaders more negatively, regardless of the gender expression in the video vignette. The results are discussed in detail and the benefits of using virtualized and video vignettes are discussed. Full article
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15 pages, 1194 KiB  
Article
“Are You a Boy or a Girl?”—A Missing Response Analysis
by Andreas Heinz, András Költő, Ashley B. Taylor and Ace Chan
Children 2023, 10(10), 1695; https://doi.org/10.3390/children10101695 - 16 Oct 2023
Cited by 4 | Viewed by 2031
Abstract
Many adolescent health surveys ask if respondents are male or female. Non-response may be due to fear of de-anonymisation or being a gender-nonconforming youth. The present study investigates the frequency of non-response and its potential reasons. To this end, data from 54,833 adolescents [...] Read more.
Many adolescent health surveys ask if respondents are male or female. Non-response may be due to fear of de-anonymisation or being a gender-nonconforming youth. The present study investigates the frequency of non-response and its potential reasons. To this end, data from 54,833 adolescents aged 11–18 from six countries, participating in the 2018 Health Behaviour in School-aged Children (HBSC) study, were analysed. Respondents were divided into three groups: (1) “Responders” who answered both questions on age and gender, (2) “Age non-responders” who did not answer the question on age, and (3) “Gender non-responders” who answered the question on age but not the one on gender. These groups were compared regarding their non-response to other questions and regarding their health. Overall, 98.0% were responders, 1.6% were age non-responders and 0.4% were gender non-responders. On average, age non-responders skipped more questions (4.2 out or 64) than gender non-responders (3.2) and responders (2.1). Gender non-responders reported more psychosomatic complaints, more frequent substance use and lower family support than responders. This study shows that age and gender non-responders differ in their response styles, suggesting different reasons for skipping the gender question. The health disparities found between the groups suggest that further research should use a more nuanced approach, informed by LGBT+ youth’s insights, to measure sex assigned at birth and gender identity. Full article
(This article belongs to the Section Global Pediatric Health)
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15 pages, 319 KiB  
Article
The Impact of Sexual Violence on Quality of Life and Mental Wellbeing in Transgender and Gender-Diverse Adolescents and Young Adults: A Mixed-Methods Approach
by Aisa Burgwal, Jara Van Wiele and Joz Motmans
Healthcare 2023, 11(16), 2281; https://doi.org/10.3390/healthcare11162281 - 13 Aug 2023
Cited by 2 | Viewed by 1701
Abstract
Transgender (trans) and gender-diverse (GD) adolescents and young adults have remained largely invisible in health research. Previous research shows worse outcomes in health indicators for trans and GD people, compared to cisgender controls. Research on the impact of sexual violence focuses on mainly [...] Read more.
Transgender (trans) and gender-diverse (GD) adolescents and young adults have remained largely invisible in health research. Previous research shows worse outcomes in health indicators for trans and GD people, compared to cisgender controls. Research on the impact of sexual violence focuses on mainly cisgender female adult victims. This study assessed the impact of sexual violence on the quality of life (QoL) and mental wellbeing (GHQ-12) among trans and GD adolescents and young adults, while taking into account the possible role of gender nonconformity in sexual violence and mental wellbeing. An online, anonymous survey and interviews/focus groups were conducted between October 2021 and May 2022 in Belgium. Multiple analyses of covariance (ANCOVAs) were used to assess the associations between sexual violence, mental wellbeing, and gender nonconformity, while controlling for different background variables (gender identity, sexual orientation, age, economic vulnerability, etc.). The interviews and focus groups were used to validate associations between variables that were hypothesized as important. The quantitative sample consisted of 110 respondents between 15 and 25 years old, with 30 trans respondents (27.3%) and 80 GD respondents (72.7%). A total of 73.6% reported experiences with sexual violence over the past two years (n = 81). The mean QoL score was 5.3/10, and the mean GHQ-12 score was 6.6/12. Sexual violence was not significantly associated with QoL (p = 0.157) and only marginally significantly associated with GHQ-12 (p = 0.05). Changing one’s physical appearance to conform to gender norms, out of fear of getting attacked, discriminated against, or harassed was significantly associated with QoL (p = 0.009) and GHQ-12 (p = 0.041). The association between sexual violence and changing one’s physical appearance to conform to gender norms was analyzed, to assess a possible mediation effect of sexual violence on mental wellbeing. No significant association was found (p = 0.261). However, the interviews suggest that sexual violence is associated with changing one’s physical appearance, but this association is not limited to only trans and GD victims of sexual violence. Non-victims also adjust their appearance, out of fear of future sexual victimization. Together with the high proportion of sexual violence, as well as the lower average QoL and higher average GHQ-12 scores among trans and GD adolescents and young adults, compared to general population statistics, this highlights the need for policy makers to create more inclusive environments. Full article
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