Natalie Amos Ph.D. , Ruby Grant Ph.D. , Ashleigh Lin Ph.D. , Adam O. Hill Ph.D. , Ken C. Pang Ph.D. , S. Rachel Skinner Ph.D. , Teddy Cook , Marina Carman M.A. (Research) , Adam Bourne Ph.D.
{"title":"支持确认自己性别的澳大利亚跨性别年轻人的心理健康和福祉结果。","authors":"Natalie Amos Ph.D. , Ruby Grant Ph.D. , Ashleigh Lin Ph.D. , Adam O. Hill Ph.D. , Ken C. Pang Ph.D. , S. Rachel Skinner Ph.D. , Teddy Cook , Marina Carman M.A. (Research) , Adam Bourne Ph.D.","doi":"10.1016/j.jadohealth.2025.03.011","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><div>Young trans people face elevated rates of poor mental health and well-being outcomes. Affirming their gender in ways that are meaningful to them has important implications for these outcomes. However, limited research has examined the role of feeling supported to affirm their gender.</div></div><div><h3>Methods</h3><div>This study used the data of 1,697 trans youth drawn from a large survey of LGBTQA+ 14–21-year-olds in Australia. Regression analyses examined how feeling supported to affirm gender medically, legally, or socially, among those who expressed a desire to do so, was associated with mental health and well-being outcomes.</div></div><div><h3>Results</h3><div>Participants who felt supported to affirm their gender medically, legally, or socially, reported less suicidal ideation and self-harm in the past 12 months as well as lower psychological distress, lower anxiety, and greater happiness. Support for medical and legal affirmation was associated with less suicide attempt in the past 12 months. Support for each form of gender affirmation was associated with lower odds of experiencing bias-based verbal and sexual harassment in the past 12 months, with support for legal and social affirmation associated with lower odds of experiencing bias-based physical harassment. Support for each form of gender affirmation was associated with lower odds of experiencing homelessness.</div></div><div><h3>Discussion</h3><div>Supporting trans youth to affirm their gender in the ways that are meaningful to them is key to their health and well-being. Those who are in a position to provide support to young trans people to affirm their gender must be encouraged and equipped to do so.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 1","pages":"Pages 51-58"},"PeriodicalIF":5.5000,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Mental Health and Wellbeing Outcomes Among Trans Young People in Australia Who Are Supported to Affirm Their Gender\",\"authors\":\"Natalie Amos Ph.D. , Ruby Grant Ph.D. , Ashleigh Lin Ph.D. , Adam O. Hill Ph.D. , Ken C. Pang Ph.D. , S. Rachel Skinner Ph.D. , Teddy Cook , Marina Carman M.A. (Research) , Adam Bourne Ph.D.\",\"doi\":\"10.1016/j.jadohealth.2025.03.011\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><div>Young trans people face elevated rates of poor mental health and well-being outcomes. Affirming their gender in ways that are meaningful to them has important implications for these outcomes. However, limited research has examined the role of feeling supported to affirm their gender.</div></div><div><h3>Methods</h3><div>This study used the data of 1,697 trans youth drawn from a large survey of LGBTQA+ 14–21-year-olds in Australia. Regression analyses examined how feeling supported to affirm gender medically, legally, or socially, among those who expressed a desire to do so, was associated with mental health and well-being outcomes.</div></div><div><h3>Results</h3><div>Participants who felt supported to affirm their gender medically, legally, or socially, reported less suicidal ideation and self-harm in the past 12 months as well as lower psychological distress, lower anxiety, and greater happiness. Support for medical and legal affirmation was associated with less suicide attempt in the past 12 months. Support for each form of gender affirmation was associated with lower odds of experiencing bias-based verbal and sexual harassment in the past 12 months, with support for legal and social affirmation associated with lower odds of experiencing bias-based physical harassment. Support for each form of gender affirmation was associated with lower odds of experiencing homelessness.</div></div><div><h3>Discussion</h3><div>Supporting trans youth to affirm their gender in the ways that are meaningful to them is key to their health and well-being. Those who are in a position to provide support to young trans people to affirm their gender must be encouraged and equipped to do so.</div></div>\",\"PeriodicalId\":56278,\"journal\":{\"name\":\"Journal of Adolescent Health\",\"volume\":\"77 1\",\"pages\":\"Pages 51-58\"},\"PeriodicalIF\":5.5000,\"publicationDate\":\"2025-05-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Adolescent Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1054139X2500117X\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Adolescent Health","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1054139X2500117X","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}
Mental Health and Wellbeing Outcomes Among Trans Young People in Australia Who Are Supported to Affirm Their Gender
Purpose
Young trans people face elevated rates of poor mental health and well-being outcomes. Affirming their gender in ways that are meaningful to them has important implications for these outcomes. However, limited research has examined the role of feeling supported to affirm their gender.
Methods
This study used the data of 1,697 trans youth drawn from a large survey of LGBTQA+ 14–21-year-olds in Australia. Regression analyses examined how feeling supported to affirm gender medically, legally, or socially, among those who expressed a desire to do so, was associated with mental health and well-being outcomes.
Results
Participants who felt supported to affirm their gender medically, legally, or socially, reported less suicidal ideation and self-harm in the past 12 months as well as lower psychological distress, lower anxiety, and greater happiness. Support for medical and legal affirmation was associated with less suicide attempt in the past 12 months. Support for each form of gender affirmation was associated with lower odds of experiencing bias-based verbal and sexual harassment in the past 12 months, with support for legal and social affirmation associated with lower odds of experiencing bias-based physical harassment. Support for each form of gender affirmation was associated with lower odds of experiencing homelessness.
Discussion
Supporting trans youth to affirm their gender in the ways that are meaningful to them is key to their health and well-being. Those who are in a position to provide support to young trans people to affirm their gender must be encouraged and equipped to do so.
期刊介绍:
The Journal of Adolescent Health is a scientific publication dedicated to enhancing the health and well-being of adolescents and young adults. Our Journal covers a broad range of research topics, spanning from the basic biological and behavioral sciences to public health and policy. We welcome a variety of contributions, including original research papers, concise reports, literature reviews, clinical case reports, opinion pieces, and letters to the editor. We encourage professionals from diverse disciplines such as Anthropology, Education, Ethics, Global Health, Health Services Research, Law, Medicine, Mental and Behavioral Health, Nursing, Nutrition, Psychology, Public Health and Policy, Social Work, Sociology, and Youth Development to share their expertise and contribute to our mission of promoting adolescent health. Moreover, we value the voices of young individuals, family and community members, and healthcare professionals, and encourage them to submit poetry, personal narratives, images, and other creative works that provide unique insights into the experiences of adolescents and young adults. By combining scientific peer-reviewed research with creative expressions, our Journal aims to create a comprehensive understanding of the challenges and opportunities in adolescent and young adult health.