School of Nursing, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Department of Psychological Medicine, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
J Adolesc Health. 2014 Jul;55(1):93-9. doi: 10.1016/j.jadohealth.2013.11.008. Epub 2014 Jan 14.
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.
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.
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).
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.
报告按四个性别群体（即报告自己是非跨性别者、跨性别者、对自己的性别不确定或不理解跨性别问题的群体）的学生比例，并描述他们的健康和幸福状况。
使用逻辑回归分析了在 2012 年进行的一项具有全国代表性的高中健康和幸福调查中，性别群体与选定结果之间的关联。
在所调查的学生（n=8166）中，94.7%报告自己是非跨性别者，1.2%报告自己是跨性别者，2.5%报告自己对自己的性别不确定，1.7%不理解这个问题。与非跨性别者相比，报告自己是跨性别者、对自己的性别不确定或不理解问题的学生的健康和幸福状况较差；特别是对于跨性别学生，他们感觉到父母关心他们（比值比[OR]，0.3；95%置信区间[CI]，0.2-0.4）、抑郁症状（OR，5.7；95% CI，3.6-9.2）、自杀企图（OR，5.0；95% CI，2.9-8.8）和学校欺凌（OR，4.5；95% CI，2.4-8.2）的可能性较低。
这是首次对报告自己是跨性别者的学生的健康和幸福状况进行的具有全国代表性的调查。我们发现，跨性别学生和那些报告不确定的学生是一个数量较少但很重要的群体。跨性别学生是多样化的，他们在人口统计学变量上都有代表，包括他们的性吸引力。跨性别青年面临着相当大的健康和幸福差距。重要的是要解决这些学生面临的具有挑战性的环境问题，并增加为跨性别青年提供的响应服务的机会。
