School of Social Work, and
Biostatistics, Epidemiology, and Research Design Core, Interdisciplinary Health Sciences Institute.
Pediatrics. 2021 Apr;147(4). doi: 10.1542/peds.2020-004317.
Transgender adolescents experience disproportionately high rates of dating violence and peer victimization. However, research has relied on small samples of transgender youth and has not captured victimization experiences of gender-expansive youth (who do not identify as male, female, or transgender). In the current study, we address these limitations, comparing victimization by gender.
We examined a subsample of 4464 male, female, transgender, and gender-expansive youth (1116 per group) from the 2018 Illinois Youth Survey who were frequency matched on grade, race, geographic region, and free or reduced lunch status. Prevalence of self-reported verbal, physical, and cyber peer victimization and physical and psychological dating violence was calculated. Adjusted prevalence ratios were obtained by using log-binomial regression.
The highest rates across all forms of victimization were reported among transgender (15.6%-51.6%) and gender-expansive (13.2%-41.4%) youth. Transgender youth had a 2.09 to 2.96 times higher frequency of victimization than male youth and a 1.34 to 2.65 times higher frequency of victimization than female youth. Transgender youth also had higher frequencies of specific forms of victimization than gender-expansive youth. Gender-expansive youth had a 1.83 to 2.61 times higher frequency of victimization than male youth and 1.18 to 2.35 times higher frequencies of most forms of victimization than female youth.
Disparities in dating violence and peer victimization rates exist among transgender and gender-expansive adolescents compared with male and female youth. The distinct experiences of transgender and gender-expansive youth should be considered in school policies and violence prevention programs.
跨性别青少年遭受约会暴力和同伴受害的比率过高。然而，研究依赖于小样本的跨性别青年，并未捕捉到性别多样化青年（不认同男性、女性或跨性别）的受害经历。在当前的研究中，我们通过比较性别受害情况来解决这些局限性。
我们对来自 2018 年伊利诺伊州青年调查的 4464 名男性、女性、跨性别和性别多样化青年（每组 1116 人）的子样本进行了研究，这些青年按年级、种族、地理位置和免费或减价午餐状况进行了频数匹配。计算了自我报告的言语、身体和网络同伴受害以及身体和心理约会暴力的发生率。使用对数二项式回归获得调整后的发生率比。
所有形式的受害中，报告率最高的是跨性别（15.6%-51.6%）和性别多样化（13.2%-41.4%）青年。跨性别青年遭受受害的频率比男性青年高 2.09 至 2.96 倍，比女性青年高 1.34 至 2.65 倍。跨性别青年也比性别多样化青年遭受更多特定形式的受害。性别多样化青年比男性青年遭受受害的频率高 1.83 至 2.61 倍，比女性青年遭受大多数形式的受害的频率高 1.18 至 2.35 倍。
与男性和女性青年相比，跨性别和性别多样化青少年在约会暴力和同伴受害率方面存在差异。在学校政策和暴力预防计划中应考虑到跨性别和性别多样化青年的独特经历。
