性别认同多样化青年的性取向。
Sexual Orientation Among Gender Diverse Youth.
机构信息
Division of Adolescent and Young Adult Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
Division of Adolescent Medicine, Seattle Children's Hospital, Seattle, Washington.
出版信息
J Adolesc Health. 2023 Jan;72(1):153-155. doi: 10.1016/j.jadohealth.2022.08.016. Epub 2022 Oct 8.
PURPOSE
Many youth are gender diverse, but our understanding of sexual orientation among gender diverse youth (GDY) is limited. We sought to compare sexual identity, attraction, and contact between cisgender youth and GDY and to describe these characteristics across GDY subgroups.
METHODS
We analyzed cross-sectional data from school-based surveys of 4,207 adolescents. Two-sample t-tests or chi-squared tests compared characteristics between GDY and cisgender youth. Sexual attraction/contact was summarized with frequencies/proportions and stratified by transmasculine, transfeminine, and nonbinary identities.
RESULTS
Two hundred eighty-one (9.1%) youth were GDY. Compared to cisgender peers, GDY were more likely to identify as sexual minority youth. In total, 29.9% of GDY were transmasculine, 36.7% transfeminine, and 33.5% nonbinary. Many transmasculine (45%) and transfeminine (58%) youth identified as heterosexual; most nonbinary youth (91%) identified as sexual minority youth. For transgender youth identifying as heterosexual, sexual attraction/contact varied.
DISCUSSION
Aspects of sexuality among GDY remain complex, warranting individualized approaches to sexual/reproductive healthcare.
目的
许多年轻人的性别认同存在多样性，但我们对跨性别青年（GDY）的性取向的了解有限。我们旨在比较顺性别青年和 GDY 之间的性认同、性吸引和性接触，并描述 GDY 亚群之间的这些特征。
方法
我们分析了基于学校的 4207 名青少年调查的横断面数据。两样本 t 检验或卡方检验比较了 GDY 和顺性别青年之间的特征。通过跨性别男性、跨性别女性和非二元身份对性吸引/接触进行了频率/比例总结和分层。
结果
281 名（9.1%）青年为 GDY。与顺性别同龄人相比，GDY 更有可能认同为性少数青年。总的来说，29.9%的 GDY 是跨性别男性，36.7%是跨性别女性，33.5%是非二元性别。许多跨性别男性（45%）和跨性别女性（58%）认同为异性恋；大多数非二元性别青年（91%）认同为性少数青年。对于认同为异性恋的跨性别青年，性吸引/接触存在差异。
讨论
GDY 的性方面仍然很复杂，需要采取个性化的方法来提供性/生殖保健服务。
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