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青少年健康研究中的跨性别和性别多样化身份:充分利用不完美的数据。

Trans and gender diverse identities in adolescent health research: making the most of imperfect data.

机构信息

Psychiatry, University of Oxford, Oxford, UK

Psychiatry, University of Oxford, Oxford, UK.

出版信息

BMJ Ment Health. 2024 Nov 8;27(1):e301150. doi: 10.1136/bmjment-2024-301150.

DOI:10.1136/bmjment-2024-301150
PMID:39521456
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11552002/
Abstract

Advancing adolescent health research necessitates deliberate design and analysis that accurately captures the rapidly evolving world in which adolescents live and the ways in which they understand and express themselves and their experiences. In this , we reflect on how researchers might approach existing, imperfect data in a way that is accurate and inclusive of trans and gender diverse (TGD) adolescents. Drawing on our experience of running a large school-based survey of health and well-being (the OxWell Student Survey) and extensive coproduction with three TGD adolescents ('youth advisors'), we present considerations for critically appraising, processing and analysing quantitative gender data to better reflect adolescents' lived experiences. Specific topics discussed include how to assess the strengths and limitations of existing gender data; how to generate meaningful research data from free-text gender descriptions (and the implications of not doing so); and how to analyse data from TGD adolescents, including for those who choose not to disclose their gender. We conclude with a set of 10 recommendations, coproduced with the three youth advisors, for those working with 'imperfect' gender data.

摘要

推进青少年健康研究需要精心设计和分析,以准确捕捉青少年生活的快速变化的世界,以及他们理解和表达自己和自己的经验的方式。在本文中,我们反思了研究人员如何以准确和包容跨性别和性别多样化(TGD)青少年的方式来处理现有的不完美数据。我们借鉴了我们运行一项大型基于学校的健康和幸福感调查(OxWell 学生调查)的经验,以及与三位 TGD 青少年(“青年顾问”)的广泛合作,提出了一些考虑因素,用于批判性地评估、处理和分析定量性别数据,以更好地反映青少年的真实生活体验。讨论的具体主题包括如何评估现有性别数据的优缺点;如何从自由文本性别描述中生成有意义的研究数据(以及不这样做的影响);以及如何分析 TGD 青少年的数据,包括那些选择不披露其性别的青少年的数据。我们最后与三位青年顾问共同制定了 10 项建议,供那些处理“不完美”性别数据的人使用。

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本文引用的文献

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BMC Public Health. 2023 Nov 9;23(1):2211. doi: 10.1186/s12889-023-16992-y.
2
Current evidence and opportunities in child and adolescent public mental health: a research review.儿童和青少年公共精神健康领域的现有证据和机遇:研究综述。
J Child Psychol Psychiatry. 2023 Dec;64(12):1699-1719. doi: 10.1111/jcpp.13889. Epub 2023 Sep 28.
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Sexual Orientation and Gender Identity/Expression in Adolescent Research: Two Decades in Review.
青少年研究中的性取向和性别认同/表达:回顾二十年。
J Sex Res. 2023 Sep;60(7):1004-1019. doi: 10.1080/00224499.2023.2219245. Epub 2023 Jun 12.
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Factors that drive mental health disparities and promote well-being in transgender and nonbinary people.影响跨性别者和非二元性别者心理健康差异并促进其幸福感的因素。
Nat Rev Psychol. 2022;1(12):694-707. doi: 10.1038/s44159-022-00109-0. Epub 2022 Sep 26.
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Let's Talk Gender: Ten Things Transgender and Nonbinary Youth Want All Researchers to Know.让我们谈谈性别:跨性别和非二元青年希望所有研究人员都知道的十件事。
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Study protocol: the OxWell school survey investigating social, emotional and behavioural factors associated with mental health and well-being.研究方案:OxWell 学校调查,调查与心理健康和幸福感相关的社会、情感和行为因素。
BMJ Open. 2021 Dec 8;11(12):e052717. doi: 10.1136/bmjopen-2021-052717.
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Int J Transgend Health. 2020 Apr 15;21(2):125-137. doi: 10.1080/26895269.2020.1753136. eCollection 2020.
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