Prevalence of Gender-Diverse Youth in an Urban School District

Kidd, Kacie M.; Sequeira, Gina M.; Douglas, Claudia; Paglisotti, Taylor; Inwards-Breland, David J.; Miller, Elizabeth; Coulter, Robert W. S.

doi:10.1542/peds.2020-049823

Cited by 108 publications

(62 citation statements)

References 9 publications

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“…The greater clinic volume during this period is likely due to a combination of factors, including a higher volume and wider distribution of advertising messaged (including on social media) for the clinic, Medicaid expansion in the state, the establishment of walk-in hours, and increasing visibility of the clinic among community groups, health care providers, and the public. The proportion of AYA in the US who identify as gender diverse is growing, 21,22 which may account the upward trend in this study. While stable over time, the high rates of AYA reporting anonymous partners and sex while intoxicated are concerning, given data in adults suggesting both are risk factors for STI, as well as intimate partner violence.…”

Section: Discussionmentioning

confidence: 70%

Trends in risk behaviors and sexually transmitted infections among youth presenting to a sexually transmitted infection clinic in the United States, 2013–2017

et al. 2022

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Background: Sexually transmitted infections (STIs) are increasing among adolescents and young adults (AYA) across the United States. However, data are scarce on trends in condom use, number of partners, and other STI risk factors among AYA. The present study evaluated associations between sexual behaviors and STI diagnoses over time among AYA. Methods: We evaluated linked encounters of AYA aged 13–26 attending an urban Northeast public STI clinic from 2013–2017. Demographics, risk behaviors, self-reported past year and lifetime STI, and STI diagnosis during clinic encounter (positive test for urine, oral, or anal chlamydia; urine, oral, or anal gonorrhea; urine trichomonas; HIV; and syphilis) were extracted from electronic health records. We estimated prevalence and performed trend analyses of the repeated cross-sectional data. Cochran–Armitage and Kruskal–Wallis trend test were conducted for categorical and continuous variables, respectively. Results: Among 3822 encounters, clinical STIs demonstrated statistically significant increases including chlamydia (+9%, p = 0.001), gonorrhea (+5%, p = 0.008), and syphilis (+3%, p = 0.006) all of which significantly increased over time, as did any STI (+10%, p < 0.001). HIV and trichomonas rates remained low and unchanged. Self-reported STI increased as well, both past year (+9%) and lifetime (+14%). Greater proportions of AYA reported multiple partners (+9%, p < 0.001), and condomless oral (+12%, p = 0.001) and vaginal/anal (+7%, p = 0.001) sex. Conclusion: Among AYA presenting to a STI clinic, the proportion who engaged in condomless sex and had multiple partners increased over a 5 year period, which corresponded to increased STI prevalence during this period. Preventions efforts for AYA should continue to emphasize the importance of condoms and partner selection.

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Section: Discussionmentioning

confidence: 70%

Trends in risk behaviors and sexually transmitted infections among youth presenting to a sexually transmitted infection clinic in the United States, 2013–2017

et al. 2022

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“… 25 A recent study found that nearly 10% of youth in one US urban school district identify as gender‐diverse. 26 Similar rates of increased prevalence of TGGNB people seeking medical attention have occurred in Europe. 27 The increasing number of TGGNB individuals seeking healthcare is likely due to increased awareness among the medical community, societal acceptance of different gender identities, and availability of medical guidelines.…”

Section: Introductionmentioning

confidence: 81%

Optimizing sexual and reproductive health across the lifespan in people with cystic fibrosis

West

Kazmerski

Taylor‐Cousar

et al. 2021

Pediatric Pulmonology

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With improved therapies, people with cystic fibrosis are living longer and healthier lives and increasingly have questions surrounding their sexual and reproductive health. This article will summarize the important issues of which providers should be aware during the lifespan of people with cystic fibrosis, including puberty, adulthood, and menopause.A wide range of sexual and reproductive health topics are addressed such as puberty, transgender and gender nonbinary identities, contraception, sexually transmitted infections, hypogonadism, sexual functioning, cyclical hemoptysis, and urinary incontinence. We discuss gaps in knowledge and current evidence as well as management strategies to optimize care. Our goal is to support providers to enable them to give comprehensive care throughout the lifespan of people with cystic fibrosis.

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“…A recent survey of high school seniors revealed that 9.2% (291 of 3168) identified as gender noncongruent, which includes those who identify as “trans girl,” “transboy,” “genderqueer,” “nonbinary,” and “another identity.” Looking deeper into those 291 adolescents, the prevalence of gender incongruence was lowest in White youth (7.1%) compared to Black and other people of color (Black, 9.9%; multiracial, 8.7%; Hispanic, 14.4%; and other race, 13.4%) 4 …”

Section: A Missed Opportunitymentioning

confidence: 96%

“A new hemophilia carrier nomenclature to define hemophilia in women and girls: Communication from the SSC of the ISTH”: Comment

Bercovitz

2022

Journal of Thrombosis and Haemostasis

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Prevalence of Gender-Diverse Youth in an Urban School District

Cited by 108 publications

References 9 publications

Trends in risk behaviors and sexually transmitted infections among youth presenting to a sexually transmitted infection clinic in the United States, 2013–2017

Trends in risk behaviors and sexually transmitted infections among youth presenting to a sexually transmitted infection clinic in the United States, 2013–2017

Optimizing sexual and reproductive health across the lifespan in people with cystic fibrosis

“A new hemophilia carrier nomenclature to define hemophilia in women and girls: Communication from the SSC of the ISTH”: Comment

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