TY  - JOUR
PY  - 2024//
TI  - Estimating transgender and gender-diverse youth populations in health systems and survey data
JO  - Pediatrics
A1  - Kahn, Nicole F.
A1  - Sequeira, Gina M.
A1  - Asante, Peter G.
A1  - Kidd, Kacie M.
A1  - Coker, Tumaini R.
A1  - Christakis, Dimitri A.
A1  - Karrington, Baer
A1  - Aye, Tandy
A1  - Conard, Lee Ann E.
A1  - Dowshen, Nadia
A1  - Kazak, Anne E.
A1  - Nahata, Leena
A1  - Nokoff, Natalie J.
A1  - Voss, Raina V.
A1  - Richardson, Laura P.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVES: To identify and examine demographic variation in estimates of gender-diverse youth (GDY) populations from the PEDSnet learning health system network and the Youth Risk Behavior Survey (YRBS). <br><br>METHODS: The PEDSnet sample included 14- to 17-years-old patients who had ≥2 encounters at a member institution before March 2022, with at least 1 encounter in the previous 18 months. The YRBS sample included pooled data from 14- to 17-year-old in-school youth from the 2017, 2019, and 2021 survey years. Adjusted logistic regression models tested for associations between demographic characteristics and gender dysphoria (GD) diagnosis (PEDSnet) or self-reported transgender identity (YRBS). <br><br>RESULTS: The PEDSnet sample included 392 348 patients and the YRBS sample included 270 177 youth. A total of 3453 (0.9%) patients in PEDSnet had a GD diagnosis and 5262 (1.9%) youth in YRBS self-identified as transgender. In PEDSnet, adjusted logistic regression indicated significantly lower likelihood of GD diagnosis among patients whose electronic medical record-reported sex was male and among patients who identified as Asian, Black/African American, and Hispanic/Latino/a/x/e. In contrast, in the YRBS sample, only youth whose sex was male had a lower likelihood of transgender identity. <br><br>CONCLUSIONS: GDY are underrepresented in health system data, particularly those whose electronic medical record-reported sex is male, and Asian, Black/African American, and Hispanic/Latino/a/x/e youth. Collecting more accurate gender identity information in health systems and surveys may help better understand the health-related needs and experiences of GDY and support the development of targeted interventions to promote more equitable care provision.<p />  <p>Language: en</p>
LA  - en
SN  - 0031-4005
UR  - http://dx.doi.org/10.1542/peds.2023-065197
ID  - ref1
ER  -