School Restroom and Locker Room Restrictions and Sexual Assault Risk Among Transgender Youth.
School Restroom and Locker Room Restrictions and Sexual Assault Risk Among Transgender Youth.
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DOI：
10.1542/peds.2018-2902
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发表时间：
2019-06
期刊：
影响因子：
8
通讯作者：
Watson RJ
中科院分区：
文献类型：
--
作者：
Murchison GR;Agénor M;Reisner SL;Watson RJ
跨性别和性别非二元青少年经历同伴受害率高，但性侵犯在这一人群中的流行率尚未确定。一些学校限制跨性别和非二元学生使用与其性别认同相匹配的洗手间和更衣室，对性侵犯风险的影响未知。我们测试了这些限制是否与12个月的性侵犯受害率相关。研究人员分析了3673名7至12年级的跨性别和非二元美国青少年的调查结果，这些青少年参加了2017年LGBTQ青少年横断面研究。我们估计了学校厕所/更衣室限制和过去一年的性侵犯之间的关联，调整了潜在的人口统计学，社会和行为混杂因素，使用logistic回归。我们还测试了潜在的介质。变性男孩的12个月性侵犯患病率为26.5%，出生时被指定为女性的非二元青年为27.0%，变性女孩为18.5%，出生时被指定为男性的非二元青年为17.6%。与没有限制的人相比，使用洗手间/更衣室受到限制的年轻人更容易遭受性侵犯，风险比为1.26（95% CI：1.02，1.52），在出生时被指定为女性的非二元青年中为1.42（95% CI：1.10，1.78），在变性女孩中为2.49（95% CI：1.11，4.28）。在出生时被指定为男性的非二元青年中，限制与性侵犯无关。儿科医生应该意识到，性侵犯在跨性别和非二元青年中非常普遍，限制性的学校厕所/更衣室政策可能与风险有关。本研究报告的性侵犯受害率，其与限制性学校厕所/更衣室政策，在变性和性别非二进制青少年样本。
Transgender and gender non-binary adolescents experience high rates of peer victimization, but the prevalence of sexual assault in this population has not been established. Some schools restrict transgender and non-binary students from using restrooms and locker rooms that match their gender identity, with unknown effects on sexual assault risk. We tested whether these restrictions were associated with the 12-month prevalence of sexual assault victimization. Survey responses were analyzed from 3673 transgender and non-binary U.S. adolescents in grades 7 through 12 who participated in the cross-sectional 2017 LGBTQ Teen Study. We estimated the association between school restroom/locker room restrictions and past-year sexual assault, adjusting for potential demographic, social, and behavioral confounders, using logistic regression. We also tested potential mediators. The 12-month prevalence of sexual assault was 26.5% among transgender boys, 27.0% among non-binary youth assigned female at birth, 18.5% among transgender girls, and 17.6% among non-binary youth assigned male at birth. Youth whose restroom/locker room use was restricted were more likely to experience sexual assault compared to those without restrictions, with risk ratios of 1.26 (95% CI: 1.02, 1.52) in transgender boys, 1.42 (95% CI: 1.10, 1.78) in non-binary youth assigned female at birth, and 2.49 (95% CI: 1.11, 4.28) in transgender girls. Restrictions were not associated with sexual assault among non-binary youth assigned male at birth. Pediatricians should be aware that sexual assault is highly prevalent in transgender and non-binary youth, and that restrictive school restroom/locker room policies may be associated with risk. This study reports rates of sexual assault victimization, and its association with restrictive school restroom/locker room policies, in a transgender and gender non-binary adolescent sample.
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DOI：
10.1136/bmj.b2393
发表时间：
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期刊：
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