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Journal Article

Citation

Miller E. JAMA Netw. Open 2022; 5(6): e2215866.

Copyright

(Copyright © 2022, American Medical Association)

DOI

10.1001/jamanetworkopen.2022.15866

PMID

35653159

Abstract

oung people who identify as gender minority (ie, transgender, nonbinary, gender diverse) experience violence at significantly higher rates than their cisgender counterparts (ie, those whose gender identity aligns with their sex category assigned at birth). These experiences of violence include threat or injury with a weapon, forced sexual intercourse, dating violence, and bullying.1 Studies indicate that gender minority youth experience significant discrimination and stigma, which contribute to disparities in substance use, incomplete education, mental health concerns, and suicide.2 Prevention of sexual violence requires addressing risk and protective factors across multiple levels, including individual, relational, community, and society, and identifying effective strategies to stop the use of sexual violence.3

Ybarra et al4 conducted a nationally representative online survey using social media, with attention to oversampling sexual and gender minority youth, to better understand variation in the prevalence of use of sexual violence (ie, perpetration) by gender identity. Their primary research questions were to what extent sexual violence rates vary by gender identity and what youth characteristics correlate with perpetration within gender identity categories. This work seeks to fill an important gap in our understanding of differential risk for perpetration. As exposure to violence, including sexual violence, is a well-recognized risk factor for using sexual violence, they examined differences in perpetration of and exposure to sexual violence by gender identity. They examined a broad range of youth characteristics, including protective factors, that could influence use of sexual violence including stressors of being marginalized, such as internalized transphobia and gender inequity, community violence exposure, pornography consumption, and social supports. Consistent with prior literature, they found that gender minority youth had more than twice the odds of ever experiencing sexual violence than cisgender boys and girls. Yet despite the higher prevalence of experiencing violence, gender minority youth were not more likely to ever use sexual violence.

Ybarra et al4 finding that gender minority youth are not more likely to use sexual violence than their cisgender peers has the potential to counter pervasive and harmful narratives central to the ways in which trans identity has been weaponized in contemporary political discourse. Numerous legislative efforts have been enacted nationally that prohibit gender affirmative health care for transgender persons and restrict access to sports and facilities based on sex assigned at birth. Ybarra et al4 place this study in the context of the profound stigma and marginalization that transgender individuals experience in the United States, noting the "sensitive and unintentionally political research topic that sexual violence perpetration represents." Findings from this study counter persistent and harmful stereotypes of sexual deviancy attributed to gender minority individuals.

Key challenges in violence prevention research have been limited attention to the inclusion of gender minority youth in studies and sample sizes large enough to allow for analyses by gender identity, a noteworthy advance with the Ybarra study.4 The challenge of inclusion is amplified by lack of consistent assessment of gender identity in studies of violence and discrimination leading to a lack of clarity about participants' gender identity. ...


Language: en

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