Gender Identity Research Articles

A Measurement Invariance Analysis of the Anxiety Scale for Autism-Adults in a Sample of Autistic and Non-Autistic Men and Women.

The Anxiety Scale for Autism-Adults (ASA-A) captures the autistic anxiety experience, but we do not know whether it is structurally equivalent for men and women, or non-autistic people. Measurement invariance analysis considered gender and diagnostic status (342 cis-gender autistic men (N = 105) and women (N = 237), 316 cis-gender non-autistic men (N = 104) and women (N = 212)). Strict invariance was achieved between autistic men and women and between non-autistic men and women, but the ASA-A structure is quantitatively different in autistic compared to non-autistic adults. Therefore, this tool cannot be used to directly compare anxiety between these groups. Autistic women scored significantly higher on the ASA-A than autistic men and Uncertainty was the highest scoring factor for autistic participants. Future research should include alternative gender identities.

Firearm Access and Socio-Structural Factors Related to Suicidality Among Youth With Diverse Sexual, Gender, and Racial Identities

Objective Elevated rates of suicidal ideation (SI) and suicide attempts (SA) among youth, particularly multiply marginalized youth, are occurring in the context of youths’ access to household firearms. Research examining how perceived access to firearms is related to SI and SA among youth with marginalized identities is limited and often neglects to consider intersectionality. This study explored how intersecting social identities and positions, access to firearms, and socio-structural factors were associated with SI and SA for youth. Method The analytic sample (N = 17,794) included 7-12th grade students who participated in the 2021 Dane County Youth Assessment. Exhaustive CHAID – a decision tree matrix approach – examined all possible combinations of self-reported sociodemographic characteristics (gender identity, sexual identity, racial identity, grade, and firearm access) and socio-structural variables (bias-based bullying, school belongingness, and social pressure) to predict mutually exclusive groups of youth based on past-year SI and SA. Results SI and SA was most prevalent among intersectional groups with multiply marginalized identities and access to firearms. Socio-structural factors, including bias-based bullying victimization, lack of school belongingness, and social pressure, were characteristic of groups with higher prevalence of SI and SA. Conclusions While the marginalized youth in this sample have lower access to firearms, the prevalence of SI and SA was highest among multiply marginalized youth who reported access to firearms in the context of bias-based bullying, social pressure, and a lack of school belongingness. Youth suicide prevention efforts would be strengthened by policies that address firearm access and improve the school environment.

An Intersectional Exploration of Outness, Encountered Discrimination and Violence, and Non-Suicidal Self-Injury among Asexual Youth across Gender Identities.

Current research on asexual youth is limited, especially in understanding the impact of their outness and the intersection of sexual orientation with gender minority identities. This study investigates the influence of outness on experiences of harassment, discrimination, violence, and the risk of non-suicidal self-injury (NSSI) among asexual youth, with a focus on those with transgender and non-binary identities. Data for this study were obtained from the 2021 Ace Community Survey, an international online survey designed to assess the needs and health status of the Ace community, targeting respondents aged 13 and older. The analysis involved a subsample of 5574 respondents aged 13 to 24 (mean age = 19.28), including 2361 cisgender (mean age = 19.65), 1,195 transgender (mean age = 18.80), and 2,018 non-binary individuals (mean age = 19.13). The results revealed that experienceds of sexual violence, verbal aggression, and physical harassment and bullying not only correlated with but also completely mediated the relationship between outness and NSSI. Asexual transgender youth experienced heightened levels of discrimination and NSSI but demonstrated notable resilience against the negative effects of identity disclosure, highlighting complex dynamics of vulnerability and protection within these communities.

Intersections of queer, gender, and religious socialization: a critical collaborative autoethnography

As four queer counseling and counselor education scholars, we used critical collaborative autoethnography to examine socialization influences on our queer, gender, and religious identities. Analysis revealed four themes describing social-cultural socialization’s influence on identity negotiation processes: social-cultural/environmental influences; navigating inequalities, power relations, and structures; personal/internal development; and action-oriented change. Findings inform counseling, psychology, PK-12 and higher education, and an interdisciplinary understanding of intersectional identity development for queer persons in theologically conservative and gendered contexts and warrant further investigation of intersectional identity development for queer persons navigating dominant gendered, racist, and religious contexts.

Convergent validity of two adult self-report sensory scales: Comparing the Adolescent/Adult Sensory Profile and the Sensory Processing Measure 2-Adult Form.

Occupational therapists use standardised scales and measures to assess an individual's sensory processing factors. To date, few studies have investigated the correlations between the Adolescent/Adult Sensory Profile (A/ASP) and the Sensory Processing Measure 2-Adult Form (SPM-2-Adult). The aim of the project is to investigate the association between the sensory processing factors measured by the A/ASP and SPM-2-Adult when completed by the same group of adult participants, with an additional research question investigating whether any significant differences existed between sensory processing scores based on participants' self-reported gender identity. Forty-two adults aged 18-30 completed the A/ASP and the SPM-2-Adult. Associations between the A/ASP quadrant and the SPM-2-Adult subscales were examined using Spearman's rho correlation coefficients, and differences between participants based on their self-reported gender identity were investigated using Mann-Whitney U tests. Statistically significant correlations were obtained between the A/ASP Low Registration, Sensory Sensitivity, and Sensation Avoiding quadrant subscales and all nine of the SPM-2-Adult subscales ranging from weak (rho = 0.342, p < 0.027) to strong (rho = 0.790, p < 0.001) correlations. The A/ASP Sensation Seeking quadrant subscale was only significantly correlated with the SPM-2-Adult Social Participation subscale (rho = -0.416, p = 0.006). Three subscales had statistically significant differences based on gender identity: SPM-2-Adult Vision (p = 0.007), SPM-2-Adult Sensory Total (p = 0.048), and A/ASP Sensory Sensitivity (p = 0.043). Consumers and community members were not involved in the design, execution, or write-up of the study results. The A/ASP and the SPM-2-Adult had several subscales that were significantly correlated with one another. Of note, significant associations were achieved between the A/ASP Low Registration, Sensory Sensitivity, and Sensation Avoiding quadrant subscales and all nine of the SPM-2-Adult subscales. These findings make a significant preliminary contribution to the psychometric body of evidence related to the sensory processing assessment of adults.

Una Coscienza Coloniale: forging imperial women in the Fascist Colonial Institute of Bologna

ABSTRACT This paper studies the Fascist Colonial Institute (ICF) of Bologna as a local space in which fascist ideals of empire, gender and class collided and were reproduced. Founded shortly before Italy’s invasion of Ethiopia in 1935, the ICF served to transmit colonial consciousness to the Italian people, and, most especially, to young middle-class women. Analysis of the local Bolognese ICF, however, reveals a more complex reality. Courses designed to create fascist imperialists out of middle-class women and forge a ruling settler class for the colonies evidence that the institute used the empire as a tool to shore up gender norms in fascist Italy. The author argues that an unintended outcome of these courses was that the ICF became a space of limited freedom and of social and professional mobility for its young women participants. In addition to learning transgressive skills, these women took advantage of their affiliation with the institute, using it as a springboard for further employment opportunities. The paper is based on a rich collection of sources from the Bolognese branch of the ICF, held in the Museo Civico del Risorgimento di Bologna in the Archivio dell’Istituto Fascista dell’Africa Italiana – Sezione di Bologna.

Destigmatizing kinks: alien erotica in Netflix’s sex education

ABSTRACT The Netflix series Sex Education has sparked enthusiasm among critics, audiences, and scholars due to its celebration and visibility of sexual identities in all forms, one of the most exhilarating being the narratory and visual development of the character of Lily which constitutes a focal point of Season 3. Lily’s vibrant interest in writing sexual outer space stories is entangled with her sex life and highlights issues of public shame related to sexual fetishes. Netflix, by means of series such as Sex Education, has become a notable entity in the representation of LGBTQIA+ characters in visual storytelling, as well as the facilitation and sharing of discussions related to non-conventional gender identities and sexual practices within an ever more interconnected media landscape (Zurian, Garcia – Ramos and Rodriguez, 2021). By using as a starting point the fact that claims for visibility, representation and sexual citizenship access do not exist until they are produced through the needs of different identities, this analysis will focus on the premise that the representation of the character’s kinks entails the ability to broaden the understanding of Lily’s sexual identity and contributes to the destigmatization of her sexual practices due to the series popularity and transnational dissemination.

Sociodemographic profile, health-related behaviours and experiences of healthcare access in Italian transgender and gender diverse adult population.

Information on the general health of transgender and gender diverse (TGD) individuals continues to be lacking. To bridge this gap, the National Institute of Health in Italy together with the National Office against Racial Discriminations, clinical centres, and TGD organizations carried out a cross-sectional study to define the sociodemographic profile, health-related behaviours, and experiences of healthcare access in Italian TGD adult population. A national survey was conducted by Computer-Assisted Web Interviewing (CAWI) technique. Collected data were compared within the TGD subgroups and between TGD people and the Italian general population (IGP). TGD respondents were 959: 65% assigned female at birth (AFAB) and 35% assigned male at birth (AMAB). 91.8% and 8.2% were binary and non-binary TGD respondents, respectively. More than 20% of the TGD population reported to be unemployed with the highest rate detectable in AMAB and non-binary people. Cigarette smoking and binge drinking were higher in the TGD population compared with IGP (p < 0.05), affecting TGD subgroups differently. A significant lower percentage of AFAB TGD people reported having had screening for cervical and breast cancer in comparison with AFAB IGP (p < 0.0001, in both cases). Over 40% was the percentage of AFAB and non-binary TGD people accessing healthcare who felt discriminated against because of their gender identity. Our results are a first step towards a better understanding of the health needs of TGD people in Italy in order to plan the best policy choices for a more inclusive public health.

Being Authentic: Gender Identity, Leadership Enactment, and the Case Study of Indonesian Women Newsroom Leaders

ABSTRACT Globally, news organizations often maintain a male-dominated work culture, with a pronounced preference for men over women in leadership roles, mirroring trends observed in Indonesian newsrooms. This study challenges the misconception that women are less capable of leading newsrooms. Through in-depth interviews with 31 Indonesian women newsroom leaders, this research explores how women newsroom leaders in Indonesia deal with newsroom inequality and in the process, how they perform and negotiate their leadership roles in relations to their gender identity. Drawing from the theoretical framework of identity and anchoring on the concept of authenticity, this study identifies the varying understandings among these women on what it means to be a “true” newsroom leader and their tactical negotiations between their gender and leadership identities. Some respondents dismiss gender differences but enact masculine leadership features to belong in the professional context while others evoke their gender identity and establish femininity as part of their professional identity in newsroom. This research adds to the thin literature on women leadership in the journalism industry and contributes to the empirical and theoretical discussions on the different approaches to leadership as they pertain to gender.

Disability and gender in the history of geographical exploration: Understanding Isabella Bird Bishop as a disabled geographer

AbstractStudying the life and travels of the Victorian explorer Isabella Bird Bishop offers important insights into the history of disabled people within the discipline of geography. Bird Bishop is an important figure within geography's disciplinary history, as one of the first women admitted to the Royal Geographical Society in 1892. She also had a long‐standing spinal condition that intermingled with psychological symptoms. In studying how her disability (and contemporary understandings of her body) shaped her travels, this paper shows how disability interacted with Bird Bishop's racial and gender identity in shaping where and how she travelled and how she wrote about her experiences. By drawing attention to the role that disability played in justifying her travels and the positive effect travel had on her health, this paper highlights her generally positive experiences of geographical travel as a disabled person.

The Cass report, gender identity, and where to go next

Child and adolescent clinicians in the United States have to be paying attention to what has happened to gender medicine in the United Kingdom. The highly respected service at the Tavistock Clinic has come under intense criticism — confusing as that may be — and in April Hilary Cass released her report to the UK's National Health Service expressing concern for gender medicine, saying it is “built on shaky foundations.” Coupled with recent lawsuits against the American Academy of Pediatrics (AAP) and gender‐affirming care, the standard in the United States, clinicians are left pondering their next steps. An editorial in the British Medical Journal following the release of the Cass Report gives a balanced summation. (For the report, go to Download the Final Report). The editorial is subtitled “an opportunity to unite behind evidence informed care in gender medicine.”

Exploring gender identity in paediatric dermatology.

This ethical dilemma explores gender identity within the paediatric population. It also considers the fundamental principles of consent for minors, with non-maleficence as an overarching framework to safeguard children.

Mapping the evolution of gender dysphoria research: a comprehensive bibliometric study

AbstractThe definition of gender dysphoria has been the subject of extensive scientific debate in various fields. The Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-V) characterizes gender dysphoria as a psychological condition due to a discrepancy between perceived and assigned gender. The scientific community has engaged in an extensive debate over the years regarding the classification of gender dysphoria, initially characterizing it as a gender identity disorder and subsequently removing it from the category of mental disorder. This paper aims to use bibliometric techniques to analyze scientific productivity and study the evolution of content on gender dysphoria from 1991 to 2022. It provides to map the scientific research production in this field through the science mapping approach highlighting the changes that have taken place over the past three decades.

Clinicians in the Veterans Health Administration initiate gender-affirming hormone therapy in concordance with clinical guideline recommendations

BackgroundGender-affirming hormone therapy (GAHT) is a common medical intervention sought by transgender and gender diverse (TGD) individuals. Initiating GAHT in accordance with clinical guideline recommendations ensures delivery of high-quality care. However, no prior studies have examined how current GAHT initiation compares to recommended GAHT initiation.ObjectiveThis study assessed guideline concordance around feminizing and masculinizing GAHT initiation in the Veterans Health Administration (VHA).MethodsThe sample included 4,676 veterans with a gender identity disorder diagnosis who initiated feminizing (n=3,547) and masculinizing (n=1,129) GAHT between 2007 and 2018 in VHA. Demographics and health conditions on veterans receiving feminizing and masculinizing GAHT were assessed. Proportion of guideline concordant veterans on six VHA guidelines on feminizing and masculinizing GAHT initiation were determined.ResultsCompared to veterans receiving masculinizing GAHT, a higher proportion of veterans receiving feminizing GAHT were older (≥60 years: 23.7% vs. 6.3%), White non-Hispanic (83.5% vs. 57.6%), and had a higher number of comorbidities (≥7: 14.0% vs. 10.6%). A higher proportion of veterans receiving masculinizing GAHT were Black non-Hispanic (21.5% vs. 3.5%), had posttraumatic stress disorder (43.0% vs. 33.9%) and positive military sexual trauma (33.5% vs.16.8%; all p-values&amp;lt;0.001) than veterans receiving feminizing GAHT. Among veterans who started feminizing GAHT with estrogen, 97.0% were guideline concordant due to no documentation of contraindication, including venous thromboembolism, breast cancer, stroke, or myocardial infarction. Among veterans who started spironolactone as part of feminizing GAHT, 98.1% were guideline concordant as they had no documentation of contraindication, including hyperkalemia or acute renal failure. Among veterans starting masculinizing GAHT, 90.1% were guideline concordant due to no documentation of contraindications, such as breast or prostate cancer. Hematocrit had been measured in 91.8% of veterans before initiating masculinizing GAHT, with 96.5% not having an elevated hematocrit (&amp;gt;50%) prior to starting masculinizing GAHT. Among veterans initiating feminizing and masculinizing GAHT, 91.2% had documentation of a gender identity disorder diagnosis prior to GAHT initiation.ConclusionWe observed high concordance between current GAHT initiation practices in VHA and guidelines, particularly for feminizing GAHT. Findings suggest that VHA clinicians are initiating feminizing GAHT in concordance with clinical guidelines. Future work should assess guideline concordance on monitoring and management of GAHT in VHA.

Unveiling Otherness: Gendered Memories and Identity in Octavia Butler's Dawn

In recent years, American Studies have shifted their focus towards the political realm. However, despite the undermining of many moral-philosophical dogmas of the Western metaphysical tradition by poststructuralism and deconstruction, a significant portion of the political claims made in this revisionist turn still rely, albeit tacitly, on these moral and ethical assumptions. As these assumptions often clash with the theoretical foundations of revisionist works, some proponents resort to what could be termed as the "pathos of marginality" and rely on vague concepts of "otherness." Furthermore, these political-ideological interpretations often neglect aesthetic aspects, suspecting them of carrying implicit and hegemonic strategies of representation. This abstract delves into the exploration of gendered memories and identity within Octavia Butler's seminal work, Dawn. The narrative unfolds in a world fundamentally transformed by alien intervention, where the protagonist, Lilith, grapples with the complexities of her own identity amidst encounters with enigmatic extraterrestrial beings. Through an analysis of key characters and narrative themes, this study elucidates the nuanced portrayal of otherness and the role of gendered memories in shaping individual and collective identities. Butler's visionary narrative offers a thought-provoking examination of the intersections between memory, gender, and the construction of the self in a post-apocalyptic world. By delving into the philosophical underpinnings and ethical implications of otherness, this research aims to shed light on the intricate dynamics of identity formation and the quest for belonging in speculative fiction.

Disparities in behaviors and experiences among transgender and cisgender high school students — 18 U.S. states, 2021

PurposeTransgender youth (those whose gender identity differs from their sex assigned at birth) experience stigma and discrimination that can place them at increased risk for poor health outcomes compared with cisgender youth (those whose gender identity aligns with their sex assigned at birth). Limited population-based data exist on disparities among transgender and cisgender youth. MethodsWe examined differences in experiences of violence, substance use, mental health, suicide, sexual behavior, unstable housing, parental monitoring, and school connectedness among 98,174 transgender and cisgender high school students using data from 18 states that included an item to assess transgender identity on their 2021 Youth Risk Behavior Survey. ResultsOverall, 2.9% of students identified as transgender and 2.6% questioned whether they were transgender. Among transgender students, 71.5% reported that their mental health was not good, 32.3% had attempted suicide, and 29.0% experienced sexual violence. Transgender students were more likely than cisgender students to report experiences of violence, substance use, poor mental health, suicide risk, some sexual risk behaviors, and unstable housing, and were less likely to report feeling connected to others at school. ConclusionsInterventions that can address the causes of these adverse outcomes and promote the health and wellbeing of transgender youths are warranted.

Sexual Function After Gender Affirming Surgery

Abstract Purpose of Review Sexual function and satisfaction in the transgender community is a nascent field with a paucity of data due to the fast paced nature of improving upon surgical technique and variety of patient experiences. The authors aim to review the current literature for areas of success as well as areas of improvement in order to better the sexual health of the transgender community. Recent Findings Gender dysphoria is a feeling of distress experienced by those whose gender assigned at birth is not in line with their gender identity. While social transition to the desired gender can suffice for some, medical and surgical interventions are often sought out to achieve gender euphoria, the decrease or absence of gender dysphoria. Often, issues with sexual function and satisfaction can trigger gender dysphoria, especially prior to social, medical, or surgical transition. Summary Surgical genital gender affirmation has been the most studied in terms of sexual function and improvement of gender dysphoria. Surgical complications, hormonal changes, and other organic causes of sexual dysfunction can still interfere with one’s overall sexual satisfaction. A validated measure of sexual function for trans men and trans women is needed to better assess outcomes.

Psychosocial factors associated with non-suicidal self-injury attempts among people in the transmasculine and non-binary spectrum from Argentina

ABSTRACT Transmasculine and non-binary individuals frequently experience stigma related to their gender identity, which leads to higher rates of mental health problems in comparison with the cisgender population. This study describes the prevalence of non-suicidal self-injury (NSSI) attempts and explores its association with indicators of violence, discrimination, and gender affirmation among people who self-identify within the transmasculine and non-binary spectrum from Argentina. Between May and September 2019, 415 participants completed an online survey. The median age was 23 years (IQR = 19–27). Most of the sample (84.6%) self-identified as transmasculine (e.g. trans man or male) and 15.4% as non-binary. The prevalence of NSSI attempts was high (74.6%). The first attempt frequently occurred during adolescence. NSSI attempts were negatively associated with indicators of psychological, medical, and legal gender affirmation only at the bivariate level. In the final multivariable model, NSSI attempts remained associated with younger age, bullying at school, violence from family members, and sexual abuse. Prevalence of NSSI attempts among transmasculine and non-binary people from Argentina is disproportionately elevated. It is critical to prioritise this population in policies and interventions to prevent this problem from an early age. Such interventions should address discrimination and violence against this community, since these are the factors primarily associated with occurrence of NSSI attempts.

“You Can Be Whatever You Want to Be” Except for on Shabbat: Challenging the Traditional Shabbat Party

ABSTRACT Within Orthodox Jewish early childhood programs, gender roles of the Shabbat Party promote heteronormative gender expectations that contend with values about children, teaching, and Judaism. Interviews with 15 educators suggested tensions between gender flexible attitudes and beliefs that gender unfolds naturally. Pretend play was considered a safe space for challenging gender, regulated by perceived sociocultural and religious boundaries. Conversely, the Shabbat Party roles were rigidly instituted without much examination of their implications for gender and Jewish identity development. While a few dissenting voices revealed an emerging gender consciousness, the ongoing need for dialogue, reflection, and gender flexible practices are recommended.

En] Exploring safety and agency in social media: a case study of online crossdressing

Introduction. Are there safe spaces for the construction of online communities with diverse gender identities and sexual desires? What makes some online spaces safer than others? And for whom? Does the architecture of these spaces influence the ways in which users navigate the Internet? Methodology. To address these questions, we conducted a digital ethnography on a social media platform oriented towards the Spanish-speaking crossdresser community. Findings and analysis. Our analysis suggests that this platform acts as a digital counterpublic, as it allows users to inhabit a safe environment for self-expression, building support networks, organizing as a collective, and articulating their sexual intimacies. Based on these findings, we infer that online safety and agency are closely interrelated, the latter being a result of the first. In addition, we found that the concept of online safety should be evaluated on a case-by-case basis, in accordance with the feminist perspective, where online safety is always construed in a situated manner and conceives the subjects of study as active agents involved in the definition of the concept itself. Ethical considerations. The research process raised ethical questions of great relevance to the conclusions of this study, suggesting that the same factors to be considered when conducting research in digital platforms should be contemplated when designing and navigating online safe spaces. We thus propose that, both in carrying out online qualitative research and in the construction of online safe spaces, the following aspects should be taken into consideration: the implications of the privacy settings offered by the platform, the vulnerability of the users that populate it, the sensitivity of the topics covered by the platform’s community and, last but not least, an ongoing negotiation and reaffirmation of consent in the utilization of the users’ personal data.