"Individual self-esteem, healthy relationships w/ parents & peers, and GSAs are most common protective factors." (J Prim Prev)

Protective Factors Among Transgender and Gender Variant Youth: A Systematic Review by Socioecological Level

From abstract

Transgender and gender variant (GV) youth experience elevated risk for poor health and academic outcomes due mainly to social experiences of stigma and discrimination. To supplement the growing evidence on health risks encountered by transgender/GV youth, we identified factors theorized to be protective for these youth across all four levels of Bronfenbrenner's socioecological model (individual, relationship, community, societal). We conducted a systematic search of peer-reviewed research. The articles included in this review were published in peer-reviewed journals in English or Spanish between 1999 and 2014, analyzed data from a sample or subsample of transgender or GV participants with a mean age between 10 and 24 years, and examined the relationship of at least one theorized protective factor to a health or behavioral outcome. Twenty-one articles met inclusion criteria. Transgender/GV youth in included articles ranged from 11 to 26 years of age, were racially/ethnically diverse, and represented varied gender identities. Within these articles, 27 unique protective factors across four levels of the ecological model were identified as related to positive health and well-being. Self-esteem at the individual level, healthy relationships with parents and peers at the relationship-level, and gay-straight alliances at the community level emerged as protective factors across multiple studies. Our findings underscore the relative lack of research on transgender/GV youth and protective factors. Novel recruitment strategies for transgender/GV youth and better measurement of transgender identities are needed to confirm these protective relationships and identify others. Growth in these areas will contribute to building a body of evidence to inform interventions.

Citation

Johns et al. (2018) Protective Factors Among Transgender and Gender Variant Youth: A Systematic Review by Socioecological Level. Journal of Primary Prevention. 2018 Jun;39(3):263-301. doi: 10.1007/s10935-018-0508-9.

Heteronormative safety policies, violence, & harassment at schools cause decrease in perceived safety for gender-nonconforming students in 28 high schools. (J. Adolesc)

Heteronormativity, school climates, and perceived safety for gender nonconforming peers.

Abstract

Students' perceptions of their school climates are associated with psychosocial and academic adjustment. The present study examined the role of school strategies to promote safety in predicting students' perceptions of safety for gender nonconforming peers among 1415 students in 28 high schools. Using multilevel modeling techniques, we examined student- and school-level effects on students' perceptions of safety for gender nonconforming peers. We found that older students, bisexual youth, Latino youth, and youth who experienced school violence perceived their gender nonconforming male peers to be less safe. Similarly, we found that older students and students who experienced school violence and harassment due to gender nonconformity perceived their gender nonconforming female peers to be less safe. At the school-level, we found that when schools included lesbian, gay, bisexual, transgender, and queer (LGBTQ) issues in the curriculum and had a Gay-Straight Alliance, students perceived their schools as safer for gender nonconforming male peers.

Citation

Toomey et al. (2012) Heteronormativity, school climates, and perceived safety for gender nonconforming peers. Journal of Adolescence. 2012 Feb;35(1):187-96. doi: 10.1016/j.adolescence.2011.03.001. Epub 2011 Apr 8.