First name
Elizabeth
Last name
Miller

Title

"This Could Mean Death for My Child": Parent Perspectives on Laws Banning Gender-Affirming Care for Transgender Adolescents.

Year of Publication

2020

Date Published

2020 Oct 13

ISSN Number

1879-1972

Abstract

OBJECTIVES: Numerous U.S. state legislatures have proposed bills to ban gender-affirming medical interventions for minors. Parents and caregivers play a critical role in advocating for and supporting their transgender and gender-diverse youth (TGDY). We aimed to understand parent and caregiver perspectives about this potential legislation and perceived effects on their TGDY's mental health.

METHODS: We developed and launched a social-media based, anonymous online survey in February 2020 to assess parent and caregiver perspectives on proposed laws to ban gender-affirming medical interventions for minors. Participants were asked to respond to two open-ended questions about these laws; responses were coded to identify key themes.

RESULTS: We analyzed responses from 273 participants from 43 states. Most identified as white (86.4%) female (90.0%) mothers (93.8%), and 83.6% of their TGDY had received gender-affirming medical interventions before age 18 years. The most salient theme, which appeared in the majority of responses, described parent and caregiver fears that these laws would lead to worsening mental health and suicide for their TGDY. Additional themes included a fear that their TGDY would face increased discrimination, lose access to gender-affirming medical interventions, and lose autonomy over medical decision-making due to government overreach.

CONCLUSIONS: In this convenience sample, parents and caregivers overwhelmingly expressed fear that the proposed legislation will lead to worsening mental health and increased suicidal ideation for their TGDY. They implored lawmakers to hear their stories and to leave critical decisions about gender-affirming medical interventions to families and their medical providers.

DOI

10.1016/j.jadohealth.2020.09.010

Alternate Title

J Adolesc Health

PMID

33067153

Title

Racial and ethnic differences in young men's sex and contraceptive education.

Year of Publication

2015

Number of Pages

464-7

Date Published

2015 Apr

ISSN Number

1879-1972

Abstract

<p><strong>PURPOSE: </strong>Racial/ethnic disparities exist in young men's contraceptive knowledge. This study examines whether the likelihood of receiving sexual health education varies by race/ethnicity.</p>

<p><strong>METHODS: </strong>We examined racial/ethnic differences in sex and contraceptive education both in school and from parents with multivariable logistic regression models among 4,104 men aged 15-24 years using data from the 2006-2010 National Survey of Family Growth.</p>

<p><strong>RESULTS: </strong>Nearly all respondents (96.6%) reported formal sex education. Fewer reported formal birth control education (66.6%), parental sex discussions (66.8%), and parental discussions specifically about birth control (49.2%). In multivariable analysis, black men were less likely than white men to report receiving formal contraceptive education (adjusted odds ratio [aOR], .70; 95% CI, .51-.96). Both black and U.S.-born Hispanic men reported more parental sex discussions than white men (aOR, 1.44; 95% CI, 1.07-1.94, aOR, 1.47; 95% CI, 1.09-1.99, respectively).</p>

<p><strong>CONCLUSIONS: </strong>Nearly all respondents reported having received formal sexual health education. Fewer reported receiving education about birth control either at school or at home. Black men were less likely to report receiving formal contraceptive education.</p>

DOI

10.1016/j.jadohealth.2014.12.014

Alternate Title

J Adolesc Health

PMID

25797633

Title

Barriers to Long-Acting Reversible Contraceptive Uptake Among Homeless Young Women.

Year of Publication

2016

Number of Pages

104-10

Date Published

2016 Apr

ISSN Number

1873-4332

Abstract

<p><strong>STUDY OBJECTIVE: </strong>To identify barriers to long-acting reversible contraception (LARC) uptake among homeless young women.</p>

<p><strong>DESIGN: </strong>In this mixed methods study surveys and guided interviews were used to explore women's contraceptive and reproductive experiences, interactions with the health care system, and their histories of homelessness.</p>

<p><strong>SETTING: </strong>All surveys and interviews were conducted at a homeless drop-in center or shelter.</p>

<p><strong>PARTICIPANTS: </strong>Fifteen women between 18 and 24&nbsp;years of age with a past year history of homelessness.</p>

<p><strong>INTERVENTIONS: </strong>None.</p>

<p><strong>MAIN OUTCOME MEASURES: </strong>Perceived barriers to contraceptive use, including knowledge and access barriers and interactions with the health care system around reproductive health.</p>

<p><strong>RESULTS: </strong>Confusion about the possibility of early termination of LARC, and the perception that providers deliberately withhold selective information about contraceptive options to bias contraceptive decision-making, were 2 key new findings. Women also reported interest in visual aids accompanying verbal contraceptive counseling. Pregnancy attitudes and history of reproductive and sexual coercion also influenced contraceptive decision-making and reported interest in LARC methods.</p>

<p><strong>CONCLUSION: </strong>Comprehensive counseling about all contraceptive options, including LARC, are important for targeting the perceived gaps in contraceptive education and care among homeless young women.</p>

DOI

10.1016/j.jpag.2015.07.003

Alternate Title

J Pediatr Adolesc Gynecol

PMID

26210293

Title

Racial and/or Ethnic Differences in Formal Sex Education and Sex Education by Parents among Young Women in the United States.

Year of Publication

2016

Number of Pages

69-73

Date Published

2016 Feb

ISSN Number

1873-4332

Abstract

<p><strong>STUDY OBJECTIVE: </strong>We sought to investigate the associations between race and/or ethnicity and young women's formal sex education and sex education by parents.</p>

<p><strong>DESIGN, SETTING, AND PARTICIPANTS: </strong>Cross-sectional analysis of a nationally representative sample of 1768 women aged 15-24&nbsp;years who participated in the 2011-2013 National Survey of Family Growth.</p>

<p><strong>INTERVENTIONS AND MAIN OUTCOME MEASURES: </strong>We assessed 6 main outcomes: participants' report of: (1) any formal sex education; (2) formal contraceptive education; (3) formal sexually transmitted infection (STI) education; (4) any sex education by parents; (5) contraceptive education by parents; and (6) STI education by parents. The primary independent variable was self-reported race and/or ethnicity.</p>

<p><strong>RESULTS: </strong>Nearly all of participants (95%) reported any formal sex education, 68% reported formal contraceptive education, and 92% reported formal STI education. Seventy-five percent of participants reported not having any sex education by parents and only 61% and 56% reported contraceptive and STI education by parents, respectively. US-born Hispanic women were more likely than white women to report STI education by parents (adjusted odds ratio&nbsp;=&nbsp;1.87; 95% confidence interval, 1.17-2.99). No other significant racial and/or ethnic differences in sex education were found.</p>

<p><strong>CONCLUSION: </strong>There are few racial and/or ethnic differences in formal sex education and sex education by parents among young women.</p>

DOI

10.1016/j.jpag.2015.06.011

Alternate Title

J Pediatr Adolesc Gynecol

PMID

26143556

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