Evidence map›Paper›PMID 31061223›Full record

ArticlePediatrics2019

School Restroom and Locker Room Restrictions and Sexual Assault Risk Among Transgender Youth.

Gabriel R Murchison, Madina Agénor, Sari L Reisner, Ryan J Watson

Open access · bronzeAbstract read
In one paragraph

Article in Pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
12.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 97 citations in OpenAlex.

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  18. Pediatric sexual orientation and gender identity data collection in the electronic health record.Journal of the American Medical Informatics Association : JAMIA · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Gabriel R MurchisonDepartments of Social and Behavioral Sciences and gmurchison@g.harvard.edu.
Madina AgénorThe Fenway Institute, Fenway Health, Boston, Massachusetts.
Sari L ReisnerThe Fenway Institute, Fenway Health, Boston, Massachusetts.
Ryan J WatsonDepartment of Human Development and Family Sciences, University of Connecticut, Storrs, Connecticut.
Fenway Health · USHarvard University · USUniversity of Connecticut · US

Funding

Policy- and Provider-Level Determinants of Human Papillomavirus Vaccination Disparities Among Young U.S. WomenK01CA234226 · NCI · TUFTS UNIVERSITY MEDFORD · PI AGÉNOR, MADINA · 2018 to 2020
$447k
NCI NIH HHS K01 CA234226
6 · The paper itself

Abstract

backgroundTransgender and gender nonbinary 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 nonbinary 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.

methodsSurvey responses were analyzed from 3673 transgender and nonbinary US adolescents in grades 7 through 12 who participated in the cross-sectional 2017 LGBTQ Teen Study. We estimated the association between school restroom and locker room restrictions and sexual assault, adjusting for potential social and behavioral confounders, using logistic regression. We also tested potential mediators.

resultsThe 12-month prevalence of sexual assault was 26.5% among transgender boys, 27.0% among nonbinary youth assigned female at birth, 18.5% among transgender girls, and 17.6% among nonbinary youth assigned male at birth. Youth whose restroom and locker room use was restricted were more likely to experience sexual assault compared with those without restrictions, with risk ratios of 1.26 (95% confidence interval [CI]: 1.02-1.52) in transgender boys, 1.42 (95% CI: 1.10-1.78) in nonbinary 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 nonbinary youth assigned male at birth.

conclusionsPediatricians should be aware that sexual assault is highly prevalent in transgender and nonbinary youth and that restrictive school restroom and locker room policies may be associated with risk.

Indexed as

AdolescentCross-Sectional StudiesFemaleHumansMaleRisk FactorsSchoolsSex OffensesStudentsSurveys and QuestionnairesToilet FacilitiesTransgender Persons

Identifiers

PMID31061223
PMCPMC8849575
OpenAlexW2944752646

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.