ArticlePloS one2021
Disparities in behavioral health and experience of violence between cisgender and transgender Thai adolescents.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- Suicide Risk Among Transgender Adolescents and Young Adults: A Meta-Analysis of Nearly One Million Participants.International journal of methods in psychiatric research · 2026Pooled it
- Exploring the global prevalence of mood and anxiety disorders in LGBTIQ+ people: A systematic review.Frontiers in psychiatry · 2025Pooled it
- Factors affecting the risk of gender-based violence among 2SLGBTQIA+ adolescents and youth: a scoping review of climate change-related vulnerabilities.Frontiers in sociology · 2025Pooled it
- The interplay between gender identity and sex assigned at birth in adolescents' health and wellbeing: a cross-sectional study.BMC public health · 2025Article
- The Burden of the Past: A Systematic Review of Childhood Trauma and Mental Health in Transgender and Gender Nonconforming Individuals.European journal of investigation in health, psychology and education · 2025Review
- Mental health among sexually and gender diverse adolescents in Indonesia and Vietnam: Results from the National Adolescent Mental Health Surveys.Child and adolescent psychiatry and mental health · 2025Article
- Evaluating the Determinants of Substance Use in LGBTQIA+ Adolescents: A Scoping Review.International journal of environmental research and public health · 2024Article
- Prevalence of self-inflicted injuries among transgender and gender diverse adolescents and young adults compared to their peers: an examination of interaction with mental health morbidity.Annals of epidemiology · 2023Article
- Article
- A scoping review of survey research with gender minority adolescents and youth in low and middle-income countries.PloS one · 2023Article
- Factors that drive mental health disparities and promote well-being in transgender and nonbinary people.Nature reviews psychology · 2022Review
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe term "transgender" refers to an individual whose gender identity is different from their sex assigned at birth, whereas the term "cisgender" refers to an individual whose gender identity is the same as their sex assigned at birth. In Thailand, studies on health outcomes and quality of life of Thai transgender youths have not included assessments from nationally-representative samples. The objective of this study is to assess the extent that behavioral health outcomes and exposure to violence varied by gender among respondents of the National School Survey on Alcohol Consumption, Substance Use and Other Health-Risk Behaviors.
methodsWe used data from a nationally-representative self-administered survey of secondary school students in years 7, 9 and 11 and classified participants as cisgender boys, cisgender girls, transgender boys, and transgender girls. Participants also answered questions on depressive experience, suicidality, sexual behaviors, alcohol and tobacco use, drug use, and past-year experience of violence. We analyzed data using descriptive statistics and modified multivariate Poisson regression with adjustment for sampling weights to calculate adjusted prevalence ratios (APR) with 95% confidence intervals.
resultsA total of 31,898 respondents (82.8% of those who returned complete and valid questionnaires) answered questions on sex and gender identity and were included in the analyses (n = 31,898 respondents), approximately 2.5% of whom identified as transgender. Transgender boys had a higher prevalence suicidal ideation than cisgender boys (APR = 2.97; 95% CI = 1.89, 4.67) and cisgender girls (APR = 2.29; 95% CI = 1.55, 3.40). Transgender girls were less likely than cisgender boys and girls to be ever drinkers, while transgender boys were more likely than cisgender boys and girls to be ever drinkers. Transgender girls had higher past-year exposure to sexual violence than cisgender boys (APR = 2.74; 95% CI = 1.52, 4.95) and cisgender girls (APR = 4.93; 95% CI = 2.52, 9.67).
conclusionWe found disparities in behavioral health and experience of violence between transgender and cisgender adolescents in Thailand. The findings highlighted the need for program managers and policy makers to consider expanding local efforts to address health gaps in the LGBTQ community to also include school-going youth population.
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Registered trials
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