Evidence map›Paper›PMID 41296693›Full record

ArticleHealth promotion and chronic disease prevention in Canada : research, policy and practice2025

Redefining the gender identity spectrum in longitudinal studies: adolescent response patterns after adopting the two-step measure of sex and gender.

Thepikaa Varatharajan, Angelica Amores, Karen A Patte, Margaret de Groh, Ying Jiang, Scott T Leatherdale

Abstract read
In one paragraph

Article in Health promotion and chronic disease prevention in Canada : research, policy and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Thepikaa VaratharajanSchool of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.
Angelica AmoresSchool of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.
Karen A PatteDepartment of Health Sciences, Brock University, St. Catharines, Ontario, Canada.
Margaret de GrohCentre for Surveillance and Applied Research, Health Promotion and Chronic Disease Prevention Branch, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Ying JiangCentre for Surveillance and Applied Research, Health Promotion and Chronic Disease Prevention Branch, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Scott T LeatherdaleSchool of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ongoing, large-scale longitudinal studies and surveillance systems are moving beyond historical single-item sex or gender measures to better capture gender identity. We examined patterns in adolescents' responses over a two-year period (2020-2021 to 2021-2022 school years) after the COMPASS study adopted a two-step measure of gender identity. Descriptive analyses revealed that, over time, 3.5% and 5.5% of high school students (n = 11 618) selected a different response for sex and gender, respectively. Our findings show that by implementing an inclusive measure that recognizes sex and gender as distinct constructs can improve the identification of all gender identities without compromising data quality.

Indexed as

Adolescent BehaviorGender IdentityStudentsAdolescentFemaleHumansLongitudinal StudiesMaleSex FactorsadolescentsCanadiangender identitylongitudinal analysispopulation healthsexsurveillance systemstwo-step measure

Identifiers

PMID41296693
PMCPMC12714366

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.