Evidence map›Paper›PMID 41376144›Full record

ArticleThe Journal of school health2026

Adoption and Implementation of California State Transgender and Nonbinary Protections in Los Angeles Area High Schools.

Rory P O'Brien, Kevin Yu, Julie A Cederbaum, Laura Ferguson, Jeremy T Goldbach, Harmony Rhoades, John R Blosnich

Abstract read
In one paragraph

Article in The Journal of school health, 2026. 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

7 authors.

Rory P O'BrienSuzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California, USA.ORCID https://orcid.org/0000-0002-8718-8354
Kevin YuMichigan State University School of Social Work, East Lansing, Michigan, USA.
Julie A CederbaumSuzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California, USA.
Laura FergusonInstitute on Inequalities in Global Health, University of Southern California, Los Angeles, California, USA.
Jeremy T GoldbachGeorge Warren Brown School of Social Work, Washington University in St. Louis, St Louis, Missouri, USA.
Harmony RhoadesGeorge Warren Brown School of Social Work, Washington University in St. Louis, St Louis, Missouri, USA.
John R BlosnichSuzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California, USA.ORCID https://orcid.org/0000-0001-7663-3638

Funding

NIMHD NIH HHS R01MD016082-04University of Southern California
6 · The paper itself

Abstract

backgroundCalifornia is a leader in adopting numerous transgender and nonbinary adolescent (TNBA)-protective education policies. However, the adoption and implementation of these policies remain largely unexamined. This study explored local school adoption and implementation of California state TNBA-protective policies.

methodsNine Los Angeles area high schools enrolled in another study (R01MD016082) participated in this explorative qualitative case study. Case study methods included document collection, campus observations, member checks, and seven student focus group discussions (FGDs; n = 39) between August 2022 and April 2024. Data were analyzed by multiple coders following the Framework Method to compare the implementation of school, district, and state policies.

resultsImplementation of name changes, gender-neutral restrooms, private accommodations, and sexual health education varied between schools and districts. While many schools did not meet state mandates to protect TNBA student access to education, others feasibly implemented these policies, and some adopted innovative approaches to protect TNBA. District oversight, publication of policies and facility access, staff training, funding, and infrastructure were key factors in successful implementation. IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY: Study findings highlight the feasibility of the implementation of TNBA protections in schools, with recommendations to adopt gender transition planning, publish policies for student access, and ensure the availability of gender-neutral restrooms and private accommodations.

conclusionsImplementation of these policies is feasible with sufficient support and oversight. TNBA-protective policies can be strengthened with accountability mechanisms and promotion of implementation strategies, such as technical assistance. Future research should examine the implementation of these policies statewide.

Indexed as

School Health ServicesSchoolsSex EducationTransgender PersonsAdolescentFemaleFocus GroupsHealth PolicyHumansLos AngelesMaleQualitative Researchadolescentscase studyschool policytransgender and nonbinary

Identifiers

PMID41376144
PMCPMC12696403

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.