Être en sécurité, être soi-même : résultats de l’enquête canadienne sur la santé des jeunes trans

Cette étude a été financée par la subvention no MOP119472 des Instituts de recherche en santé du Canada, Institut de la santé des femmes et des hommes.Disponible en anglais dans EDUQ.info sous le titre "Being Safe, Being Me: Results of the Canadian Trans Youth Health Survey

Being Safe, Being Me: Results of the Canadian Trans Youth Health Survey

Cette étude a été financée par la subvention no MOP119472 des Instituts de recherche en santé du Canada, Institut de la santé des femmes et des hommes.Disponible en français dans EDUQ.info sous le titre "Être en sécurité, être soi-même : résultats de l’enquête canadienne sur la santé des jeunes trans".A national study by SARAVYC showed that while Canada’s transgender youth face significant physical and mental health issues, strong family, school and community connections help many of them navigate these challenges. The study, funded by the Canadian Institute for Health Research and completed in collaboration with universities and health researchers across Canada, was the first and largest of its kind in Canada, with 923 individuals participating between the ages 14-25. They answered a range of questions in English or French on their home and school life, physical and mental health, access to health care, and gender identity. The report called for measures to improve the well-being of trans youth, including: improved support for families, so they can better understand and support their transgender children; developing safer, more inclusive schools; retooling health care to provide gender-affirming services for trans youth; and reducing health care disparities between provinces

Non-binary youth: Access to gender-affirming primary health care

Background: Transgender (trans) youth who identify outside the gender binary are a growing subpopulation. In this article, we document differences in access to gender-affirming health care between binary and non-binary identified trans youth and explore ways of meeting the health needs of non-binary youth within primary care settings. Methods: The Canadian Trans Youth Health Survey is a national online survey of trans youth, 14–25 years, conducted in 2013–2014. Among the 839 participants who responded to gender identity items in the survey, 41% identified as non-binary. We compared demographic, health outcome, and health care access responses between non-binary and binary (trans girls/women and trans boys/men) youth. Results: Non-binary and binary youth were similar in most demographics, including age, geographic distribution, and ethnocultural backgrounds, however a larger proportion (82%) of non-binary youth were assigned female at birth. Older non-binary youth (aged 19–25) were significantly more likely to forego needed healthcare than older binary youth; no significant differences were found between younger (14–18) non-binary and binary youth in foregoing healthcare. Overall, non-binary youth (13%) were significantly less likely than binary youth (52%) to access hormone therapy, but they were more likely than binary youth to report experiencing barriers to accessing hormone therapy when needed. Conclusions: Non-binary trans youth in Canada report challenges in accessing needed gender-affirming healthcare. Primary care providers are well-situated to integrate a broad range of gender-affirming care services into practice in order to address the unique needs of non-binary youth. Future research is warranted to explore experiences of non-binary youth related to barriers to care and to explore how services can be designed and delivered to better meet the needs of non-binary youth seeking gender-affirming primary care