Pediatric Provider Perspectives on Laws and Policies Impacting Sports Participation for Transgender Youth

Hughes, Landon; Dowshen, Nadia; Kidd, Kacie M.; Operario, Don; Renjilian, Christopher B.; Gamarel, Kristi E.

doi:10.1089/lgbt.2021.0392

Cited by 19 publications

(11 citation statements)

References 31 publications

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“…Pediatric psychologists and related health professionals can also play a role in advocating for policy-level change that would restructure the binary nature of locker rooms given the potential mental and physical health benefits of having more inclusive spaces to access organized physical activity. This can be challenging to achieve within the context of school systems due to the politicized discourse pertaining to restrooms and locker rooms, particularly related to transgender and gender-diverse identities (Hughes et al, 2022). However, because school systems aim to facilitate the positive development of youth, beyond intellectual and cognitive functioning, pediatric psychologists are uniquely positioned to support schools in effecting policy change that will promote the mental and physical health for all youth, but particularly marginalized youth.…”

Section: Discussionmentioning

confidence: 99%

Participation in organized physical activity and discomfort with locker rooms among youth across sexual, gender, and racial identities.

Parchem,

Poquiz,

Rahm-Knigge

et al. 2024

Clinical Practice in Pediatric Psychology

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Implications for Impact StatementFeeling uncomfortable in locker rooms is a frequently endorsed barrier to engaging in any organized physical activity among lesbian, gay, bisexual, transgender and gender diverse, and queer/questioning (LGBTQ+) youth, who participate at rates nearly half that of their cisgender/heterosexual peers. Pediatric psychologists can help support LGBTQ+ youth explore strategies to navigate binary locker rooms through developing problem-solving skills and self-advocacy skills. Beyond the individual level, pediatric psychologists can also play a role in advocating for restructuring the binary nature of locker rooms given the potential mental and physical health benefits of having more inclusive spaces to access organized physical activity.

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Section: Discussionmentioning

confidence: 99%

Participation in organized physical activity and discomfort with locker rooms among youth across sexual, gender, and racial identities.

Parchem,

Poquiz,

Rahm-Knigge

et al. 2024

Clinical Practice in Pediatric Psychology

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“…In addition to serving no fairness ends, laws prohibiting transgender children and teenagers from playing sports in accordance with their gender identity entrench stigma, impede social acceptance, and exclude trans youth from sports, bringing substantial harm to this already vulnerable population as well as to society at large 51 . Some argue that these laws are not actually banning trans kids from sports; the bills require them just to play on the team that corresponds with their sex assigned at birth rather than their gender identity.…”

Section: The Harms Of Banning Transgender Youthmentioning

confidence: 99%

Examining the Ethics and Impacts of Laws Restricting Transgender Youth‐Athlete Participation

Moyer¹,

Zink²,

Parent³

2023

Hastings Center Report

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As of this writing, twenty‐one states have passed laws barring transgender youth‐athletes from competing on public‐school sports teams in accordance with their gender identity. Proponents of these regulations claim that transgender females in particular have inherent physiological advantages that threaten a “level playing field” for their cisgender competitors. Existing evidence is limited but does not support these restrictions. Gathering more robust data will require allowing transgender youth to compete (rather than preemptively barring them), but even if trans females are shown to retain some advantage, this would not have greater moral significance than the many other “fair” physical and economic advantages found across sports. These regulations deprive transgender youth, an exceptionally vulnerable population, from the vast physical, mental, and social benefits of sports. While we advocate for transgender inclusion under our current, gender‐segregated model of sport, we propose changes to the overarching structure that would promote a more inclusive and fairer athletic environment.

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“…Legislation that interferes with social inclusion or medical treatments for GD increases minority stress. A survey of parents of TGD youth and a survey of providers who care for TGD youth both identify worsening mental and physical health as primary concerns surrounding recent laws [37,38 ▪▪ ]. Concurrently, some US states have enacted protections that preserve access to medical care for TGD youth and shield families from prosecution in other jurisdictions.…”

Section: Sociopolitical Climatementioning

confidence: 99%

Transgender and gender-diverse youth: an update on standard medical treatments for gender dysphoria and the sociopolitical climate

Arnold

McNamara

2023

Current Opinion in Pediatrics

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Purpose of review Transgender and gender-diverse (TGD) youth experience a discordance between their binary sex assigned at birth and gender identity. All TGD youth benefit from compassionate care delivered by clinicians who are informed in matters of gender diversity. Some of TGD youth experience clinically significant distress, termed gender dysphoria (GD), and may benefit from additional psychological support and medical treatments. Discrimination and stigma fuel minority stress in TGD youth and thus many struggle with mental health and psychosocial functioning. This review summarizes the current state of research on TGD youth and essential medical treatments for gender dysphoria. These concepts are highly relevant in the current sociopolitical climate. Pediatric providers of all disciplines are stakeholders in the care of TGD youth and should be aware of updates in this field. Recent findings Children who express gender-diverse identities continue to express these identities into adolescence. Medical treatments for GD have a positive effect on mental health, suicidality, psychosocial functioning, and body satisfaction. The overwhelming majority of TGD youth with gender dysphoria who receive medical aspects of gender affirming care continue these treatments into early adulthood. Political targeting and legal interference into social inclusion for TGD youth and medical treatments for GD are rooted in scientific misinformation and have negative impacts on their well being. Summary All youth-serving health professionals are likely to care for TGD youth. To provide optimal care, these professionals should remain apprised of best practices and understand basic principles of medical treatments for GD.

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Pediatric Provider Perspectives on Laws and Policies Impacting Sports Participation for Transgender Youth

Cited by 19 publications

References 31 publications

Participation in organized physical activity and discomfort with locker rooms among youth across sexual, gender, and racial identities.

Participation in organized physical activity and discomfort with locker rooms among youth across sexual, gender, and racial identities.

Examining the Ethics and Impacts of Laws Restricting Transgender Youth‐Athlete Participation

Transgender and gender-diverse youth: an update on standard medical treatments for gender dysphoria and the sociopolitical climate

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