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01-06-2018 | Literature Review

Protective Factors Among Transgender and Gender Variant Youth: A Systematic Review by Socioecological Level

Authors: Michelle Marie Johns, Oscar Beltran, Heather L. Armstrong, Paula E. Jayne, Lisa C. Barrios

Published in: Journal of Prevention | Issue 3/2018

Abstract

Transgender and gender variant (GV) youth experience elevated risk for poor health and academic outcomes due mainly to social experiences of stigma and discrimination. To supplement the growing evidence on health risks encountered by transgender/GV youth, we identified factors theorized to be protective for these youth across all four levels of Bronfenbrenner’s socioecological model (individual, relationship, community, societal). We conducted a systematic search of peer-reviewed research. The articles included in this review were published in peer-reviewed journals in English or Spanish between 1999 and 2014, analyzed data from a sample or subsample of transgender or GV participants with a mean age between 10 and 24 years, and examined the relationship of at least one theorized protective factor to a health or behavioral outcome. Twenty-one articles met inclusion criteria. Transgender/GV youth in included articles ranged from 11 to 26 years of age, were racially/ethnically diverse, and represented varied gender identities. Within these articles, 27 unique protective factors across four levels of the ecological model were identified as related to positive health and well-being. Self-esteem at the individual level, healthy relationships with parents and peers at the relationship-level, and gay-straight alliances at the community level emerged as protective factors across multiple studies. Our findings underscore the relative lack of research on transgender/GV youth and protective factors. Novel recruitment strategies for transgender/GV youth and better measurement of transgender identities are needed to confirm these protective relationships and identify others. Growth in these areas will contribute to building a body of evidence to inform interventions.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.CrossRef

Armstrong, H. L., Steiner, R. J., Jayne, P. E., & Beltran, O. (2016). Individual-level protective factors for sexual health outcomes among sexual minority youth: A systematic review of the literature. Sex Health, 13, 311–327. https://doi.org/10.1071/SH15200.CrossRef

Aspenlieder, L., Buchanan, C. M., McDougall, P., & Sippola, L. K. (2009). Gender nonconformity and peer victimization in pre-and early adolescence. International Journal of Developmental Science, 3(1), 3–16.

Baral, S. D., Poteat, T., Strömdahl, S., Wirtz, A. L., Guadamuz, T. E., & Beyrer, C. (2013). Worldwide burden of HIV in transgender women: A systematic review and meta-analysis. The Lancet Infectious Diseases, 13(3), 214–222. https://doi.org/10.1016/s1473-3099(12)70315-8.CrossRefPubMed

Bauer, G. R., Scheim, A. I., Pyne, J., Travers, R., & Hammond, R. (2015). Intervenable factors associated with suicide risk in transgender persons: A respondent driven sampling study in Ontario, Canada. BMC Public Health, 15, 525. https://doi.org/10.1186/s12889-015-1867-2.CrossRefPubMedPubMedCentral

Bockting, W. O., Miner, M. H., Swinburne Romine, R. E., Hamilton, A., & Coleman, E. (2013). Stigma, mental health, and resilience in an online sample of the US transgender population. American Journal of Public Health, 103(5), 943–951. https://doi.org/10.2105/AJPH.2013.301241.CrossRefPubMedPubMedCentral

*Bopp, P. J., Juday, T. R., & Charters, C. W. (2004). A school-based program to improve life skills and to prevent HIV infection in multicultural transgendered youth in Hawai’i. Journal of Gay & Lesbian Issues in Education, 1(4), 3–21.

Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge, MA: Harvard University Press.

Carroll, L., Gilroy, P. J., & Ryan, J. (2002). Counseling transgendered, transsexual, and gender-variant clients. Journal of Counseling & Development, 80, 131–139.CrossRef

Clements-Nolle, K., Marx, R., Guzman, R., & Katz, M. (2001). HIV prevalence, risk behaviors, health care use, and mental health status of transgender persons: Implications for public health intervention. American Journal of Public Health, 91(6), 915–921.CrossRefPubMedPubMedCentral

*Corliss, H. L., Belzer, M., Forbes, C., & Wilson, E. C. (2007). An evaluation of service utilization among male to female transgender youth: Qualitative study of a clinic-based sample. Journal of LGBT Health Research, 3(2), 49–61.

D’Augelli, A. R., Grossman, A. H., & Starks, M. T. (2005). Parents’ awareness of lesbian, gay, and bisexual youths’ sexual orientation. Journal of Marriage and Family, 67(2), 474–482. https://doi.org/10.1111/j.0022-2445.2005.00129.x.CrossRef

De Santis, J. P. (2009). HIV infection risk factors among male-to-female transgender persons: A review of the literature. Journal of the Association of Nurses in AIDS Care, 20(5), 362–372. https://doi.org/10.1016/j.jana.2009.06.005.CrossRefPubMed

de Vries, A. L., McGuire, J. K., Steensma, T. D., Wagenaar, E. C., Doreleijers, T. A., & Cohen-Kettenis, P. T. (2014). Young adult psychological outcome after puberty suppression and gender reassignment. Pediatrics, 134(4), 696–704. https://doi.org/10.1542/peds.2013-2958.CrossRefPubMed

de Vries, A. L., Steensma, T. D., Doreleijers, T. A., & Cohen-Kettenis, P. T. (2011). Puberty suppression in adolescents with gender identity disorder: A prospective follow-up study. Journal of Sexual Medicine, 8(8), 2276–2283. https://doi.org/10.1111/j.1743-6109.2010.01943.x.CrossRefPubMed

*Dowshen, N., Forke, C. M., Johnson, A. K., Kuhns, L. M., Rubin, D., & Garofalo, R. (2011). Religiosity as a protective factor against HIV risk among young transgender women. Journal of Adolescent Health, 48(4), 410–414. https://doi.org/10.1016/j.jadohealth.2010.07.021.

Factor, R. J., & Rothblum, E. D. (2008). A study of transgender adults and their non-transgender siblings on demographic characteristics, social support, and experiences of violence. Journal of LGBT Health Research, 3(3), 11–30. https://doi.org/10.1080/15574090802092879.CrossRef

Fenway Health (Producer). (2010). Glossary of gender and transgender terms. Retrieved from http://www.lgbthealtheducation.org/wp-content/uploads/Handout_7-C_Glossary_of_Gender_and_Transgender_Terms__fi.pdf. Accessed 15 July 2016.

Fergus, S., & Zimmerman, M. A. (2005). Adolescent resilience: A framework for understanding healthy development in the face of risk. Annual Review of Public Health, 26, 399–419. https://doi.org/10.1146/annurev.publhealth.26.021304.144357.CrossRefPubMed

Forney, J. C., & Miller, R. L. (2012). Risk and protective factors related to HIV-risk behavior: A comparison between HIV-positive and HIV-negative young men who have sex with men. AIDS Care, 24(5), 544–552. https://doi.org/10.1080/09540121.2011.630341.CrossRefPubMed

Forrest, J. I., Lachowsky, N. J., Lal, A., Cui, Z., Sereda, P., Raymond, H. F., et al. (2016). Factors associated with productive recruiting in a respondent-driven sample of men who have sex with men in Vancouver, Canada. Journal of Urban Health, 93(2), 379–387. https://doi.org/10.1007/s11524-016-0032-2.CrossRefPubMedPubMedCentral

Garofalo, R., Johnson, A. K., Kuhns, L. M., Cotten, C., Joseph, H., & Margolis, A. (2012). Life Skills: Evaluation of a theory-driven behavioral HIV prevention intervention for young transgender women. Journal of Urban Health, 89(3), 419–431. https://doi.org/10.1007/s11524-011-9638-6.CrossRefPubMedPubMedCentral

*Garofalo, R., Osmer, E., Sullivan, C., Doll, M., & Harper, G. (2006). Environmental, psychosocial, and individual correlates of HIV risk in ethnic minority male-to-female transgender youth. Journal of HIV/AIDS Prevention in Children & Youth, 7(2), 89–104. http://dx.doi.org/10.1300/J499v07n02_06.

Gates, G. J. (Producer). (2015). The importance of CHIS in LGBT research and data collection. The Center’s Health Policy Seminar Series. Retrieved from https://connectpro72759986.adobeconnect.com/_a782517175/p3uaryg8a25/?launcher=false&fcsContent=true&pbMode=normal. Accessed 15 July 2016.

Gavin, L. E., Catalano, R. F., David-Ferdon, C., Gloppen, K. M., & Markham, C. M. (2010). A review of positive youth development programs that promote adolescent sexual and reproductive health. Journal of Adolescent Health, 46(3 Suppl), S75–S91. https://doi.org/10.1016/j.jadohealth.2009.11.215.CrossRefPubMed

*Goodrich, K. M. (2012). Lived experiences of college-age transsexual individuals. Journal of College Counseling, 15(3), 215–232. http://dx.doi.org/10.1002/j.2161-1882.2012.00017.x.

Goodson, P., Buhi, E. R., & Dunsmore, S. C. (2006). Self-esteem and adolescent sexual behaviors, attitudes, and intentions: A systematic review. Journal of Adolescent Health, 38(3), 310–319. https://doi.org/10.1016/j.jadohealth.2005.05.026.CrossRefPubMed

Gordon, A. R., & Meyer, I. H. (2007). Gender nonconformity as a target of prejudice, discrimination, and violence against LGB indviduals. Journal of LGBT Health Research, 3(3), 55–71.CrossRefPubMed

*Greytak, E. A., Kosciw, J. G., & Boesen, M. J. (2013). Putting the “T” in “resource”: The benefits of LGBT-related school resources for transgender youth. Journal of LGBT Youth, 10(1–2), 45-63. http://dx.doi.org/10.1080/19361653.2012.718522.

Grossman, A. H., & D’Augelli, A. R. (2006). Transgender youth: Invisible and vulnerable. Journal of Homosexuality, 51(1), 111–128. https://doi.org/10.1300/J082v51n01_06.CrossRefPubMed

*Grossman, A. H., & D’Augelli, A. R. (2007). Transgender youth and life-threatening behaviors. Suicide and Life-Threatening Behavior, 37(5), 527–537.

*Grossman, A. H., D’Augelli, A. R., & Frank, J. A. (2011). Aspects of psychological resilience among transgender youth. Journal of LGBT Youth, 8(2), 103–115.

*Gutierrez, N. (2004). Resisting fragmentation, living whole: Four female transgender students of color speak about school. Journal of Gay & Lesbian Social Services, 16(3–4), 69–79.

Hall, J. E., Simon, T. R., Lee, R. D., & Mercy, J. A. (2012). Implications of direct protective factors for public health research and prevention strategies to reduce youth violence. American Journal of Preventive Medicine, 43(2 Suppl 1), S76–S83. https://doi.org/10.1016/j.amepre.2012.04.019.CrossRefPubMed

Hendricks, M. L., & Testa, R. J. (2012). A conceptual framework for clinical work with transgender and gender nonconforming clients: An adaptation of the minority stress model. Professional Psychology—Research & Practice, 43(5), 460–467.CrossRef

Herbst, J. H., Jacobs, E. D., Finlayson, T. J., McKleroy, V. S., Neumann, M. S., Crepaz, N., et al. (2008). Estimating HIV prevalence and risk behaviors of transgender persons in the United States: A systematic review. AIDS and Behavior, 12(1), 1–17. https://doi.org/10.1007/s10461-007-9299-3.CrossRefPubMed

Ignatavicius, S. (2013). Stress in female-identified transgender youth: A review of the literature on effects and interventions. Journal of LGBT Youth, 10(4), 267–286. https://doi.org/10.1080/19361653.2013.825196.CrossRef

Ivankovich, M. B., Fenton, K. A., & Douglas, J. M. (2013). Considerations for national public health leadership in advancing sexual health. Public Health Reports, 128(Supplement 1), 102–110.CrossRefPubMedPubMedCentral

Johns, M. M., Liddon, N., Jayne, P. E., Beltran, O., Steiner, R. J., & Morris, E. (2018). Systematic mapping of relationship-level protective factors and sexual health outcomes among sexual minority youth: The role of peers, parents, partners, and providers. LGBT Health. https://doi.org/10.1089/lgbt.2017.0053.PubMedCrossRef

*Jones, T., & Hillier, L. (2013). Comparing trans-spectrum and same-sex-attracted youth in Australia: Increased risks, increased activisms. Journal of LGBT Youth, 10(4), 287–307. http://dx.doi.org/10.1080/19361653.2013.825197.

Kosciw, J. G., & Diaz, E. M. (2006). The 2005 National School Climate Survey: The experiences of lesbian, gay, bisexual and transgender youth in our nation’s schools. New York: GLSEN.

La Greca, A. M., & Harrison, H. M. (2005). Adolescent peer relations, friendships, and romantic relationships: Do they predict social anxiety and depression? Journal of Clinical Child & Adolescent Psychology, 34(1), 49–61. https://doi.org/10.1207/s15374424jccp3401_5.CrossRef

Lerner, R. M., Almerigi, J. B., Theokas, C., & Lerner, J. V. (2005). Positive youth development: A view of the issues. Journal of Early Adolescence, 25(1), 10–16. https://doi.org/10.1177/0272431604273211.CrossRef

Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P., & Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: Explanation and elaboration. PLoS Medicine, 6(7), e1000100.CrossRefPubMedPubMedCentral

*McGuire, J. K., Anderson, C. R., Toomey, R. B., & Russell, S. T. (2010). School climate for transgender youth: A mixed method investigation of student experiences and school responses. Journal of Youth and Adolescence, 39(10), 1175–1188. http://dx.doi.org/10.1007/s10964-010-9540-7.

Meyer, I. H., & Wilson, P. A. (2009). Sampling lesbian, gay, and bisexual populations. Journal of Counseling Psychology, 56(1), 23–31. https://doi.org/10.1037/a0014587.CrossRef

Mmari, K., & Blum, R. W. (2009). Risk and protective factors that affect adolescent reproductive health in developing countries: A structured literature review. Global Public Health, 4(4), 350–366. https://doi.org/10.1080/17441690701664418.CrossRefPubMed

Moody, C., & Smith, N. G. (2013). Suicide protective factors among trans adults. Archives of Sexual Behavior, 42(5), 739–752.CrossRefPubMedPubMedCentral

Nemoto, T., Operario, D., Keatley, J., Han, L., & Soma, T. (2004). HIV risk behaviors among male-to-female transgender persons of color in San Francisco. American Journal of Public Health, 94(7), 1193–1199.CrossRefPubMedPubMedCentral

Newfield, E., Hart, S., Dibble, S., & Kohler, L. (2006). Female-to-male transgender quality of life. Quality of Life Research, 15(9), 1447–1457. https://doi.org/10.1007/s11136-006-0002-3.CrossRefPubMed

Operario, D., Soma, T., & Underhill, K. (2008). Sex work and HIV status among transgender women: Systematic review and meta-analysis. Journal of Acquired Immune Deficiency Syndromes, 48(1), 97–103.CrossRefPubMed

Poteat, V. P., Mereish, E. H., Digiovanni, C. D., & Koenig, B. W. (2011). The effects of general and homophobic victimization on adolescents’ psychosocial and educational concerns: The importance of intersecting identities and parent support. Journal of Counseling Psychology, 58(4), 597–609. https://doi.org/10.1037/a0025095.CrossRefPubMed

*Pusch, R. S. (2005). Objects of curiosity: Transgender college students’ perceptions of the reactions of others. Journal of Gay & Lesbian Issues in Education, 3(1), 45–61.

*Reck, J. (2009). Homeless gay and transgender youth of color in San Francisco: “No one likes street kids”—Even in the Castro. Journal of LGBT Youth, 6(2–3), 223–242.

Reisner, S. L., Conron, K. J., Tardiff, L. A., Jarvi, S., Gordon, A. R., & Austin, S. B. (2014a). Monitoring the health of transgender and other gender minority populations: Validity of natal sex and gender identity survey items in a U.S. national cohort of young adults. BMC Public Health, 14, 1224.CrossRefPubMedPubMedCentral

Reisner, S. L., Greytak, E. A., Parsons, J. T., & Ybarra, M. L. (2015a). Gender minority social stress in adolescence: Disparities in adolescent bullying and substance use by gender identity. Journal of Sex Research, 52(3), 243–256. https://doi.org/10.1080/00224499.2014.886321.CrossRefPubMed

Reisner, S. L., Vetters, R., Leclerc, M., Zaslow, S., Wolfrum, S., Shumer, D., et al. (2015b). Mental health of transgender youth in care at an adolescent urban community health center: A matched retrospective cohort study. Journal of Adolescent Health, 56(3), 274–279. https://doi.org/10.1016/j.jadohealth.2014.10.264.CrossRefPubMedPubMedCentral

Reisner, S. L., White, J. M., Bradford, J. B., & Mimiaga, M. J. (2014b). Transgender health disparities: Comparing full cohort and nested matched-pair study designs in a community health center. Journal of LGBT Health, 1(3), 177–184. https://doi.org/10.1089/lgbt.2014.0009.CrossRefPubMed

Resnick, M. D. (2000a). Protective factors, resiliency, and healthy youth development. Adolescent Medicine: State of the Art Reviews, 11(1), 157–164.

Resnick, M. D. (2000b). Resilience and protective factors in the lives of adolescents. Journal of Adolescent Health, 27, 1–2.CrossRefPubMed

Resnick, M. D., Bearman, P. S., Blum, R. W., Bauman, K. E., Harris, K. M., Jones, J., et al. (1997). Protecting adolescents from harm: Findings from the national longitudinal study on adolescent health. Journal of the American Medical Association, 278(10), 823–832.CrossRefPubMed

Roberts, A. L., Rosario, M., Corliss, H. L., Koenen, K. C., & Austin, S. (2012). Childhood gender nonconformity: A risk indicator for childhood abuse and posttraumatic stress in youth. Pediatrics, 129(3), 410–417. https://doi.org/10.1542/peds.2011-1804.CrossRefPubMedPubMedCentral

Rothblum, E. (2007). From science fiction to computer-generated technology: Sampling lesbian, gay, and bisexual individuals. In I. H. Meyer & M. E. Northridge (Eds.), The health of sexual minorities: Public health perspectives on lesbian, gay, bisexual, and transgender populations (pp. 442–452). New York, NY: Springer.CrossRef

Ryan, C., Russell, S. T., Huebner, D., Diaz, R., & Sanchez, J. (2010). Family acceptance in adolescence and the health of LGBT young adults. Journal of Child and Adolescent Psychiatric Nursing, 23(4), 205–213. https://doi.org/10.1111/j.1744-6171.2010.00246.x.CrossRefPubMed

Saewyc, E., Konishi, C., Rose, H., & Homma, Y. (2014). School-based strategies to reduce suicidal ideation and attempts among lesbian, gay, and bisexual, as well as heterosexual adolescents in Western Canada. International Journal of Child, Youth and Family Studies, 5, 89–112.CrossRefPubMedPubMedCentral

*Sausa, L. A. (2005). Translating research into practice: Trans youth recommendations for improving school systems. Journal of Gay & Lesbian Issues in Education, 3(1), 15–28.

Sausa, L., Sevelius, J., Keatley, J., Iniguez, J., & Reyes, M. (2009). Recommendations for inclusive data collection of trans people in HIV prevention, care & services. San Francisco: Center of Excellence for Transgender HIV Prevention. Retrieved from http://transhealth.ucsf.edu/trans?page=lib-data-collection.

Scott, H. M., Pollack, L., Rebchook, G. M., Huebner, D. M., Peterson, J., & Kegeles, S. M. (2014). Peer social support is associated with recent HIV testing among young black men who have sex with men. AIDS and Behavior, 18(5), 913–920. https://doi.org/10.1007/s10461-013-0608-8.CrossRefPubMedPubMedCentral

Sevelius, J. M. (2013). Gender affirmation: A framework for conceptualizing risk behavior among transgender women of color. Sex Roles, 68(11–12), 675–689. https://doi.org/10.1007/s11199-012-0216-5.CrossRefPubMed

Shrier, L. A., Harris, S. K., Sternberg, M., & Beardslee, W. R. (2001). Associations of depression, self-esteem, and substance use with sexual risk among adolescents. Preventive Medicine, 33, 179–189.CrossRefPubMed

Simon, P. A., Reback, C. J., & Bernis, C. C. (2000). HIV prevalence and incidence among male-to-female transsexuals receiving HIV prevention services in Los Angeles County. AIDS, 14(18), 2953–2955.CrossRefPubMed

*Simons, L., Schrager, S. M., Clark, L. F., Belzer, M., & Olson, J. (2013). Parental support and mental health among transgender adolescents. Journal of Adolescent Health, 53(6), 791–793. https://doi.org/10.1016/j.jadohealth.2013.07.019.

*Singh, A. A. (2013). Transgender youth of color and resilience: Negotiating oppression and finding support. Sex Roles, 68(11–12), 690–702. http://dx.doi.org/10.1007/s11199-012-0149-z.

*Singh, A. A., Meng, S., & Hansen, A. (2013). “It’s already hard enough being a student”: Developing affirming college environments for trans youth. Journal of LGBT Youth, 10(3), 208–223. http://dx.doi.org/10.1080/19361653.2013.800770.

Smith, Y. L., van Goozen, S. H., & Cohen-Kettenis, P. T. (2001). Adolescents with gender identity disorder who were accepted or rejected for sex reassignment surgery: A prospective follow-up study. Journal of the American Academy of Child and Adolescent Psychiatry, 40(4), 472–481. https://doi.org/10.1097/00004583-200104000-00017.CrossRefPubMed

Stephens, S. C., Bernstein, K. T., & Philip, S. S. (2011). Male to female and female to male transgender persons have different sexual risk behaviors yet similar rates of STDs and HIV. AIDS and Behavior, 15(3), 683–686. https://doi.org/10.1007/s10461-010-9773-1.CrossRefPubMed

Stotzer, R. L. (2011). Family cohesion among Hawai ‘i's Māhūwahine. Journal of GLBT Family Studies, 7(5), 424–435.CrossRef

*Stotzer, R. L., Ka’opua, L. S., & Diaz, T. P. (2014). Is healthcare caring in Hawai’i? Preliminary results from a health assessment of lesbian, gay, bisexual, transgender, questioning, and intersex people in four counties. Hawaii Journal of Medicine & Public Health, 73(6), 175–180.

Testa, R. J., Jimenez, C. L., & Rankin, S. (2014). Risk and resilience during transgender identity development: The effects of awareness and engagement with other transgender people on affect. Journal of Gay & Lesbian Mental Health, 18(1), 31–46. https://doi.org/10.1080/19359705.2013.805177.CrossRef

Toomey, R. B., Ryan, C., Diaz, R. M., Card, N. A., & Russell, S. T. (2010). Gender-nonconforming lesbian, gay, bisexual, and transgender youth: School victimization and young adult psychosocial adjustment. Developmental Psychology, 46(6), 1580–1589. https://doi.org/10.1037/a0020705.CrossRefPubMed

Toomey, R. B., Ryan, C., Diaz, R. M., & Russell, S. T. (2011). High school gay-straight alliances (GSAs) and young adult well-being: An examination of GSA presence, participation, and perceived effectiveness. Applied Developmental Science, 15(4), 175–185. https://doi.org/10.1080/10888691.2011.607378.CrossRefPubMedPubMedCentral

Walls, N. E., Kane, S. B., & Wisneski, H. (2009). Gay–straight alliances and school experiences of sexual minority youth. Youth & Society, 41(3), 307–332. https://doi.org/10.1177/0044118x09334957.CrossRef

Wilson, E. C., Chen, Y.-H., Arayasirikul, S., Fisher, M., Pomart, W. A., Le, V., et al. (2015). Differential HIV risk for racial/ethnic minority trans*female youths and socioeconomic disparities in housing, residential stability, and education. American Journal of Public Health, 105(S3), e41–e47. https://doi.org/10.2105/ajph.2014.302443.CrossRefPubMedPubMedCentral

*Wilson, E. C., Garofalo, R., Harris, R. D., Herrick, A., Martinez, M., Martinez, J., & Belzer, M. (2009). Transgender female youth and sex work: HIV risk and a comparison of life factors related to engagement in sex work. AIDS and Behavior, 13(5), 902–913. http://dx.doi.org/10.1007/s10461-008-9508-8.

*Wilson, E. C., Iverson, E., Garofalo, R., & Belzer, M. (2012). Parental support and condom use among transgender female youth. Journal of the Association of Nurses in AIDS Care, 23(4), 306–317. http://dx.doi.org/10.1016/j.jana.2011.09.001.

*Zucker, K. J., Owen, A., Bradley, S. J., & Ameeriar, L. (2002). Gender-dysphoric children and adolescents: A comparative analysis of demographic characteristics and behavioral problems. Clinical Child Psychology and Psychiatry, 7(3), 398–411.

Title: Protective Factors Among Transgender and Gender Variant Youth: A Systematic Review by Socioecological Level
Authors: Michelle Marie Johns
Oscar Beltran
Heather L. Armstrong
Paula E. Jayne
Lisa C. Barrios
Publication date: 01-06-2018
Publisher: Springer US
Published in: Journal of Prevention / Issue 3/2018
Print ISSN: 2731-5533
Electronic ISSN: 2731-5541
DOI: https://doi.org/10.1007/s10935-018-0508-9

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Protective Factors Among Transgender and Gender Variant Youth: A Systematic Review by Socioecological Level

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