Transgender Identity and Attention Deficit Hyperactivity Disorder Symptoms: Findings From the Adolescent Brain Cognitive Development Study.

IF 5.5 2区 医学 Q1 PEDIATRICS Journal of Adolescent Health Pub Date : 2024-11-25 DOI:10.1016/j.jadohealth.2024.10.015
Elizaveta Ignatova, Priyadharshini Balasubramanian, Julia H Raney, Kyle T Ganson, Alexander Testa, Jinbo He, Fiona C Baker, Jason M Nagata
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Abstract

Purpose: The purpose of this study was to examine associations between identifying as transgender and attention deficit hyperactivity disorder (ADHD) symptoms in US early adolescents.

Methods: We analyzed cross-sectional data from the Adolescent Brain Cognitive Development Study (Year 3, 2019-2021) to estimate associations between gender identity and ADHD symptoms using the Child Behavior Checklist Diagnostic and Statistical Manual of Mental Disorders-oriented attention problem scale scores, adjusting for age, sex, ethnicity, parent education, household income, and study site. Additional models adjusted for stress problems and depression symptoms. Multiple linear regression analyses estimated the association between gender identity and ADHD symptoms.

Results: In a sample of 10,277 adolescents, mostly 12-13-year-olds, 1.0% self-identified as transgender and 1.1% self-identified as gender-questioning. Self-reported transgender status (B = 3.41; 95% confidence interval = 0.79-6.04; p = .011) and gender-questioning status (B = 2.72; 95% confidence interval = 0.79-4.65; p = .006) were both associated with higher ADHD symptom scores when compared to cisgender peers after adjusting for sociodemographic variables. In models adjusting for stress problems and depression as well as sociodemographic variables, the associations between transgender and gender-questioning status and ADHD symptoms were attenuated and no longer statistically significant.

Discussion: Our results indicate that gender minority status may be linked to higher ADHD symptom scores, potentially due to higher minority stress.

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变性身份与注意缺陷多动障碍症状:青少年大脑认知发展研究的发现。
目的:本研究旨在探讨美国早期青少年变性身份与注意缺陷多动障碍(ADHD)症状之间的关联:我们分析了青少年大脑认知发展研究(2019-2021年,第3年)的横截面数据,使用《儿童行为检查表诊断与统计手册》中以注意力问题为导向的量表评分来估计性别认同与多动症状之间的关联,并对年龄、性别、种族、父母教育程度、家庭收入和研究地点进行了调整。其他模型对压力问题和抑郁症状进行了调整。多元线性回归分析估计了性别认同与多动症状之间的关系:在 10277 名青少年样本中,大多数为 12-13 岁的青少年,1.0% 的人自我认同为跨性别者,1.1% 的人自我认同为性别问题者。在对社会人口变量进行调整后,自我报告的变性人身份(B = 3.41;95% 置信区间 = 0.79-6.04;p = .011)和性别问题身份(B = 2.72;95% 置信区间 = 0.79-4.65;p = .006)与同性同龄人相比,都与较高的多动症症状得分有关。在调整压力问题和抑郁以及社会人口学变量的模型中,变性人和性别问题身份与多动症状之间的关联有所减弱,不再具有统计学意义:讨论:我们的研究结果表明,性别少数身份可能与较高的多动症状得分有关,这可能是由于较高的少数压力造成的。
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来源期刊
Journal of Adolescent Health
Journal of Adolescent Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
10.40
自引率
3.90%
发文量
526
审稿时长
46 days
期刊介绍: The Journal of Adolescent Health is a scientific publication dedicated to enhancing the health and well-being of adolescents and young adults. Our Journal covers a broad range of research topics, spanning from the basic biological and behavioral sciences to public health and policy. We welcome a variety of contributions, including original research papers, concise reports, literature reviews, clinical case reports, opinion pieces, and letters to the editor. We encourage professionals from diverse disciplines such as Anthropology, Education, Ethics, Global Health, Health Services Research, Law, Medicine, Mental and Behavioral Health, Nursing, Nutrition, Psychology, Public Health and Policy, Social Work, Sociology, and Youth Development to share their expertise and contribute to our mission of promoting adolescent health. Moreover, we value the voices of young individuals, family and community members, and healthcare professionals, and encourage them to submit poetry, personal narratives, images, and other creative works that provide unique insights into the experiences of adolescents and young adults. By combining scientific peer-reviewed research with creative expressions, our Journal aims to create a comprehensive understanding of the challenges and opportunities in adolescent and young adult health.
期刊最新文献
Transgender Identity and Attention Deficit Hyperactivity Disorder Symptoms: Findings From the Adolescent Brain Cognitive Development Study. Prospective Association of Sedentary Behavior With Psychological Distress Among Adolescents. The Impact of Insufficient Sleep on White Matter Development in Late Childhood and Early Adolescence. Associations Between Physical Activity and Symptoms of Mental Health Disorders in Adolescence: Evidence From the Longitudinal Swedish Twin Register. Concordance of Traumatic Brain Injury Symptoms, Evaluation, and Diagnosis Between Teens and Parents: Data From the National Health Interview Survey-Teen.
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