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We sought to explore the type and function of support networks of transmasculine and nonbinary young adults (TNBYA) during their chosen name transition. We conducted 12 in-depth, semi-structured qu...

Purpose: Dating violence (DV)—physical, sexual, and psychological aggression in adolescent romantic relationships—is prevalent among youth. Despite broad calls for primary prevention, few programs with demonstrated effectiveness exist. This cluster-randomized trial examined the effectiveness of a DV perpetration prevention program targeting coaches and high school male athletes. Methods: The unit of randomization was the high school (16 schools), and the unit of analysis was the athlete (N 2,006 students). Primary outcomes were intentions to intervene, recognition of abusive behaviors, and gender-equitable attitudes. Secondary outcomes explored bystander behaviors and abuse perpetration. Regression models for clustered, longitudinal data assessed between-arm differences in over-time changes in mean levels of continuous outcomes in 1,798 athletes followed up at 3 months. Results: Intervention athletes’ changes in intentions to intervene were positive compared with control subjects, resulting in an estimated intervention effect of .12 (95% CI: .003, .24). Intervention athletes also reported higher levels of positive bystander intervention behavior than control subjects (.25, 95% CI: .13, .38). Changes in gender-equitable attitudes, recognition of abusive behaviors, and DV perpetration were not significant. Secondary analyses estimated intervention impacts according to intensity of program implementation. Compared with control subjects, athletes exposed to full-intensity implementation of the intervention demonstrated improvements in intentions to intervene (.16, 95% CI: .04, .27), recognition of abusive behaviors (.13, 95% CI: .003, .25), and positive bystander intervention (.28, 95% CI: .14, .41). Conclusion: This cluster-randomized controlled trial supports the effectiveness of a school athletics-based prevention program as one promising strategy to reduce DV perpetration. 2012 Society for Adolescent Health and Medicine. All rights reserved.

Purpose School-based athletic programs remain an important context for violence prevention efforts although a better understanding of how gender attitudes and abuse perpetration differ among athletes is needed. Methods We analyzed baseline survey data from the "Coaching Boys into Men" study—a school-based cluster-randomized trial in 16 high schools in Northern California. We describe relationships among gender-inequitable attitudes, sport type, and recent adolescent relationship abuse perpetration among a sample of male athletes (n = 1,648). Results Gender-inequitable attitudes (adjusted odds ratio (AOR), 3.26; 95% confidence interval (CI), 2.56, 4.15), participation in both high school football and basketball (AOR, 2.08; 95% CI, 1.37, 3.18), and participation in football only (AOR, 1.50; 95% CI, 1.02, 2.22) emerged as independently associated with recent ARA perpetration. Conclusions Findings warrant targeted violence prevention efforts among male high school athletes that incorporate discussions of gender attitudes and healthy relationships, especially among sports teams at greater risk of adolescent relationship abuse perpetration.

Purpose: Transgender and gender nonconforming (TGNC) youth report higher rates of body dissatisfaction and disordered eating than their cisgender peers. Despite this, systematic screening tools and evidence-based treatment for disordered eating have not yet been developed for TGNC youth. Gender affirming care may impact body dissatisfaction and disordered eating, which often arise in the context of gender dysphoria and other experiences associated with identifying as TGNC; however, the extent to which gender affirming care affects body dissatisfaction and disordered eating remains unclear. The objectives of this study were to evaluate the association between gender …

analytic sample included 77 sexually experienced males to date. Patients reported on SRHC receipt by doctor assessed here with 4 composite scores summed across items within each domain: sexual history taking (practices, partner number and gender, protection, past STD andHIV test, sexual identity, plans for children); counseling (reducing STD/HIV risk, correct condom use); materials provided (condoms, lubrication); and screening tests (HIV, urine-based STD). Higher scores represent greater quality of service receipt. Patient characteristics assessed included: age; race/ethnicity; sexual attraction; visit reason (annual, STD, other); time since last visit (first visit