Parents can have a substantial impact on adolescent sexual decision-making, but few studies have explored the role of parents in providing sexual health information to transgender and non-binary (TNB) youth, a population that experiences significant sexual and mental health disparities and lower levels of perceived family support compared with other youth. This study aimed to elucidate existing knowledge gaps and content deemed important for a sexual health curriculum and educational materials for parents of TNB youth. We conducted 21 qualitative interviews with five parents of TNB youth, 11 TNB youth aged 18+, and five healthcare affiliates to identify parents’ educational needs. We analyzed the data using theoretical thematic analysis and consensus coding. Parents self-reported multiple knowledge deficits regarding gender/sexual health for TNB individuals and were primarily concerned with long-term impacts of medical interventions. Youth goals for parents included greater understanding of gender/sexuality and sufficient knowledge to support youth through social transition to their affirmed gender identity. Content areas suggested for a future curriculum for parents of TNB youth included: basics of gender/sexuality, diverse narratives of TNB experiences/identities, gender dysphoria, non-medical gender-affirming interventions, medical gender-affirming interventions, and resources for peer support. Parents desired access to accurate information and wanted to feel equipped to facilitate affirming conversations with their child, something that could combat health disparities among TNB youth. An educational curriculum for parents has the potential to provide a trusted information source, expose parents to positive representations of TNB individuals, and help parents support their TNB child through decisions about potential gender-affirming interventions.

父母可以对青少年的性决策产生重大影响，但很少有研究探讨父母在向跨性别和非二元性别（TNB）青少年提供性健康信息方面的作用，这些青少年经历着巨大的性和心理健康差异，并且性别和心理健康水平较低。与其他青少年相比，感知到的家庭支持水平。本研究旨在阐明现有的知识差距以及对于 TNB 青少年家长的性健康课程和教育材料而言重要的内容。我们对 5 名 TNB 青少年的家长、11 名 18 岁以上的 TNB 青少年以及 5 家医疗机构进行了 21 次定性访谈，以确定家长的教育需求。我们使用理论主题分析和共识编码来分析数据。家长自我报告了 TNB 个体在性别/性健康方面的多种知识缺陷，并且主要担心医疗干预的长期影响。父母的青年目标包括加深对性别/性的了解，以及通过社会过渡向其确认的性别认同提供足够的知识来支持青年。建议为 TNB 青少年家长制定未来课程的内容领域包括：性别/性的基础知识、TNB 经历/身份的多样化叙述、性别焦虑、非医疗性别肯定干预措施、医疗性别肯定干预措施以及同伴支持资源。父母希望获得准确的信息，并希望有能力促进与孩子进行肯定性对话，这可以消除 TNB 青少年之间的健康差异。