ABSTRACT

This study is the first trans-inclusive exploration of the relation between running away from home, health, and access to healthcare and supportive figures as a function of gender among adolescents. Secondary data analysis of the 2013 BC Adolescent Health Survey found that trans adolescents were 4.25 times as likely as males, and 3.0 times as likely as females, to have run away. Logistic regressions indicated that runaway adolescents of all genders had greater odds of reporting poor or fair overall health (OR: 2.9) and mental health (OR: 4.5), and of foregoing needed physical (OR: 4.8) and mental health care (OR: 4.5) compared to adolescents who had not run away. The relation between running away and health was exacerbated among trans adolescents. Trans and female youth were also less likely than males to report receiving helpful support. Findings highlight the importance of offering trans-affirming services and care to mitigate harms associated with running away from home.

摘要

这项研究是第一次跨包容性探索离家出走、健康、获得医疗保健和支持性数据之间的关系，作为青少年性别的函数。对 2013 年 BC 青少年健康调查的二次数据分析发现，跨性别青少年逃跑的可能性是男性的 4.25 倍，是女性的 3.0 倍。逻辑回归表明，所有性别的失控青少年报告总体健康状况不佳或一般（OR：2.9）和心理健康（OR：4.5）以及上述需要的身体（OR：4.8）和心理保健（OR： 4.5）与没有逃跑的青少年相比。在跨性别青少年中，逃跑与健康之间的关系更加严重。与男性相比，跨性别青年和女性青年报告获得有用支持的可能性也较低。