Compared to cisgender peers, transgender and gender diverse (TGD) youth and adults report elevated eating disorder (ED) symptoms likely related to gender dysphoria and attempts to modify their bodies accordingly. Less is known about the impact on gender-affirming care and ED symptoms. This study aimed to expand on extant research and describe ED symptoms in TGD youth seeking gender-affirming care while exploring potential associations between gender-affirming hormone use and ED symptoms. A total of 251 TGD youth completed the Eating Disorders Examination-Questionnaire (EDE-Q) as part of routine clinical care. ANCOVAs and negative binomial regressions examined differences in ED symptoms among transgender females (identifying as female but assigned male at birth) and transgender males (identifying as male but assigned female at birth). ED severity was not significantly different among transgender females versus transgender males, (p = .09), or associated with gender-affirming hormone use (p = .07). Transgender females receiving gender-affirming hormones reported a greater proportion of objective binge eating episodes compared to those who were not (p = .03). Over a quarter of TGD youth reported engagement in ED behaviors suggesting assessment and intervention related to ED behaviors among TGD youth is imperative since adolescence is a particularly vulnerable period for adolescents and engagement in ED behaviors could lead to full ED development and medical risk.

中文翻译：

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跨性别和性别多样化青少年的饮食失调症状。

与顺性别同龄人相比，跨性别和性别多样化（TGD）青少年和成年人报告说，饮食失调（ED）症状加重，可能与性别不安有关，并试图相应地改变自己的身体。人们对性别肯定护理和 ED 症状的影响知之甚少。本研究旨在扩展现有研究，描述寻求性别肯定护理的 TGD 青少年的 ED 症状，同时探讨性别肯定激素的使用与 ED 症状之间的潜在关联。作为常规临床护理的一部分，共有 251 名 TGD 青少年完成了饮食失调检查问卷 (EDE-Q)。ANCOVA 和负二项回归检查了跨性别女性（在出生时被认定为女性但被指定为男性）和跨性别男性（在出生时被认定为男性但被指定为女性）的 ED 症状差异。跨性别女性与跨性别男性之间的 ED 严重程度没有显着差异 (p = .09)，或与性别肯定激素的使用相关 (p = .07)。与未接受性别肯定激素的跨性别女性相比，接受性别肯定激素的跨性别女性报告客观暴食事件的比例更高 (p = .03)。超过四分之一的 TGD 青少年报告有 ED 行为，这表明与 TGD 青少年中 ED 行为相关的评估和干预势在必行，因为青春期是青少年特别脆弱的时期，参与 ED 行为可能会导致 ED 全面发展和医疗风险。与未接受性别肯定激素的跨性别女性相比，接受性别肯定激素的跨性别女性报告客观暴食事件的比例更高 (p = .03)。超过四分之一的 TGD 青少年报告有 ED 行为，这表明与 TGD 青少年中 ED 行为相关的评估和干预势在必行，因为青春期是青少年特别脆弱的时期，参与 ED 行为可能会导致 ED 全面发展和医疗风险。与未接受性别肯定激素的跨性别女性相比，接受性别肯定激素的跨性别女性报告客观暴食事件的比例更高 (p = .03)。超过四分之一的 TGD 青少年报告有 ED 行为，这表明与 TGD 青少年中 ED 行为相关的评估和干预势在必行，因为青春期是青少年特别脆弱的时期，参与 ED 行为可能会导致 ED 全面发展和医疗风险。