Transgender and gender diverse (TGD) young adults face higher risk of eating disorder (ED) symptoms than cisgender peers. Evidence-based ED prevention programs exist but must be adapted to meet the needs of diverse TGD populations. We conducted eight asynchronous online focus groups in 2019 with 66 ethnically and gender diverse TGD young adults (18–30 years) living in the United States. Participants were recruited online; groups took place over four consecutive days. We conducted inductive thematic analysis of participant responses to three prompts about ED prevention needs and advice for program developers. Findings fell into three domains. In Domain 1: Developing Program Content, themes included (1.1) need to address multiple dimensions of gender; (1.2) intersectional representation matters; (1.3) limitations of ED research; (1.4) being responsive to trauma. Domain 2: Program Delivery Considerations, included preferences for (2.1) group composition, (2.2) intervention modality, and (2.3) program leadership. Domain 3: Cultivating Affirming Spaces included themes addressing the need for programs to (3.1) create judgment-free environments and (3.2) center lived experience. TGD young adults in this study described a range of needs and recommendations for ED prevention content and delivery, with relevance to clinicians, program designers, and ED prevention advocates.

中文翻译：

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跨性别和性别多样化的年轻人预防饮食失调需要什么？异步在线焦点小组的调查结果

跨性别和性别多样化 (TGD) 年轻人比顺性别同龄人面临更高的饮食失调 (ED) 症状风险。存在基于证据的 ED 预防计划，但必须进行调整以满足不同 TGD 人群的需求。2019 年，我们对居住在美国的 66 名种族和性别多样化的 TGD 年轻人（18-30 岁）进行了八次异步在线焦点小组活动。参与者是在线招募的；小组连续四天进行。我们对参与者对有关 ED 预防需求和项目开发人员建议的三个提示的反应进行了归纳主题分析。调查结果分为三个领域。在领域 1：制定计划内容中，主题包括 (1.1) 需要解决性别的多个层面；(1.2) 交叉代表事宜；(1.3) ED研究的局限性；(1.4) 对创伤有反应。领域 2：计划交付考虑因素，包括对 (2.1) 小组组成、(2.2) 干预方式和 (2.3) 计划领导的偏好。领域 3：培育肯定空间包括满足项目需求的主题，以 (3.1) 创造无评判的环境和 (3.2) 中心生活体验。这项研究中的 TGD 年轻人描述了与临床医生、项目设计者和 ED 预防倡导者相关的一系列关于 ED 预防内容和实施的需求和建议。