G. Nic Rider - Academia.edu (original) (raw)

Papers by G. Nic Rider

Sex Trading Among Adolescent Cisgender Boys

Pediatrics

OBJECTIVES Cisgender girls and boys report trading sex for something of value at roughly equal pr... more OBJECTIVES Cisgender girls and boys report trading sex for something of value at roughly equal proportions; yet, boys are understudied and underserved. We compare boys who reported trading sex to those who never traded sex to address this gap in knowledge and practice. METHODS The study is a secondary analysis of the Minnesota Student Survey, a triannual, census-style survey. The sample included 32 311 cisgender boy students in ninth and 11th grades who answered a question about sex trading. Bivariate descriptive statistics and multivariate logistic models were used to identify associated factors and determine the odds of trading sex on the basis of specific experiences. RESULTS We found that 1.2% of boys reported trading sex. In bivariate analyses, boys who reported trading sex were more likely than those who did not to: identify as Black or Indigenous; report a marginalized gender identity or sexual expression; have had sexual intercourse; have experienced sexual harassment and ha...

Adolescent substance use at the intersections of foster care, sexual orientation and gender identity, racial/ethnic identity, and sex assigned at birth

Child Abuse & Neglect

The continuum of informed consent models in transgender health

Family Practice, 2021

Gender-Related Medical Interventions, Body Image Satisfaction and Eating Behavior Among Transgender Individuals

Annals of Behavioral Medicine, 2014

Recognizing the Importance of Chest Surgery for Transmasculine Youth

Pediatrics, 2021

Transgender Adults' Public Bathroom-Related Stressors and Their Association with Depressive Symptoms: A Nationwide Cross-Sectional Study in South Korea

LGBT Health, 2021

Purpose: This study assessed public bathroom-related stressors and examined their association wit... more Purpose: This study assessed public bathroom-related stressors and examined their association with depressive symptoms, suicidal ideation, and suicide attempts among transgender individuals in South Korea. Methods: We analyzed data from a nationwide cross-sectional survey of 557 South Korean transgender adults (age range: 19-60 years) conducted in October 2020. Participants were asked nine yes/no questions about whether they have ever experienced public bathroom-related stressors within the last 12 months. The responses were classified into three categories: "never experienced," "avoidant behaviors alone," and "victimization experiences." Results: The proportions of participants who reported "avoidant behaviors alone" and "victimization experiences" related to public bathroom use were 47.0% and 23.0%, respectively. Past-week prevalence of depressive symptoms was 70.7%, and past 12-month prevalence of suicidal ideation and suicide attempts was 63.0% and 19.8%, respectively. Compared with participants who "never experienced" public bathroom-related stressors, the prevalence of depressive symptoms was statistically significantly higher among those who reported "avoidant behaviors alone" (adjusted prevalence ratio [aPR] = 1.22; 95% confidence interval [CI] = 1.07-1.40) and "victimization experiences" (aPR = 1.18; 95% CI = 1.01-1.38), after adjusting for covariates, including gender perception by others. In the same adjusted model, however, no significant associations of public bathroom-related stressors with suicidal ideation and suicide attempts were observed. Conclusions: Given these findings showing that public bathroom-related stressors may negatively influence transgender adults' depressive symptoms, efforts are necessary to ensure their safe access to public bathrooms in South Korea. Furthermore, policy-level interventions are needed to eliminate stigma against transgender individuals, given that public bathroom-related stressors could be considered an indicator of broader anti-transgender stigma.

Current Sexual Health Reports, 2020

Purpose of Review Intersectionality theory acknowledges that a significant part of the distress e... more Purpose of Review Intersectionality theory acknowledges that a significant part of the distress experienced by queer people of color (QPOC) is caused by systems of oppression in society. Given the dearth of literature linking intersectionality to sex therapy, combined with a lack of sex therapy research centering on the experiences of QPOC, sexual wellness advocates often utilize unidimensional approaches that focus exclusively on either LGBTQ people or people of color. This review presents the following: (1) an overview of the gaps eliciting unidimensional approaches to sex therapy practice and research, (2) an illustration of intersectionality's theoretical underpinnings as a queer and oppression-responsive approach, and (3) applications for sex therapy practice with QPOC. Recent Findings The intersectionality framework provides an opportunity to explore overlapping forms of oppression (e.g., racism, heterosexism, cisnormativity) and to make social justice and resilience/resistance central topics in the promotion of sexual wellness. The framework can guide sexual wellness advocates in their mission to better understand the harm posed by oppressive systems, how these systems impact sexual problems, and how they can intervene to reduce conditions that undermine sexual wellness and freedom. Summary It is in the sexual health field's best interest to comprehensively adopt intersectionality to advance the field toward a culture that critiques and dismantles social structures that limit the possibilities of pleasurable sex among oppressed communities. Individual sex therapists can contribute to the inclusion of the intersectionality framework in therapy by critiquing harmful social structures, attending to both sexual dysfunction and sexual pleasure, attending to both oppression and resilience/resistance, and actively collaborating with the communities they serve.

Racial Identity Development: Applicability to Multiple Identity Development in Asian Americans and the Use of Family Nar ratives in Fostering Resiliency

PsycEXTRA Dataset

146. Sport and Physical Activity Among Transgender, Gender Diverse, and Questioning Adolescents

Journal of Adolescent Health

Application of an intersectional lens to bias-based bullying among LGBTQ+ youth of color in the United States

Stigma and health, Oct 20, 2022

Translational Andrology and Urology, 2021

In 2016, the NIH designated sexual and gender minorities (SGM) a health disparity population. The... more In 2016, the NIH designated sexual and gender minorities (SGM) a health disparity population. The next year, the American Society of Clinical Oncology highlighted the need to improve the suboptimal cancer and survivorship care received by SGM populations. There are currently no evidence-based training programs in culturally competent care of prostate cancer patients who are gay, bisexual and/or transgender. In this selective review, we summarize findings from the largest quantitative studies focused on sexual minority prostate cancer survivors and from 65 interviews with NIH staff, clinicians, and cancer clinics in 11 US cities. The report is divided into three parts and uses a question and answer format to address 21 questions relevant to clinicians providing care to SGM prostate cancer patients. First, we identify population-specific issues that are culturally relevant in the care of SGM patients with prostate cancer. While a body of research has emerged on sexual minority prostate cancer patients, the literature on gender minorities is limited to single case reports and inadequate to inform practice. This review covers definitions, population size, cultural and historical context, sexual behavior, population invisibility, sexual orientation and gender identity (SOGI) in the electronic medical record, disparities and evidence of discrimination in treatment provision. The second part focuses on promoting evidence-informed, patient-centered care. This includes current practices in assessing sexual orientation, management of disclosure of sexual orientation, how to address common problems sexual minority men experience post-treatment, common questions sexual minority patients have, management of urinary incontinence, HIV and STI risk during and post-treatment, and subgroups of sexual minority patients with worse outcomes. It then identifies how male partners differ in prostate cancer support, current research on rehabilitation for sexual minority men, issues in advanced prostate cancer, and things to avoid with minority patients. Finally, we examine the cultural divide between provider and patient, advocating for cultural humility when working with minority patients. Training programs and continuing education can help providers both to become more aware of their own cultural assumptions, informed about health disparities, and able to provide quality care, and to make clinics more welcoming to SGM patients.

Journal of Dermatological Treatment, 2019

Hair removal procedures, including electrolysis and laser hair removal, are the most commonly pur... more Hair removal procedures, including electrolysis and laser hair removal, are the most commonly pursued gender-affirmative medical interventions by transfeminine people, but previous empirical studies have not examined their relationship to psychological well-being. Participants were 281 transfeminine adults in the United States who responded to an online questionnaire. Satisfaction with one's current state of hair removal was negatively correlated with situational body image dysphoria, depression symptoms, anxiety symptoms, and negative affect, and positively correlated with positive affect. Results of this study suggest that hair removal is associated with both decreased distress but also increased subjective well-being (e.g., higher positive affect). Though the construct of "gender euphoria" has been introduced in previous publications, it has thus far not been rigorously defined or operationalized within health research. These results suggest that gender euphoria can be understood in terms of increased subjective well-being associated with gender affirmation, including gender-affirmative medical interventions. This study demonstrates a significant association between hair removal services and depression symptoms, anxiety symptoms, situational body image dysphoria, positive affect, and negative affect in transfeminine adults. These findings cast significant doubt on the assertion that hair removal services for transfeminine people are "cosmetic."

The Journal of Pediatrics, 2019

Objective To compare social connectedness factors that facilitate use of primary, dental, and men... more Objective To compare social connectedness factors that facilitate use of primary, dental, and mental healthcare services among transgender and gender nonconforming (TGNC) and cisgender adolescents. Methods Data from the cross-sectional 2016 Minnesota Student Survey were used to examine protective social connectedness factors associated with use of different healthcare services among matched samples of 1916 TGNC and 1916 cisgender youth. Stratified, logistic regression analyses were used to examine background characteristics and social connectedness factors (parent connectedness, connections to other nonparental adults, teacher-student relationships, and friend connections) associated with use of each healthcare service within the last year. Results For TGNC youth, but not for cisgender youth, higher levels of parent connectedness were associated with receipt of primary (OR, 2.26; 95% CI, 1.40-3.66) and dental (OR, 3.01; 95% CI, 1.78-5.08) care services, and lower levels of connectedness to nonparental adults was associated with receipt of mental healthcare (OR, 0.55; 95% CI, 0.33-0.93). Among cisgender youth, no protective factors were significantly associated with receipt of primary care services, higher levels of friend connections were associated with receipt of dental services (OR, 1.85; 95% CI, 1.10-3.09), and lower levels of parent connectedness were associated with receipt of mental healthcare (OR, 0.20; 95% CI, 0.10-0.40). Conclusions To promote the health of TGNC youth, clinicians should understand the distinct factors associated with obtaining healthcare among this population such as the need for tailored efforts focused on strengthening connectedness between TGNC youth and their parents to facilitate receipt of needed care. (J Pediatr 2019;211:172-8). T he healthcare needs of transgender and gender nonconforming (TGNC) individuals are often neglected within the U.S. healthcare system. 1,2 The National Academy of Medicine called for TGNC-specific research on health needs among adolescents. 3 TGNC youth are those for whom gender identity does not match their birth-assigned sex and/or whose gender identification may transcend the binary gender classification system. 4 Cisgender youth are those for whom gender identity is congruent with their birth-assigned sex. 4 Approximately 3.0% of adolescents identify as TGNC or are unsure of their gender identity. 5 Much evidence suggests that TGNC youth demonstrate greater mental health problems, compared with cisgender individuals. 4-10 In addition, TGNC adolescents experience significant physical health disparities, 3,5,11 report higher rates of general health concerns, 11 and are more likely to rate their health as fair or poor, 12,13 compared with cisgender youth. Thus, TGNC adolescents possess distinct healthcare needs. However, TGNC individuals experience barriers to obtaining high-quality healthcare owing in part to inadequate knowledge of transgender health issues, discrimination, and transphobia among clinicians. 2,11,14,15 For example, 33% of TGNC adults reported at least 1 negative experience with a medical provider owing to their gender, 14 and 1 in 5 were denied care. 3 Also, we previously reported that TGNC adolescents are less likely than cisgender youth to receive preventive primary and dental healthcare checkups, 13 which may delay receipt of needed services. From a healthy youth development perspective, enhancing protective connectedness factors represents an important aspect of improving adolescent health outcomes. 16,17 We previously found that TGNC youth report lower levels of protective social connections, including family connectedness (eg, ability to talk with mother/father about problems and feeling cared for by parents and

The Journal of Rural Health, 2018

Purpose-Understanding the root causes of the substantial disparities in risk and protective facto... more Purpose-Understanding the root causes of the substantial disparities in risk and protective factors among transgender/gender diverse (TGD) adolescents is essential to the development and expansion of resources and supports for this vulnerable population. This study examines differences in emotional distress, bullying victimization, and protective factors among TGD high school students in city, suburban, town, and rural locations. Methods-Data come from a statewide school-based survey conducted in Minnesota in 2016 (N=2168). Analysis of covariance models were used to predict the prevalence of multiple indicators of emotional distress, bullying victimization, and protective factors across the 4 location categories, with multiple adjustments. Findings-Significant linear trends were observed for 2 emotional distress outcomes and 2 bullying victimization outcomes, with urban TGD students having the lowest rates and rural having the highest prevalences. Additional significant differences in emotional distress were noted, with unexpectedly high rates of depressive symptoms and suicidal ideation among suburban students. Conclusions-Helping TGD adolescents in all types of locations identify resources and supportive professionals is critical to supporting this population.

Journal of Pediatric Health Care, 2019

Introduction: Nurses and physicians receive minimal training about providing competent care to tr... more Introduction: Nurses and physicians receive minimal training about providing competent care to transgender and gender-diverse (TGD) patients, and training specific to TGD youth is particularly lacking. This qualitative study examined health care providers' experiences and attitudes about working with TGD youth to identify specific training needs. Method: Semistructured interviews were conducted with 14 nurses and physicians who work with adolescents. Thematic analysis was used to characterize participants' responses. Results: Five themes summarized participants' responses to interview questions: Training Regarding Gender Diversity, Discomfort With Gender-Related Topics, Reasons for Not Asking About Gender, Talking About Gender With Patients, and Need for Resources. Discussion: Findings highlight multiple opportunities to improve provider education and care experiences of TGD youth. Specific training is needed to help providers manage discomfort with gender-related topics and simultaneously develop their knowledge of and skills for discussing gender issues.

International Journal of Transgenderism, 2018

Background and Aims: Increasingly, research is emerging on the subjective experience of genderque... more Background and Aims: Increasingly, research is emerging on the subjective experience of genderqueer people. This study explored how genderqueer identities are understood and managed in both personal and social domains. Method: Interview data from 25 genderqueer-identified American adolescents and emerging adults, aged 15 to 26 (M D 21.28, SD D 3.20), were pulled from a larger study of 90 transgender and genderqueer participants. The 90-minute semi-structured interviews included questions about gender identity, the developmental pathway of participants, and relationships with others regarding gender. Results: Participants described "genderqueer" as a sufficiently broad category to capture their diverse experiences, and descriptions of genderqueer identities were heterogeneous, directly contradicting binary understandings of gender identity. A thematic analysis of interview transcripts resulted in three themes: intrapsychic experience, descriptions of master narratives about gender identity, and the co-construction of identities. Discussion: Participants described navigating a series of master and alternative narratives, such that all transgender people transgress a cisnormative master narrative, but genderqueer people further transgress normative understandings of a medicalized, binary transgender identity. The experience of co-creating identities was the process by which participants actively navigated constraints of the master narrative experience. Participants described the integral role of language in crafting new narratives to legitimize genderqueer experiences, as well as the subsequent intragroup conflict resulting from conflicting relationships to narratives in the transgender community. This study highlights genderqueer identities as a source of strength and positivity, and the importance of expanding beyond the hegemonic gender binary within research and clinical practice.

Current Sexual Health Reports, 2018

Purpose of review: This paper examines recent research on bullying victimization among lesbian, g... more Purpose of review: This paper examines recent research on bullying victimization among lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth to identify critical issues and advocate for future research priorities. Recent findings: Recent studies have begun to document the importance of bullying in general, and bias-based bullying (rooted in stigma) in particular, on the health and wellbeing of this vulnerable subgroup of adolescents, as well as drivers of disparities. Current research demonstrates the role of multiple identities for and important differences among LGBTQ youth and has begun to identify protective factors for youth who are the targets of bullying. Summary: Researchers, clinicians, and those working with and on behalf of LGBTQ youth must measure and acknowledge the multiple reasons for which LGBTQ youth are the targets of bullying. Intervention and prevention efforts should focus on improving the supportiveness of the climates within which LGBTQ youth live.

Pediatrics, 2018

BACKGROUND: Transgender and gender nonconforming (TGNC) adolescents have difficulty accessing and... more BACKGROUND: Transgender and gender nonconforming (TGNC) adolescents have difficulty accessing and receiving health care compared with cisgender youth, yet research is limited by a reliance on small and nonrepresentative samples. This study's purpose was to examine mental and physical health characteristics and care utilization between youth who are TGNC and cisgender and across perceived gender expressions within the TGNC sample. METHODS: Data came from the 2016 Minnesota Student Survey, which consisted of 80 929 students in ninth and 11th grade (n = 2168 TGNC, 2.7%). Students self-reported gender identity, perceived gender expression, 4 health status measures, and 3 care utilization measures. Chi-squares and multiple analysis of covariance tests (controlling for demographic covariates) were used to compare groups. RESULTS: We found that students who are TGNC reported significantly poorer health, lower rates of preventive health checkups, and more nurse office visits than cisgender youth. For example, 62.1% of youth who are TGNC reported their general health as poor, fair, or good versus very good or excellent, compared with 33.1% of cisgender youth (χ 2 = 763.7, P < .001). Among the TGNC sample, those whose gender presentation was perceived as very congruent with their birth-assigned sex were less likely to report poorer health and longterm mental health problems compared with those with other gender presentations. CONCLUSIONS: Health care utilization differs between TGNC versus cisgender youth and across gender presentations within TGNC youth. With our results, we suggest that health care providers should screen for health risks and identify barriers to care for TGNC youth while promoting and bolstering wellness within this community.

Test of visuospatial construction: Validity evidence in extremely low birth weight and late preterm children at early school age

Child Neuropsychology, 2015

ABSTRACT The Test of Visuospatial Construction (TVSC), a measure of visuoconstruction that does n... more ABSTRACT The Test of Visuospatial Construction (TVSC), a measure of visuoconstruction that does not rely on upper extremity motor response or written production, was administered to extremely low birth weight (ELBW), late preterm (LPT), and term participants at preschool (n = 355) and kindergarten (n = 265) ages. TVSC showed statistically significant weak-to-moderate positive correlations (age 3: r = .118-.303; age 6: r = .138-.348) with Developmental VMI, Differential Ability Scales-II Copying, Matrices, and Pattern Construction subtests, Baron-Hopkins Board Test, and the Purdue Pegboard. One-way ANOVA indicated ELBW performed worse than Term (p = .044) on visuospatial construction at age 3 with a small-to-medium effect size (d = -0.43). No other statistically significant differences were found at age 3 on the TVSC (ELBW/LPT: p = .608, d = -0.17; LPT/Term: p = .116, d = -0.31). At age 6, ELBW participants performed worse than LPT participants (p = .027) and Term participants (p = .012); LPT participants did not differ from Term participants. Small effect sizes at age 3 (ELBW < LPT, d = -0.17; ELBW < Term, d = -0.43) were notably larger at age 6 (ELBW < LPT, d = -0.42; ELBW < Term, d = -0.53). Important practical differences showing LPT participants performed below Term participants (d = -0.31) at age 3 were no longer evident at age 6 (d = -0.097). These findings provide preliminary evidence of TVSC validity supporting its use to detect neuropsychological impairment and to recommend appropriate interventions in young preterm children.

Latent mean comparisons on the BRIEF in preterm children: Parent and teacher differences

Child Neuropsychology, 2013

Executive function is a heterogeneous construct applied to cognitive capacities that together ena... more Executive function is a heterogeneous construct applied to cognitive capacities that together enable individuals to effectively engage in activities toward a purposive goal. Children born at extremely low birth weight (ELBW) are at risk of executive dysfunction on performance-based measures. In natural contexts, executive function may be described using such parental and teacher questionnaires as the Behavior Rating Inventory of Executive Function (BRIEF). This study examined the factor structure of the BRIEF-parent form in 124 ELBW children and of the BRIEF-teacher form in 90 ELBW children. Although our data showed that the fit of a two-factor structure was adequate for the parent report, a three-factor model provided advantages over the two-factor model across all fit indices and best characterized the data. For teacher report, these data supported a three-factor but not a two-factor model. Using the three-factor model for both groups of informants, we compared parent and teacher reports (n = 90 pairs) between the three identified latent variables. Parents reported significantly more difficulty with Emotional Regulation (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; .05), and teachers reported significantly more difficulty with Behavioral Regulation (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; .05). No significant differences were found between parent and teacher reports for Metacognition.