Gender Identity
The question:
At the hub, when youth are provided the sociodemographic questionnaire the question they receive related to their gender identity is:
| I identify as: |
|---|
| o Girl / Woman o Boy / Man o Trans woman o Trans man o Non-Binary o Two-spirit o Genderqueer o Gender fluid o Androgynous o Not Sure o Questioning o Prefer not to answer o I don't identify with any of these options |
Youth can choose more than one response option for this question.
Video:
The language used and ways in which gender and sexually diverse people self-identify and express themselves has and continues to change. It is important to reflect the ways in which young people self-identify.
Gender identity is linked to a person’s sense of self. It is a person’s internal and individual experience of gender. It is a person’s sense of being a woman, a man, both, neither, or anywhere along the gender spectrum. A person’s gender identity may be the same as or different from their birth-assigned sex. A person’s gender identity is fundamentally different from and not related to their sexual orientation.
- When it comes to gender and sexual diversity there is the need to challenge binary thinking. We have been conditioned to think that sex and gender are binaries, i.e.. that they can be only one of two things. In 2SLGBTQ+ communities, there is immense diversity when it comes to all aspects of gender and sexuality and terms and definitions will change and evolve over time.
- Please review the 2SGLBTQ+ Glossary of Terms and the Gender Elephant with more detailed definitions and knowledge. These terms and definitions are and should not be standardized, and may be used differently by different people and in different regions.
Rationale for this question:
- There are strong and documented differences in access to, quality of and outcomes of service amongst gender diverse youth.
- Trans youth have noted factors related to their vulnerability in health-related areas including the lack of safe environments, poor access to physical health services, inadequate resources to address their mental health concerns, and a lack of continuity of caregiving by their families and communities.
- Stigma and fear of discrimination can impact accessing health care by trans, gender non-conforming, and intersex youth. Research shows that 21% of trans people have reported avoidance to accessing emergency care when needed, due to fear of discrimination based on being trans.
Important considerations:
- Some youth may find this question intrusive. Gender diverse, gender non-conforming, and trans youth, may be concerned about who will have access to this information. Youth have the option to skip the question and you should reassure them that their data will be taken care of in the same manner as all of their other sensitive information.
- Past pilots have found that some clients may laugh or make an inappropriate joke when asked this question. It is highly recommended that staff do not engage, and can state, “we ask because we know that trans, gender non-conforming, and intersex clients face harassment and discrimination when accessing services and in healthcare, we believe everyone deserves affirming care”.
Responding to youth asking why they are being asked this question:
- Having this information can help us plan for appropriate programming, staffing, training, and service provision.
- It helps us plan to make sure that all youth feel comfortable and safe in our space.
- We can use this data to understand the experiences of gender diverse youth we work with.
For additional resources, see the YWHO Trans Affirming Care Webinar, and Resource Guide for Providing Trans Affirming Care.
