Cette brochure présente les résultats de l'enquête menée par Lydia Sausa, de San Francisco, dans le cadre de sa thèse de doctorat. Elle a été publiée en 2004.
Il s'agit d'une étude qualitative menée auprès de jeunes trans (16-21 ans) sur quelques thèmes de leur parcours et de leur situation : expériences en milieu scolaire, santé mentale et bien-être, modifications corporelles, usage d'alcool et de produits psychoactifs, VIH et autres IST.
Elle fournit également une synthèse des souhaits et recommandations adressées par ces jeunes trans quant à ces différents domaines de la santé.
2. Body Modifications:
Engaged in body modification 88%
WHAT DID TRANS YOUTH Engaged in hormone therapy 25% RECOMMENDATIONS
HAVE TO SAY? Received silicone injections 8%
Intend to acquire hormones and/or FROM TRANS YOUTH
undergo surgery in the future 33%
Trans Youth Experiences of School: The most important recommendation reflects
Verbally harassed in school because of their Anwar, who identifies as a male living a female Maslow’s Theory of the Hierarchy of Human Needs.
gender identity and/or gender expression 96% lifestyle, reported: “I started taking hormones Health Professionals must first address the
Physically harassed in school because of their when I was 13. I know plenty of stories primary needs of trans youth – food,
gender identity and/or gender expression 83% about people just over-moning until their shelter, and safety – before addressing
Did not feel safe in school 75% liver just wasn’t functioning.” other health care and educational needs.
Dropped out of school 75%
Health Service Providers:
Provide comprehensive sensitivity training
Phoenix, who identifies as a Drag Queen reported: “I Keisha, who identifies as MTF, discussed silicone for staff on every level periodically
was constantly running from people, because injections: “I was really scared. The risk I
everybody wanted to fight me for some Hire trans youth as staff members
might be taking to my body. How bad it Establish trans-specific health services
reason. I’d get off the school bus and was going to hurt. It did hurt…It’s like you
somebody would come after me, and I would Collaborate with trans youth to develop
feel your muscle and your bone separate. programs, services, and interventions
run. I can never remember a time where And that hurts. The first time you just feel
someone actually stopped someone from it and it feels icky. But then as it begins to
doing things, or took me aside and hugged me press, and the muscle beings to press on to
Creating New Health Care Services:
or nothing. No one ever, ever gave me the epidermis, it’s agony. But it’s worth it, Establish a free trans youth health clinic
support or nurturing…I loved school…I was because – especially if you know what you Create a trans youth shelter
a straight A student…I dropped out.” want. You know how you want to Provide safe spaces for trans youth, such
look…So I’ll be fine.” as a trans youth center, trans youth
specific support groups, and educational
Mental Health & Well-Being Concerns: workshops
Compile and develop trans-specific
Thoughts of suicide 83% Alcohol and Substance Use:
resources that include local health and
Attempted suicide 54% social services, hormone information, and
Alcohol use 75%
Sexually assaulted or raped 71%
Binge drinking 21% health education
Engaged in sex work 46%
Illegal drug use 79%
Self-mutilation 21%
Sold drugs 21% Policy and Organizational Environments:
In recovery programs for substance use 8%
Update your organization’s anti-
Sex under the influence of alcohol 96%
discrimination policy to include gender
Keene, who identifies as Genderqueer, noted: “It’s Sex under the influence of illegal drugs 75%
identity and gender expression
like over a dozen times that I’ve been in
and out of hosptitals for suicidal thoughts. HIV & STDs: Interrupt and address any incidence of
And it’s like a cry for help. A lot of times verbal and physical harassment
Reported being HIV positive 13% immediately, and officially report it
it’s like I want to be closer to my family
Reported an STD 17% Provide gender-neutral or unisex
because I’m not, they don’t accept me
Reported not being at risk for HIV 63% bathrooms
because of who I am.” Engaged in unsafe behaviors in the past year
Update intake and health service forms to
that placed them at risk for HIV/STDs 96%
include trans people