This study examines Chinese transgender adolescents known as yaoniang (“medicine girls”), typically aged 14 to 20, who self-administer hormones without medical supervision. In contexts of absent sex education, parental silence, and pervasive censorship, they rely on digital spaces, especially Xiaohongshu (rednote) and erciyuan (two-dimensional) fandom cultures, as improvised infrastructures of knowledge, affect, and belonging. Drawing on 11 anonymized interviews, the analysis shows that these practices enable youth to rehearse gendered selves while exposing them to risk, misinformation, and erasure. Engaging theories of gender performativity, biopolitics, and mediated intimacy, the study demonstrates that precarity is not opposed to agency but its very condition. The findings extend global discussions on transgender youth and digital media while illuminating how restrictive sociopolitical environments in China shape possibilities of becoming.
AiQ.SongY.ZhanN. (2023). Creative compliance and selective visibility: How Chinese queer uploaders performing identities on the Douyin platform. Media Culture & Society, 45(8), 1686–1695.
2.
BaoH. (2018). Queer comrades: Gay identity and Tongzhi activism in postsocialist China. NIAS Press.
3.
BaudinetteT. (2021). Regimes of desire: Young gay men, media, and masculinity in Tokyo. University of Michigan Press.
4.
BaymN. (2010). Personal connections in the digital age. Polity Press.
5.
BerlantL. (2011). Cruel optimism. Duke University Press.
6.
BernotaiteA.BerredoL.ZhuoH. C. (2018). Chinese trans advocates organize nationally: A conference report. Transgender Studies Quarterly, 5(3), 473–486.
7.
BoellstorffT. (2011). But do not identify as gay: A proleptic genealogy of the MSM category. Cultural Anthropology, 26(2), 287–312.
8.
boydd. (2014). It’s complicated: The social lives of networked teens. Yale University Press.
9.
BraunV.ClarkeV. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.
10.
ButlerJ. (1990). Gender trouble: Feminism and the subversion of identity. Routledge.
11.
ChiangH. (2017). Transgender in China. In ZangX.ZhaoL. X. (Eds.), Handbook on the family and marriage in China (pp. 392–408). Edward Elgar Publishing.
12.
ChoA. (2018). Default publicness: Queer youth of color, social media, and being outed by the machine. New Media & Society, 20(9), 3183–3200.
13.
ClarkD. B. A.VealeJ. F.TownsendM.Frohard-DourlentH.SaewycE. (2018). Non-binary youth: Access to gender-affirming primary health care. International Journal of Transgenderism, 19(2), 158–169.
14.
ConnellR. (2012). Transsexual women and feminist thought: Toward new understanding and new politics. Signs: Journal of Women in Culture and Society, 37(4), 857–881.
15.
CoverR. (2016). Digital identities: Creating and communicating the online self. Academic Press.
16.
CraigS. L.McInroyL. (2014). You can form a part of yourself online: The influence of new media on identity development and coming out for LGBTQ youth. Journal of Gay & Lesbian Mental Health, 18(1), 95–109.
17.
DeHaanS.KuperL. E.MageeJ. C.BigelowL.MustanskiB. S. (2013). The interplay between online and offline explorations of identity, relationships, and sex: A mixed-methods study with LGBT youth. Journal of Sex Research, 50(5), 421–434.
18.
Durán-GarcíaO. (2021). Aesthetic misdiagnoses: Biomedicine, homosexualities, and medical cultures in Mexico, 1953-2006. Columbia University.
19.
EngebretsenE. L. (2013). Queer women in urban China: An ethnography. Routledge.
20.
FinlayL. (2002). Negotiating the swamp: The opportunity and challenge of reflexivity in research practice. Qualitative Research, 2(2), 209–230.
21.
FoucaultM. (1978). The history of sexuality, volume 1: An introduction. Pantheon.
22.
FreitasF. L.BermúdezX. P.Merchán-HamannE.Dias Dos SantosA. S.VieiraV. F. (2024). Social and programmatic vulnerability in the context of transgender people’s health: A scoping review of scientific evidence from Brazil. International Journal for Equity in Health, 23(1), 272.
23.
GalbraithP. W. (2011). Bishōjo games: ‘Techno-Intimacy’ and the virtually human in Japan. Game Studies, 11(2), 31–34.
24.
GalbraithP. W. (2019). Otaku and the struggle for imagination in Japan. Duke University Press.
25.
GibsonB. A.BrownS. E.RutledgeR.WickershamJ. A.KamarulzamanA.AlticeF. L. (2016). Gender identity, healthcare access, and risk reduction among Malaysia’s Mak Nyah community. Global Public Health, 11(7–8), 1010–1025.
26.
GrayM. L. (2009). Out in the country: Youth, media, and queer visibility in rural America. NYU Press.
27.
GuoT.EvansJ. (2020). Translational and transnational queer fandom in China: The fansubbing of Carol. Feminist Media Studies, 20(4), 515–529.
28.
HildebrandtT. (2013). Social organizations and the authoritarian state in China. Cambridge University Press.
29.
KamL. Y. L. (2013). Shanghai lalas: Female tongzhi communities and politics in urban China. Hong Kong University Press.
30.
KongM. (2024). Producing queer visibility on Douyin: The cultural politics of a new queer space [Doctoral dissertation, University of Macau].
31.
LamerichsN. (2018). Productive fandom: Intermediality and affective reception in fan cultures. Amsterdam University Press.
32.
LavrentyevaA.PatlamazoglouL.MackieG. (2025). The role of engagement with BL manga on queer young people’s sense of belonging. International Journal of LGBTQ+ Youth Studies, 22(2), 246–272.
33.
LiE. J. (2024). Online and offline lives among Chinese queer individuals: How do new media technologies impact? [Doctoral dissertation].
34.
LiL.KingM. E.WinterS. (2009). Sexuality education in China: The conflict between reality and ideology. Asia Pacific Journal of Education, 29(4), 469–480.
35.
LinY.XieH.HuangZ.ZhangQ.WilsonA.HouJ.ZhaoX.WangY.PanB.LiuY.HanM.ChenR. (2021). The mental health of transgender and gender non-conforming people in China: A systematic review. Lancet Public Health, 6(12), e954–e969.
36.
LiuW. (2022). Boundless China and backward Asians: Hegemonic Confucianism as epistemological violence in queer psychology. Integrative Psychological and Behavioral Science, 56(2), 491–505.
37.
LiuW.LiJ.LiH.ZhengH. (2023). Adaptation of global standards of comprehensive sexuality education in China: Characteristics, discussions, and expectations. Children, 10(2), 409.
38.
López-HarderJ. (2021). Pláticas~ Testimonios of resilience of transgender and gender diverse Latinx individuals in the US-Mexico borderland region (Doctoral dissertation. New Mexico State University.
39.
McLellandM. (2006). Why are Japanese girls’ comics full of boys bonking. Refractory: A Journal of Entertainment Media, 10(4), 1–14.
40.
McLellandM.NagaikeK.SuganumaK.WelkerJ. (Eds.) (2015). Boys love manga and beyond: History, culture, and community in Japan. University Press of Mississippi.
41.
NgE. (2017). Between text, paratext, and context: Queerbaiting and the contemporary media landscape. Transformative Works and Cultures, 24. https://doi.org/10.3983/twc.2017.0917
42.
PadillaM.Rodríguez-MaderaS. (2021). Embodiment, gender transitioning, and necropolitics among transwomen in Puerto Rico. Current Anthropology, 62(S23), S26–S37.
43.
PapacharissiZ. (2015). Affective publics: Sentiment, technology, and politics. Oxford University Press.
44.
PearceR. (2018). Understanding trans health: Discourse, power and possibility. Policy Press.
45.
PoteatT.GermanD.KerriganD. (2013). Managing uncertainty: A grounded theory of stigma in transgender health care encounters. Social Science & Medicine, 84, 22–29.
46.
PuarJ. K. (2007). Terrorist assemblages: Homonationalism in queer times. Duke University Press.
47.
RofelL. (2007). Desiring China: Experiments in neoliberalism, sexuality, and public culture. Duke University Press.
48.
SausaL. A.KeatleyJ.OperarioD. (2007). Perceived risks and benefits of sex work among transgender women of color in San Francisco. Archives of Sexual Behavior, 36(6), 768–777.
49.
ShawG.ZhangX. (2018). Cyberspace and gay rights in a digital China: Queer documentary filmmaking under state censorship. China Information, 32(2), 270–292.
50.
ShiJ. (2025). Queering algorithms: LGBTQ+ content creators’ non-conforming and non-confronting workarounds to digital normativity in China. Convergence: The International Journal of Research into New Media Technologies, 31(3), 728–751.
51.
SuarezE. B.LogieC.ArochaJ. F.SanchezH.ShokirovaT. (2021). Contesting everyday violence: Resilience pathways of gay and transgender youth in Peru. Global Public Health, 16(5), 706–728.
52.
TanJ. (2016). Aesthetics of queer becoming: Comrade Yue and Chinese community-based documentaries online. Critical Studies in Media Communication, 33(1), 38–52.
53.
TanJ. (2023). Digital masquerade: Feminist rights and queer media in China. New York University Press.
54.
TimmermansS.TavoryI. (2012). Theory construction in qualitative research: From grounded theory to abductive analysis. Sociological Theory, 30(3), 167–186.
55.
TorresC. G.RenfrewM.KenstK.Tan-McGroryA.BetancourtJ. R.LópezL. (2015). Improving transgender health by building safe clinical environments that promote existing resilience: Results from a qualitative analysis of providers. BMC Pediatrics, 15(1), 187.
56.
TurbanJ. L.KingD.CarswellJ. M.KeuroghlianA. S. (2020). Pubertal suppression for transgender youth and risk of suicidal ideation. Pediatrics, 145(2), e20191725.
57.
VelascoR. A. F.SlusserK.CoatsH. (2022). Stigma and healthcare access among transgender and gender-diverse people: A qualitative meta-synthesis. Journal of Advanced Nursing, 78(10), 3083–3100.
58.
WangI. Y.ChanR. C. H. (2024). The cultural underpinnings of transnegativity: Understanding the role of traditionality and modernity in the contemporary Chinese context. Current Psychology, 43(43), 33252–33264.
59.
WangY.TanJ. (2023). Queer cultures in digital Asia | Participatory censorship and digital queer fandom: The commercialization of boys’ love culture in China. International Journal of Communication, 17, 19.
60.
WinterS. (2006). Thai transgenders in focus: Demographics, transitions and identities. International Journal of Transgenderism, 9(1), 15–27.
61.
WinterS.DiamondM.GreenJ.KarasicD.ReedT.WhittleS.WylieK. (2016). Transgender people: Health at the margins of society. Lancet, 388(10042), 390–400.
62.
YanY. (2009). The individualization of Chinese society. Routledge.
63.
ZhangL.LiX.ShahI. H. (2007). Where do Chinese adolescents obtain knowledge of sex? Implications for sex education in China. Health Education, 107(4), 351–363.
64.
ZhengT. (2015). Tongzhi living: Men attracted to men in postsocialist China. University of Minnesota Press.
65.
ZsilaÁ.PagliassottiD.UrbánR.OroszG.KirályO.DemetrovicsZ. (2018). Loving the love of boys: Motives for consuming yaoi media. PloS One, 13(6), e0198895.
