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Abstract

The issues of transgender youth have taken center stage in 2025. School nurses are essential in providing support and facts when questions arise from school administrators, school boards, families, and students.

Keywords

LGBTQ transgender gender gender-affirming care gender identity school nurses

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References

American Nurses Association. (2025). Code of ethics for nurses. American Nurses Publishing.

American Psychiatric Association (APA). (1980). Diagnostic and statistical manual of mental disorders (3rd ed.).

American Psychiatric Association (APA). (2023). Diagnostic and statistical manual of mental disorders (DSM-5-TR). https://psychiatryonline.org/doi/book/10.1176/appi.books.9780890425787

Blackless

Charuvastra

Derryck

Fausto-Sterling

Lauzanne

Lee

(2000). How sexually dimorphic are we? Review and synthesis. American Journal of Human Biology, 12(2), 151–166. https://www.doi.org10.1002/(SICI)1520-6300(200003/04)

Centers for Disease Control and Prevention (CDC). (2024, November 29). Adolescence and school health: Health disparities among LGBTQ youth. https://www.cdc.gov/healthy-youth/lgbtq-youth/health-disparities-among-lgbtq-youth.html

Cox

Hammond

Gray

(2023, November 9). Generation Z and the transformation of American adolescence: How Gen Z’s formative experiences shape its politics, priorities and future. Survey Center for American Life. American Enterprise Institute. https://www.americansurveycenter.org/research/generation-z-and-the-transformation-of-american-adolescence-how-gen-zs-formative-experiences-shape-its-politics-priorities-and-future/

Enviroliteracy Team. (2025, March 3). How much of the US population is intersex? Environmental Literacy Council. https://enviroliteracy.org/how-much-of-the-us-population-is-intersex/#google_vignette

Hall

Dawes

Plocek

(2021, October 21). Sexual orientation identity development milestones among lesbian, gay, bisexual and queer people: systematic review and meta-analysis. Frontiers in Psychology, 12(7), Article 753954. https://doi.org/10.3389/fpsyg.2021.753954.

Herman

Flores

O’Neill

(2022, June). How many adults and youth identify as transgender in the United States? The Williams Institute; UCLA School of Law. https://williamsinstitute.law.ucla.edu/publications/trans-adults-united-states/

10.

Human Rights Campaign. (2023). LGBTQ+ youth report. https://reports.hrc.org/2023-lgbtq-youth-report

11.

Marino

Werner-Seidler

Maston

Lin

Perry

Bista

Davies

Christensen

Skinner

(2024). Sexuality and gender diversity among adolescents in Australia 2019–2021. JAMA Network Open, 7(10), E2444187. https://doi.org/10.1001/jamanetworkopen.2024.44187

12.

National Association of School Nurses. (2025). Gender and sexual diversity supports in schools [Position statement].

13.

Sax

(2002). How common is intersex? A response to Anne Fausto-Sterling. The Journal of Sex Research, 39(3), 174–178.

14.

Statistica. (2025). Share of respondents who identified as lesbian, gay, bisexual or transgender in the United States from 2012 to 2023. https://www.statista.com/statistics/719674/american-adults-who-identify-as-homosexual-bisexual-or-transgender/

15.

The Trevor Project. (2023). 2022 National survey on LGBTQ youth mental health. https://www.thetrevorproject.org/survey-2022/

16.

USA Facts Team. (2025). What percentage of the US population is transgender? https://usafacts.org/articles/what-percentage-of-the-us-population-is-transgender/

17.

Women & The American Story. (n.d.). Life story: Christine Jorgensen (1926–1989). The New York Historical. https://wams.nyhistory.org/growth-and-turmoil/cold-war-beginnings/christine-jorgensen/#:~:text=In%201950%2C%20she%20traveled%20to,for%20acceptance%20of%20transgender%20people

18.

World Health Organization. (2024). ICD-11: International classification of diseases (11th revision). https://icd.who.int/

19.

World Population Review. (2025). Transgender Population by Country 2025. worldpopulationreview.

20.

Yarbrough

Kidd

Parekh

(2017). A guide for working with transgender and gender nonconforming patients. American Psychiatric Association. https://www.psychiatry.org/psychiatrists/diversity/education/transgender-and-gender-nonconforming-patients

21.

Zaliznyak

Bresee

Garcia

(2020). Age at first experience of gender dysphoria among transgender adults seeking gender-affirming surgery. JAMA Open Network, 3(3), 1236. https://pmc.ncbi.nlm.nih.gov/articles/PMC7076333/