Sexual Violence Victimization and Gender Identity: A National Study of High School Students in the United States,2023

Abstract

Experiencing sexual violence is an adverse childhood experience. Emerging data suggest transgender youth disproportionately experience sexual violence. We investigate differences in sexual violence victimization by gender identity in a nationally representative sample of U.S. high school students. We analyzed 2023 Youth Risk Behavior Surveillance Survey data of n = 15,073 U.S. high school students. Multivariable logistic regressions compared three measures of sexual victimization (lifetime forced sexual intercourse [FSI]; past 12-month any sexual violence; and past 12-month dating sexual violence) by gender identity. We also conducted sex-stratified models. Analyses controlled for grade, race, ethnicity, and alcohol use. Transgender youth had significantly greater odds of lifetime FSI (adjusted odds ratio [aOR]: 3.29), past 12-month sexual violence (aOR: 2.47), and past 12-month dating violence (aOR: 2.01), relative to cisgender youth. Interactions were significant for all three outcomes (p < .001). Among those who identified their sex as male, transgender identity corresponded with greater odds of reporting lifetime FSI (aOR:13.17), past 12-month sexual violence (aOR: 9.24), and past 12-month dating violence (aOR: 9.56). Among those who identified their sex as female, odds of all outcomes were equivalent by gender identity. Transgender youth had higher odds of experiencing sexual violence in their lifetime and within the past year. Prevention measures, as well as trauma-informed treatment, are needed to reduce the incidence and impact of sexual violence among youth.

Keywords

gender-based violence intimate partner violence/abuse LGBTQIA+sexual violence

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References

Abern

Diego

Krempasky

Cook

Maguire

(2023). Prevalence of sexual assault in a cohort of transgender and gender diverse individuals. Journal of General Internal Medicine, 38(5), 1331–1333.

Adhia

Pugh

Lucas

Rogers

Kelley

Bekemeier

(2024). Improving school environments for preventing sexual violence among LGBTQ+ youth. The Journal of School Health, 94(3), 243–250.

Anderer

(2024). Transgender youth report high satisfaction with gender-affirming care. JAMA: The Journal of the American Medical Association, 332(23), 1967.

Bartlett

J. W.

Harel

Carpenter

J. R.

(2015). Asymptotically unbiased estimation of exposure odds ratios in complete records logistic regression. American Journal of Epidemiology, 182(8), 730–736.

Brener

N. D.

Mpofu

J. J.

Krause

K. H.

Everett Jones

Thornton

J. E.

Myles

Harris

W. A.

Chyen

Lim

Arrey

Mbaka

C. K.

Trujillo

Shanklin

S. L.

Smith-Grant

Whittle

McKinnon

I. I.

Washington

Queen

B. E.

Roberts

A. M.

(2024). Overview and methods for the Youth Risk Behavior Surveillance System—United States, 2023. MMWR Supplements, 73(4), 1–12.

Clarke

Goddard

Wellings

Hirve

Casanovas

Bewley

Viner

Kramer

Khadr

(2023). Medium-term health and social outcomes in adolescents following sexual assault: A prospective mixed-methods cohort study. Social Psychiatry and Psychiatric Epidemiology, 58(12), 1777–1793.

Coulter

R. W. S.

Mair

Miller

Blosnich

J. R.

Matthews

D. D.

McCauley

H. L.

(2017). Prevalence of past-year sexual assault victimization among undergraduate students: Exploring differences by and intersections of gender identity, sexual identity, and race/ethnicity. Prevention Science: The Official Journal of the Society for Prevention Research, 18(6), 726–736.

Flaherty

H. B.

(2025). Bridging research and practice to address substance use disparities among sexual and gender minority youth. Journal of Social Work Practice in the Addictions, 25(3), 239–253.

Genser

Teles

C. A.

Barreto

M. L.

Fischer

J. E.

(2015). Within-and between-group regression for improving the robustness of causal claims in cross-sectional analysis. Environmental Health, 14(1), 60.

10.

Henry

A. J.

Hevelone

N. D.

Lipsitz

Nguyen

L. L.

(2013). Comparative methods for handling missing data in large databases. Journal of Vascular Surgery, 58(5), 1353–1359.e6.

11.

Hughes

R. A.

Heron

Sterne

J. A. C.

Tilling

(2019). Accounting for missing data in statistical analyses: Multiple imputation is not always the answer. International Journal of Epidemiology, 48(4), 1294–1304.

12.

Inwards-Breland

D. J.

Johns

N. E.

Raj

(2022). Sexual violence associated with sexual identity and gender among California adults reporting their experiences as adolescents and young adults. JAMA Network Open, 5(1), Article e2144266.

13.

Kattari

S. K.

Atteberry-Ash

Collins

Kattari

Harner

(2021). Increased prevalence, predictors, and in-group differences of forced sex and physical dating violence among trans/gender diverse youth. Social Sciences (Basel, Switzerland), 10(6), 236.

14.

Kennedy

S. R.

Rosenberg

Brooks-Russell

(2025). Sexual violence among a state sample of high school students: The impact of gender identity and sexual orientation. Journal of Interpersonal Violence. https://doi.org/10.1177/08862605251329502

15.

Kidd

J. D.

Jackman

K. B.

Wolff

Veldhuis

C. B.

Hughes

T. L.

(2018). Risk and protective factors for substance use among sexual and gender minority youth: A scoping review. Current Addiction Reports, 5(2), 158–173.

16.

Kilpatrick

D. G.

Ruggiero

K. J.

Acierno

Saunders

B. E.

Resnick

H. S.

Best

C. L.

(2003). Violence and risk of PTSD, major depression, substance abuse/dependence, and comorbidity: Results from the National Survey of Adolescents. Journal of Consulting and Clinical Psychology, 71(4), 692–700.

17.

Knol

M. J.

VanderWeele

T. J.

(2012). Recommendations for presenting analyses of effect modification and interaction. International journal of epidemiology, 41(2), 514–520.

18.

Littleton

DiLillo

(2021). Global perspectives on sexual violence: Understanding the experiences of marginalized populations and elucidating the role of sociocultural factors in sexual violence. Psychology of Violence, 11(5), 429–433.

19.

Lwamba

Shisler

Ridlehoover

Kupfer

Tshabalala

Nduku

Langer

Grant

Sonnenfeld

Anda

Eyers

Snilstveit

(2022). Strengthening women’s empowerment and gender equality in fragile contexts towards peaceful and inclusive societies: A systematic review and meta-analysis. Campbell Systematic Reviews, 18(1), Article e1214.

20.

Malpas

Pellicane

M. J.

Glaeser

(2022). Family-based interventions with transgender and gender expansive youth: Systematic review and best practice recommendations. Transgender Health, 7(1), 7–29.

21.

Mantey

D. S.

Hunt

E. T.

Hoelscher

D. M.

Kelder

S. H.

(2024). Social cognitive theory and health behavior. In Glanz

Rimer

B. K.

Viswanath

(Eds.), Health behavior: Theory, research, and practice (p. 98). Jossey-Bass.

22.

Mantey

D. S.

Perez

Wilkinson

A. V.

Clendennen

S. L.

Montgomery

Harrell

M. B.

(2025). Impact of Hispanic ethnicity on adolescent tobacco use estimates in the United States. Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco, 27(8), 1359–1366.

23.

Martin-Storey

Paquette

Bergeron

Dion

Daigneault

Hébert

Ricci

(2018). Sexual violence on campus: Differences across gender and sexual minority status. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 62(6), 701–707.

24.

Mezzalira

Scandurra

Mezza

Miscioscia

Innamorati

Bochicchio

(2022). Gender felt pressure, affective domains, and mental health outcomes among transgender and gender diverse (TGD) children and adolescents: A systematic review with developmental and clinical implications. International Journal of Environmental Research and Public Health, 20(1), 785.

25.

Mpofu

J. J.

Underwood

J. M.

Thornton

J. E.

Brener

N. D.

Rico

Kilmer

Harris

W. A.

Leon-Nguyen

Chyen

Lim

Mbaka

C. K.

Smith-Grant

Whittle

Jones

S. E.

Krause

K. H.

Shanklin

S. L.

McKinnon

Arrey

Roberts

A. M.

(2023). Overview and methods for the Youth Risk Behavior Surveillance System – United States, 2021. MMWR Supplements, 72(1), 1–12.

26.

Ngo

Q. M.

Veliz

P. T.

Kusunoki

Stein

S. F.

Boyd

C. J.

(2018). Adolescent sexual violence: Prevalence, adolescent risks, and violence characteristics. Preventive Medicine, 116, 68–74.

27.

Norris

A. L.

Orchowski

L. M.

(2020). Peer victimization of sexual minority and transgender youth: A cross-sectional study of high school students. Psychology of Violence, 10(2), 201–211.

28.

Peitzmeier

S. M.

Malik

Kattari

S. K.

Marrow

Stephenson

Agénor

Reisner

S. L.

(2020). Intimate partner violence in transgender populations: Systematic review and meta-analysis of prevalence and correlates. American Journal of Public Health, 110(9), e1–e14.

29.

Rios-Gonzalez

Peña-Axt

J. C.

Legorburo-Torres

Avgousti

Sancho

L. N.

(2023). Impact of an evidence-based training for educators on bystander intervention for the prevention of violence against LGBTI+ youth. Humanities & Social Sciences Communications, 10(1), Article 583. https://doi.org/10.1057/s41599-023-02117-8

30.

Rothman

E. F.

Exner

Baughman

A. L.

(2011). The prevalence of sexual assault against people who identify as gay, lesbian, or bisexual in the United States: A systematic review. Trauma, Violence & Abuse, 12(2), 55–66.

31.

Salk

R. H.

Thoma

B. C.

Choukas-Bradley

(2020). The gender minority youth study: Overview of methods and social media recruitment of a nationwide sample of US cisgender and transgender adolescents. Archives of Sexual Behavior, 49, 2601–2610.

32.

Semprevivo

L. K.

(2020). Dating and sexual violence victimization among lesbian, gay, bisexual, and questioning youth: Considering the importance of gender and sexual orientation. Journal of Aggression, Maltreatment & Trauma, 30(5), 662–678.

33.

Staples

J. M.

Fuller

C. C.

(2021). Adult sexual assault severity among transgender people of color: The impact of double marginalization. Journal of Aggression, Maltreatment & Trauma, 30(5), 694–706.

34.

Suarez

N. A.

McKinnon

I. I.

Krause

K. H.

Rasberry

C. N.

Pampati

Underwood

J. M.

(2024). Disparities in behaviors and experiences among transgender and cisgender high school students—18 US states, 2021. Annals of Epidemiology, 94, 113–119.

35.

The Trevor Project. (2023). 2023 U.S. national survey on the mental health of LGBTQ young people. https://www.thetrevorproject.org/survey-2023/

36.

The White House. (2025, January 28). Protecting children from chemical and surgical mutilation. https://www.whitehouse.gov/presidential-actions/2025/01/protecting-children-from-chemical-and-surgical-mutilation/

37.

Trans Legislation Tracker. (n.d.). 2025 anti-trans bills: Trans legislation tracker. Retrieved August 18, 2025, from https://translegislation.com/

38.

Walls

N. E.

Atteberry-Ash

Kattari

S. K.

Peitzmeier

Kattari

Langenderfer-Magruder

(2019). Gender identity, sexual orientation, mental health, and bullying as predictors of partner violence in a representative sample of youth. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 64(1), 86–92.

39.

Ybarra

M. L.

Goodman

K. L.

Saewyc

Scheer

J. R.

Stroem

I. F.

(2022). Youth characteristics associated with sexual violence perpetration among transgender boys and girls, cisgender boys and girls, and nonbinary youth. JAMA Network Open, 5(6), Article e2215863.

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