I'm a Harvard-trained psychiatrist who has spent a decade studying #trans youth mental health
After 100+ #NYT contributors expressed concern about the paper's #trans youth coverage, the NYT replied it's "proud" of its work
Let's take a look at the work they're proud of 🧵
In one recent piece, @mega2e falsely claimed that researchers from a large NIH-funded study on the benefits of gender-affirming medical care for #trans youth never reported their results:
In a separate NYT piece by @emilybazelon, the Times relied on a quote from @afspnational's @cmoutierMD, which made incorrect claims about the research on gender-affirming care for #trans youth. The times ignored this when notified
The health section has assigned Azeen Ghoryashi to cover trans issues for the paper, despite her history of misgendering the people about whom she writes
In addition to these disrespectful moves, she has also made a number of scientific errors. To her credit, unlike Twohey and Bazelon, she has made corrections. But these reporting errors are not something to be "proud of."
In summary, the NYT's coverage of #trans issues has, at the very least, been inaccurate and full of sloppy reporting. That they would say they're "proud"of it can't be read as anything other than bias.
🧵I'll try to dive into this new NYT story on blockers in more detail later, but some initial points:
1. Yes starting puberty can be clarifying re: gender dysphoria. That's a major reason why blockers aren't started until after puberty starts. It's sad the reporters missed that.
2. It's not news that adolescent fall behind on bone density while on pubertal suppression. This is noted in all guidelines and families and patients are always counseled on it. Bone density starts to increase again once blockers are stopped or gender-affirming hormones started.
3. The reporters ask if adolescents catch up on bone density entirely after gender-affirming hormones. Even if they don't - the key question is whether a small decrease in bone density represents something clinically significant (eg, risk of fracture). See Pang et al. 2020
1. That youth identify as #trans due to "social contagion" & adolescents assigned female are more susceptible
2. That youth identify as trans to flee LGB-related stigma
Neither was supported by data. 🧵
We used the 2017 & 2019 CDC Youth Risk Behavior Survey - a nationally representative sample of adolescents in the US
Sadly, not all states choose to collect sexual orientation & gender identity data, so we included the 15 states that did. This meant ~100,00 teens per year🧵
We found that the percentage of adolescents who openly identified as trans actually *decreased* from 2017 to 2019 (2.4% -> 1.6%), arguing against "social contagion." 🧵
She interviewed @cmoutierMD about three studies that found associations between access to gender-affirming medical care during adolescence and lower odds of suicidality
Two from our group, one from Green et al. (1/3)
Dr. Moutier states that these findings could have been due to the confounding effects of socioeconomic status or family support of gender identity
She and the NYT fact-checkers missed that all three studies in question adjusted for those variables in their models (2/3)
Dr. Moutier also states the findings could be because those who accessed hormones had better mental health prior to starting hormones. Our PLoS one study addressed this question explicitly, though the stats are complex (3/3).
@emilybazelon@NYTmag You were offered an opportunity to send me questions via email, and you did not.
As a journalist, I would hope you know the difference between an interview and fact-checking.
@emilybazelon@NYTmag If you were satisfied with my comments from the fact-checking, you should not have included a line implying I refused to be interviewed for the piece.
If you weren't, you should have emailed me some questions, which you did not do.
@emilybazelon@NYTmag From my perspective, it looks like you were mad I didn't drop everything to do a phone interview on your schedule. You subsequently did not send me questions and added this passive aggressive line in your piece to target me and satisfy your ego.