I appreciate the #NYT for finally covering that recent anti-#trans laws are a political strategy, not driven by real concern for children
However, I wish they would acknowledge the ways in which their inaccurate reporting amplified misinformation & contributed to where we are 🧵
For example, @mega2e amplified fear-mongering around gender-affirming medical care for adolescents by falsely claiming researchers from a large NIH-funded study on the benefits of gender-affirming medical care for #trans youth never reported their results:
I let the #NYT know about the error in @mega2e's piece, and they ignored it. They've yet to issue an apology or correction, despite the fact that the results are now also published in @NEJM
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.
To @cmoutierMD's credit, she called me and apologized after realizing the error. However, it's unclear if she ever talked to @emilybazelon to request her incorrect quote be corrected. I worry she and @afspnational are afraid the NYT will retaliate by no longer interviewing them.
Those are some of the biggest issues, but you can also read more here:
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:
🧵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).