Health Problems

Researchers can predict childhood social transitions

Increasingly, children who identify as the gender “opposite” their sex at birth are changing their names, pronouns and often hairstyle and clothing. But questions remain for doctors, researchers and families: Who is transitioning now, and who is likely to later on? And does the transition itself change a child’s sense of their own gender?

A new study by a team of researchers at the University of Washington suggests that the children most apt to socially transition are those who already demonstrate the strongest “cross-gender” identities, and that the transitions don’t appear to alter a child’s gender identity or preferences.

In other words, said Kristina Olson, a UW associate professor of psychology and the study’s senior author, “the new findings suggest that early childhood social transitions are not occurring randomly.”

For this study, accepted for publication in Psychological Science, Olson and her team pursued two primary questions: Is it possible to predict who will socially transition to another gender? And are transitions leading children to identify more strongly or behave in more gendered ways?

To answer those questions, the research team recruited three groups of children: 85 who were gender nonconforming; 84 children who had already socially transitioned; and 85 children who were gender conforming (the control group). Each child was asked about the clothes, toys and friends they preferred and answered questions about their gender identity. Researchers contacted the gender nonconforming group again, two years after completing the study, to ask if the children had socially transitioned since participating. At that point, 36 children in the gender nonconforming group had transitioned.

The data helped researchers learn two things, Olson said. First, gender nonconforming children who had shown stronger cross-gender interests in their first interview were more likely to have socially transitioned two years later. What’s more, the children who later went on to transition showed gender identification and gender preferences comparable to children who had already transitioned and control-group children born with the “opposite” sex.

“Seeing that the two groups do not differ in their identification, we can be less concerned about the impact of social transitions on identities and preferences,” Olson said. “One way to think about this is that before or after a transition, a transgender girl feels strongly like a girl and often prefers ‘girly’ stuff. While the transition itself may impact that child in many ways, identity and preferences do not appear to change.”

But there are limits to what can be extrapolated from this data, Olson said. Just because a child transitions socially doesn’t mean they will identify as a transgender adult—though this study will follow them over time to see if they do. Also, this study focused on families that were generally supportive of gender diversity; whether these results would generalize to parents with a broader range of views is unknown. The research also should not be used to definitively predict whether an individual child will transition. Tendencies for a group of children, Olson said, may be true of an individual child, but not always.

Olson is known for launching the TransYouth Project at the UW to examine, over the course of 20 years, gender development and well-being among children. To date, more than 300 transgender children between the ages of 3 and 12 have enrolled from more than 40 U.S. states. (Many of their siblings have been recruited, too, as a comparison group.)

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