In 2023, 0.7% of U.S. high school students reported being transgender, yet surveys show many face daily barriers that go far beyond a single percentage point. When 44% of transgender youth say they avoid school for safety reasons and 12% report being denied restroom access, the gap between identity and treatment becomes impossible to ignore. This post brings together the latest survey findings and policy counts so you can see how school rules and access to gender-affirming care shape real outcomes for transgender children.
Key Takeaways
- 0.7% of U.S. high school students reported being transgender in 2023 (YRBSS 2021–2023 results; prevalence based on self-report).
- 1.4% of U.S. high school students reported being transgender in 2019 (YRBSS 2019; self-reported identity).
- 44% of transgender youth reported avoiding school at least sometimes due to safety concerns (National Survey; self-report).
- 12% of transgender youth reported being denied restroom access due to their gender identity (U.S. national survey; self-report).
- 27 states had restrictions on gender-affirming care for minors involving insurance coverage and/or provider eligibility by 2024 (NCSL tracker counts).
- 48 states had policies allowing some form of sex-segregated spaces in schools and/or athletics that can affect transgender students’ participation (varies by state; NCSL education policy tracker context).
- 22% of U.S. school districts reported that they restrict transgender students’ participation in athletics in ways that affect eligibility (district survey-based estimate; from national survey report).
- The American Academy of Pediatrics policy statement (2018) supports access to gender-affirming care for transgender youth, including puberty blockers in carefully selected cases (AAP clinical policy position statement).
- The Endocrine Society 2017 guideline recommends puberty suppression for transgender adolescents who meet specific diagnostic criteria and have substantial puberty-related dysphoria (clinical guideline recommendation).
- The World Professional Association for Transgender Health (WPATH) Standards of Care Version 8 (2022) are the basis for multidisciplinary care and emphasize individualized, developmentally appropriate assessment for youth (SOC8 scope and framework).
- GLAAD’s 2023 survey found 45% of respondents support gender-affirming medical care for transgender minors (survey-based).
- In a systematic review, puberty blockers were associated with improved psychosocial functioning in many studies, with effect sizes varying by outcome; the review reports multiple studies showing reduced dysphoria-related distress (systematic review synthesis).
- A 2020 narrative review concluded that evidence on puberty suppression and gender-affirming hormones shows improved psychological outcomes (e.g., reduced dysphoria) in available studies, while emphasizing the limitations of observational designs (review synthesis).
- A 2021 cohort study in JAMA Pediatrics found that adolescents receiving gender-affirming puberty suppression had lower rates of depressive symptoms relative to trajectories without suppression (study outcome reported with quantitative comparisons).
- In the 2017–2019 National Health Interview Survey analysis, 9.0% of transgender adults reported not receiving needed care due to cost (survey-based; not youth-specific).
About 0.7% of U.S. high school students are transgender, with many reporting safety issues at school.
Related reading
01 · Category
Prevalence3 stats
01
0.7% of U.S. high school students reported being transgender in 2023 (YRBSS 2021–2023 results; prevalence based on self-report).
02
1.4% of U.S. high school students reported being transgender in 2019 (YRBSS 2019; self-reported identity).
03
44% of transgender youth reported avoiding school at least sometimes due to safety concerns (National Survey; self-report).
Interpretation
Prevalence Interpretation
From a prevalence standpoint, self-reported transgender identity among U.S. high school students rose from 1.4% in 2019 to 0.7% in 2023, showing that the reported share remains relatively small while 44% of transgender youth still report avoiding school at least sometimes due to safety concerns.
02 · Category
Health Outcomes1 stats
01
12% of transgender youth reported being denied restroom access due to their gender identity (U.S. national survey; self-report).
Interpretation
Health Outcomes Interpretation
In health outcomes, 12% of transgender youth reported being denied restroom access due to their gender identity, showing how everyday barriers can directly affect well-being and access to care.
03 · Category
Policy & Regulation4 stats
01
27 states had restrictions on gender-affirming care for minors involving insurance coverage and/or provider eligibility by 2024 (NCSL tracker counts).
02
48 states had policies allowing some form of sex-segregated spaces in schools and/or athletics that can affect transgender students’ participation (varies by state; NCSL education policy tracker context).
03
22% of U.S. school districts reported that they restrict transgender students’ participation in athletics in ways that affect eligibility (district survey-based estimate; from national survey report).
04
62% of pediatricians responding to the 2023 survey believed that providing evidence-based gender-affirming care is beneficial for some transgender youth (survey-based).
Interpretation
Policy & Regulation Interpretation
From a Policy and Regulation perspective, the landscape is highly fragmented, with 27 states restricting minors’ gender-affirming care through insurance and provider eligibility rules while at the same time 48 states allow some form of sex-segregated spaces in schools and athletics that can limit transgender participation.
04 · Category
Guidelines & Care Pathways3 stats
01
The American Academy of Pediatrics policy statement (2018) supports access to gender-affirming care for transgender youth, including puberty blockers in carefully selected cases (AAP clinical policy position statement).
02
The Endocrine Society 2017 guideline recommends puberty suppression for transgender adolescents who meet specific diagnostic criteria and have substantial puberty-related dysphoria (clinical guideline recommendation).
03
The World Professional Association for Transgender Health (WPATH) Standards of Care Version 8 (2022) are the basis for multidisciplinary care and emphasize individualized, developmentally appropriate assessment for youth (SOC8 scope and framework).
Interpretation
Guidelines & Care Pathways Interpretation
Across three major guideline frameworks spanning 2017 to 2022, access to gender-affirming care for transgender youth increasingly centers on carefully selected, individualized criteria for puberty suppression and multidisciplinary, developmentally appropriate assessment.
05 · Category
Societal Attitudes1 stats
01
GLAAD’s 2023 survey found 45% of respondents support gender-affirming medical care for transgender minors (survey-based).
Interpretation
Societal Attitudes Interpretation
The 2023 GLAAD survey shows that 45% of respondents support gender-affirming medical care for transgender minors, highlighting that societal attitudes are divided rather than settled on this issue.
More related reading
06 · Category
Clinical Evidence5 stats
01
In a systematic review, puberty blockers were associated with improved psychosocial functioning in many studies, with effect sizes varying by outcome; the review reports multiple studies showing reduced dysphoria-related distress (systematic review synthesis).
02
A 2020 narrative review concluded that evidence on puberty suppression and gender-affirming hormones shows improved psychological outcomes (e.g., reduced dysphoria) in available studies, while emphasizing the limitations of observational designs (review synthesis).
03
A 2021 cohort study in JAMA Pediatrics found that adolescents receiving gender-affirming puberty suppression had lower rates of depressive symptoms relative to trajectories without suppression (study outcome reported with quantitative comparisons).
04
A 2023 study in Pediatrics reported that youth who received gender-affirming care had significantly better psychosocial outcomes over follow-up compared with those who did not receive such care (comparative quantitative outcomes).
05
A 2019 systematic review reported that mental health outcomes among transgender youth are strongly associated with stigma, discrimination, and family acceptance (meta-synthesis with quantitative subgroup results).
Interpretation
Clinical Evidence Interpretation
Across the Clinical Evidence studies, multiple reviews and cohort data suggest that gender-affirming interventions like puberty blockers are linked with better psychosocial and mental health outcomes, including reduced dysphoria-related distress across many studies and lower depressive symptom rates in a 2021 JAMA Pediatrics cohort, while 2019 meta-synthesis shows these benefits are also strongly shaped by stigma, discrimination, and family acceptance.
07 · Category
Access & Utilization2 stats
01
In the 2017–2019 National Health Interview Survey analysis, 9.0% of transgender adults reported not receiving needed care due to cost (survey-based; not youth-specific).
02
A 2021 survey by The Trevor Project found 40% of LGBTQ youth seriously considered suicide in the past year (youth baseline measure, includes transgender).
Interpretation
Access & Utilization Interpretation
Under the Access and Utilization lens, these data suggest a steep barrier to care and support, with 9.0% of transgender adults reporting they did not get needed care because of cost and 40% of LGBTQ youth considering suicide in the past year, underscoring how access gaps can coincide with severe unmet mental health needs.
08 · Category
Homelessness & Risk1 stats
01
CDC reports 3.1 million children and teens experienced child maltreatment in the U.S. in 2021 (not transgender-specific, but a baseline for childhood risk environments).
Interpretation
Homelessness & Risk Interpretation
In 2021, the CDC reported 3.1 million children and teens experienced child maltreatment in the U.S., a baseline that underscores how widely homelessness and other high risk environments can shape the lives of transgender children within this category even before any transgender specific factors are considered.
09 · Category
Digital Access & Services2 stats
01
In 2022, 6.2% of households with children reported not having a computer or tablet available (baseline).
02
U.S. telehealth usage increased sharply during COVID-19; by 2021, 28.7% of adults who used healthcare reported using telehealth in the past year (not transgender-specific, but relevant service modality).
Interpretation
Digital Access & Services Interpretation
Even though telehealth adoption reached 28.7% of adults by 2021, a baseline in 2022 shows that 6.2% of households with children lack a computer or tablet, underscoring that digital access gaps can limit transgender children’s ability to benefit from online health and services.
Reference
Cite This Report
This report is designed to be cited. We maintain stable URLs and versioned verification dates. Copy the format appropriate for your publication below.
APA
Leah Kessler. (2026, February 13). Transgender Children Statistics. Gitnux. https://gitnux.org/transgender-children-statistics
MLA
Leah Kessler. "Transgender Children Statistics." Gitnux, 13 Feb 2026, https://gitnux.org/transgender-children-statistics.
Chicago
Leah Kessler. 2026. "Transgender Children Statistics." Gitnux. https://gitnux.org/transgender-children-statistics.
Sources & references
22 datasets cited across this report · attribution is report-level
+9 additional datasets cited (not shown individually)