NCT07729644

Brief Summary

The goal of this observational study is to learn how state-level laws related to sexual and gender minority (SGM) youth affect the risk of sexual violence (SV) and intimate partner violence (IPV) among sexual minority (SM) youth in the United States. The study looks at both supportive laws (such as bans on conversion therapy and anti-bullying protections) and restrictive laws (such as limits on gender-affirming care) passed between 2017 and 2025. The main questions it aims to answer are: Part 1:

  • Do supportive SGM laws lower the risk of SV/IPV among SM youth?
  • Do restrictive SGM laws raise the risk of SV/IPV among SM youth?
  • Does the social climate in a state (such as levels of stigma toward SGM people) change how these laws affect SM youth? Part 2:
  • How do SGM youth themselves describe the ways that laws and social climates affect their safety and wellbeing? Part 1 - Quantitative analysis: Researchers will use existing, publicly available survey data from the Youth Risk Behavior Surveillance System (YRBSS) to compare changes in SV/IPV risk among SM youth across states that adopted different types of SGM laws over the period of 2017-2025. No participants are enrolled for this part. Part 2 - Qualitative interviews: Researchers will conduct one-on-one interviews with approximately 30 SGM youth ages 13-18 living across U.S. states with varying levels of adoption of supportive SGM laws. Each youth will take part in one 60-minute interview. Youth will be asked about their views on how laws and social climates affect safety, stigma, and access to resources. Youth will not be asked to share personal experiences of violence.

Trial Health

63
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
30

participants targeted

Target at below P25 for all trials

Timeline
36mo left

Started Aug 2026

Typical duration for all trials

Geographic Reach
1 country

1 active site

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress6%
Aug 2026Sep 2029

First Submitted

Initial submission to the registry

July 22, 2026

Completed
5 days until next milestone

First Posted

Study publicly available on registry

July 27, 2026

Completed
5 days until next milestone

Study Start

First participant enrolled

August 1, 2026

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2027

Expected
2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2029

Last Updated

July 29, 2026

Status Verified

July 1, 2026

Enrollment Period

1.1 years

First QC Date

July 22, 2026

Last Update Submit

July 27, 2026

Conditions

Keywords

Anti-bullying lawsGender-affirming careConversion therapyYouth Risk Behavior Surveillance SystemSexual minority youthsexual violencedating violence

Outcome Measures

Primary Outcomes (2)

  • Past 12-Month Sexual Violence Victimization

    Binary self-reported YRBSS item indicating sexual violence victimization in the past 12 months. Risk ratios estimated comparing states with and without specific SGM laws.

    Past 12 months at each biennial YRBSS survey administration (repeated cross-sectional assessments from 2017 to 2025)

  • Past 12-Month Intimate Partner Violence Victimization

    Binary composite of two self-reported YRBSS items indicating physical dating violence or sexual dating violence in the past 12 months, coded as victimization if either item is endorsed. Risk ratios estimated comparing states with and without specific SGM laws.

    Past 12 months at each biennial YRBSS survey administration (repeated cross-sectional assessments from 2017 to 2025)

Secondary Outcomes (2)

  • Past 12-months Suicidality

    Past 12 months at each biennial YRBSS survey administration (repeated cross-sectional assessments from 2017 to 2025)

  • Past 12-month Bullying

    Past 12 months at each biennial YRBSS survey administration (repeated cross-sectional assessments from 2017 to 2025)

Other Outcomes (2)

  • Past 12-Month SV/IPV Victimization Among Racial/Ethnic Minority SM Youth Subgroups

    Past 12 months at each biennial YRBSS survey administration (repeated cross-sectional assessments from 2017 to 2025)

  • Youth-Reported Perceptions of How State-Level Sexual and Gender Minority (SGM) Policies and Social Climates Affect Safety, Stigma, and Access to Resources

    During a single 60-minute interview session at enrollment

Study Arms (6)

YRBSS state-representative cohort 2017

First year of primary analytic population for quantitative analyses examining the effect of state-level SGM law adoption on SV/IPV risk (Aims 1-2).

Other: Enumerated anti-bullying state legislationOther: Conversion therapy state legislationOther: Gender-affirming care state legislation

YRBSS state-representative cohort 2019

Second year of primary analytic population for quantitative analyses examining the effect of state-level SGM law adoption on SV/IPV risk (Aims 1-2).

Other: Enumerated anti-bullying state legislationOther: Conversion therapy state legislationOther: Gender-affirming care state legislation

SGM Youth Interview Participants

Sexual and gender minority youth ages 13-18 enrolled for one-on-one qualitative interviews exploring perceptions of how state-level policies and social climates affect safety, stigma, and access to resources (Aim 3).

Other: Enumerated anti-bullying state legislationOther: Conversion therapy state legislationOther: Gender-affirming care state legislation

YRBSS state-representative cohort 2021

Third year of primary analytic population for quantitative analyses examining the effect of state-level SGM law adoption on SV/IPV risk (Aims 1-2).

Other: Enumerated anti-bullying state legislationOther: Conversion therapy state legislationOther: Gender-affirming care state legislation

YRBSS state-representative cohort 2023

Fourth year of primary analytic population for quantitative analyses examining the effect of state-level SGM law adoption on SV/IPV risk (Aims 1-2).

Other: Enumerated anti-bullying state legislationOther: Conversion therapy state legislationOther: Gender-affirming care state legislation

YRBSS state-representative cohort 2025

Fifth year of primary analytic population for quantitative analyses examining the effect of state-level SGM law adoption on SV/IPV risk (Aims 1-2).

Other: Enumerated anti-bullying state legislationOther: Conversion therapy state legislationOther: Gender-affirming care state legislation

Interventions

The interventions in this study are being studied as a natural experiment and are not assigned or implemented by the study. In any given cohort year, some states are exposed to the legislation of interest and others are not, as assessed using data from LawAtlas.org and categorized by the research team. Enumerated anti-bullying state legislation is state-level legislation that prohibits bullying in educational settings and that explicitly includes sexual orientation and gender identity as protected classes.

SGM Youth Interview ParticipantsYRBSS state-representative cohort 2017YRBSS state-representative cohort 2019YRBSS state-representative cohort 2021YRBSS state-representative cohort 2023YRBSS state-representative cohort 2025

The interventions in this study are being studied as a natural experiment and are not assigned or implemented by the study. In any given cohort year, some states are exposed to the legislation of interest and others are not, as assessed using data from LawAtlas.org and categorized by the research team. Conversion therapy state legislation is state-level legislation that prohibits the practice of conversion therapy, a practice that attempts to change a person/client's sexual orientation or gender identity to conform to prevailing cisgender and/or heterosexual norms.

SGM Youth Interview ParticipantsYRBSS state-representative cohort 2017YRBSS state-representative cohort 2019YRBSS state-representative cohort 2021YRBSS state-representative cohort 2023YRBSS state-representative cohort 2025

The interventions in this study are being studied as a natural experiment and are not assigned or implemented by the study. In any given cohort year, some states are exposed to the legislation of interest and others are not, as assessed using data from LawAtlas.org and categorized by the research team. Gender-affirming care state legislation is state-level legislation regarding the use of healthcare tailored to support the patient's gender identity (may prohibit or protect the right to use this type of healthcare)

SGM Youth Interview ParticipantsYRBSS state-representative cohort 2017YRBSS state-representative cohort 2019YRBSS state-representative cohort 2021YRBSS state-representative cohort 2023YRBSS state-representative cohort 2025

Eligibility Criteria

Age13 Years - 18 Years
Sexall
Age GroupsChild (0-17), Adult (18-64)
Sampling MethodNon-Probability Sample
Study Population

SGM youth ages 13-18 recruited through outreach via research team and partners' networks of community based organizations across U.S. states selected to represent high, medium, and low adoption of SGM-affirming policies.

You may qualify if:

  • Ages 13-18 years
  • Resides in a U.S. state selected for the study
  • Self-identifies as a sexual and/or gender minority (for example, lesbian, gay, bisexual, pansexual, queer, questioning, asexual, nonbinary, transgender, or another non-heterosexual or non-cisgender identity)
  • Able to complete the interview in English
  • Sufficient literacy to review age-appropriate assent materials

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of California, Berkeley

Berkeley, California, 94710-1754, United States

Location

Study Officials

  • Sabrina C Boyce, PhD

    University of California, Berkeley

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Sabrina C Boyce, PhD

CONTACT

Ricardo B Vera Monroy, MS

CONTACT

Study Design

Study Type
observational
Observational Model
ECOLOGIC OR COMMUNITY
Time Perspective
RETROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 22, 2026

First Posted

July 27, 2026

Study Start

August 1, 2026

Primary Completion (Estimated)

September 1, 2027

Study Completion (Estimated)

September 1, 2029

Last Updated

July 29, 2026

Record last verified: 2026-07

Data Sharing

IPD Sharing
Will not share

Sharing individual-level qualitative data would pose re-identification risk given the small sample size and the need to protect vulnerable youth discussing sensitive topics related to safety, stigma, and policy experiences.

Locations