"Several studies looked at the co-occurrence of autism and gender dysphoria from the other direction, identifying probable gender dysphoria among people identified with autism. these studies found rates among youth of 5.1% (Janssen, Huang and Duncan 2016) and 5.4% (Strang et al. 2014). For comparison, 0.7% of US youth and 0.6% of US adults identify as transgender (Herman et al. 2017). the high coincidence continues to hold in these early studies, indicating the need to go deeper into this exploration of gender dysphoria among autistic youth and adults. Both of these studies relied on parental reporting of one item on the Child Behavior Checklist (CBCL) (ASEBA 1971), question #110: “Wishes to be of the opposite sex.” Many would say this would result in net underreporting, as it leaves out non-binary people, and it does not catch many youth who have not disclosed their gender dysphoria to themselves or their parents at the time of the CBCL completion, though positive responses to this question might also include some individuals who say they want to be the opposite sex for reasons that subside over time. Positive responses might also include children who are gay or lesbian who have not yet sorted out gender identity from sexual orientation."
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