ORIGINAL PAPER
Health and lifestyle challenges among non-binary youth: a study of the Cuida-te+ Program
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1
Aventura Social Association, Lisbon, Portugal
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HEI‐Lab: Digital Human‐Environment Interaction Labs, Lusófona University, Lisbon, Portugal
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Institute of Environmental Health (ISAMB), Faculty of Medicine, University of Lisbon, Portugal
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Psychology, Innovation and Knowledge Service (SPIC), Lusófona University, Lisbon, Portugal
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Research Centre for Psychological, Family and Social Wellbeing (CRC-W), Faculty of Human Sciences, Portuguese Catholic University, Lisbon, Portugal
Submission date: 2025-09-17
Final revision date: 2026-01-22
Acceptance date: 2026-01-27
Online publication date: 2026-05-07
KEYWORDS
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ABSTRACT
Background:
Non-binary youth has been described as a particularly vulnerable group, facing unique challenges regarding their health and lifestyle. It is urgent to identify these challenges and to promote well-being in this population.
Participants and procedure:
This study aimed to analyze gender differences in health and lifestyles in a sample of Portuguese adolescents. It is part of the Cuida-te+ Program of the Portuguese Institute of Sport and Youth (IPDJ, I.P.), which aims to promote the health and lifestyles of young people aged 12 to 25. This program includes Mobile Units, which consist of awareness-raising actions in places where there is a significant presence of the target population (i.e., schools). To assess the mentioned indicators, a questionnaire was shared at the end of these actions.
Results:
The results showed no significant differences when comparing binary and non-binary genders, regarding life satisfaction and the practice of physical activity, smoking, inebriation, general drug use, screen time, and hours of sleep. However, in other areas, non-binary people reported worse results compared to their peers. Namely, they reported poorer eating habits, more frequent lifetime alcohol consumption, and use of some types of illegal drugs (e.g., LSD), less use of screen time for the purpose of studying, working and/or researching, more arguments with family, friends and/or partner, more often not sleep-ing enough, and more negative results regarding health and well-being (e.g., more symptoms of sadness and exhaustion).
Conclusions:
These results highlight the importance of monitoring and creating adjusted responses, tailored to the needs of non-binary youth.
REFERENCES (34)
2.
Aparicio-García, M. E., Díaz-Ramiro, E. M., Rubio-Valdehita, S., López-Núñez, M. I., & García-Nieto, I. (2018). Health and well-being of cisgender, transgender and non-binary young people. International Journal of Envi-ronmental Research and Public Health, 15, 2133.
https://doi.org/10.3390/ijerph....
3.
Bradford, N. J., & Catalpa, J. M. (2019). Social and psychological heterogeneity among binary transgender, non-binary transgender and cisgender individuals. Psychology & Sexuality, 10, 69–82.
https://doi.org/10.1080/194198....
4.
Chew, D., Tollit, M. A., Poulakis, Z., Zwickl, S., Cheung, A. S., & Pang, K. C. (2020). Youths with a non-binary gen-der identity: a review of their sociodemographic and clinical profile. The Lancet Child & Adolescent Health, 4, 322–330.
https://doi.org/10.1016/S2352-....
5.
Ciria-Barreiro, E., Moreno-Maldonado, C., Rivera, F., & Moreno, C. (2021). A comparative study of health and well-being among cisgender and binary and nonbinary transgender adolescents in Spain. LGBT Health, 8, 536–544.
https://doi.org/10.1089/lgbt.2....
6.
Commone, C., Pistella, J., Pellegrini, V., & Baiocco, R. (2025). Nonbinary people in the family context: a systematic review and meta-analysis. International Journal of Transgender Health, 26, 282–304.
https://doi.org/10.1080/268952....
7.
Erikson, E. H. (1968). Identity: Youth and crisis. Norton & Co.
8.
Fausto-Sterling, A. (2012). Sex/Gender: Biology in a social world. Routledge.
9.
Fredriksen Goldsen, K. I., Romanelli, M., Hoy-Ellis, C. P., & Jung, H. (2022). Health, economic and social dispari-ties among transgender women, transgender men and transgender nonbinary adults: Results from a population-based study. Preventive Medicine, 156, 106988.
https://doi.org/10.1016/j.ypme....
10.
Gaspar, T., Guedes, F. B., Cerqueira, A., Matos, M. G., & Equipa Aventura Social (2022). A saúde dos adolescentes portugueses em contexto de pandemia. Relatório do estudo Health Behaviour in School-aged Children (HBSC) [The health of Portuguese adolescents in the context of the pandemic. Report from the Health Behavior in School-aged Children (HBSC) study]. Aventura Social Associação. Retrieved from
https://aventurasocial.com/dt_....
11.
Harry-Hernandez, S., Reisner, S. L., Schrimshaw, E. W., Radix, A., Mallick, R., Callander, D., Suarez, L., Dubin, S., Khan, A., & Duncan, D. T. (2020). Gender dysphoria, mental health, and poor sleep health among transgender and gender nonbinary individuals: a qualitative study in New York City. Transgender Health, 5, 59–68.
https://doi.org/10.1089/trgh.2....
12.
Hatzenbuehler, M. L. (2017). Structural stigma and health. In B. Major, J. F. Dovidio, & B. G. Link (Eds.), The Oxford handbook of stigma, discrimination, and health (pp. 105–121). Oxford University Press.
13.
Hendricks, M. L., & Testa, R. J. (2012). A conceptual framework for clinical work with transgender and gender nonconforming clients: an adaptation of the Minority Stress Model. Professional Psychology: Research and Practice, 43, 460–467.
https://doi.org/10.1037/a00295....
14.
Herdt, G. (Ed.). (1994). Third sex, third gender: Beyond sexual dimorphism in culture and history. Princeton Univer-sity Press.
15.
Hines, S. (2018). Is gender fluid? A primer for the 21st century. Thames & Hudson.
16.
ILGA-Europe (2023). Annual review of the human rights situation of lesbian, gay, bisexual, trans and intersex people in Europe and Central Asia. Retrieved from
https://www.ilga-europe.org/re....
17.
Inchley, J. C., Currie, D. B., Young, T., Samdal, O., Torsheim, T., Augustson, L., Mathison, F., Aleman-Diaz, A., Molcho, M., Weber, M., & Barnekow, V. (Eds.) (2016). Growing up unequal: Gender and socioeconomic differ-ences in young people’s health and well-being. Health Behaviour in School-aged Children (HBSC) study: Interna-tional report from the 2013/2014 survey. World Health Organization (WHO) Regional Office for Europe.
18.
Inchley, J., Currie, D., Budisavljevic, S., Torsheim, T., Jåstad, A., Cosma, A., Kelly, C., Arnarsson, A. M., Barnekon, V., & Weber, M. M. (2020). Spotlight on adolescent health and well-being. Findings from the 2017/2018 Health Behaviour in School-aged Children (HBSC) survey in Europe and Canada. World Health Organization (WHO) Regional Office for Europe.
19.
James, S. E., Herman, J. L., Rankin, S., Keisling, M., Mottet, L., & Anafi, M. (2016). The report of the 2015 U.S. transgender survey. National Center for Transgender Equality.
20.
Johansson, C., Kullgren, C., Bador, K., & Kerekes, N. (2022). Gender non-binary adolescents’ somatic and mental health throughout 2020. Frontiers in Psychology, 13, 993568.
https://doi.org/10.3389/fpsyg.....
21.
Kaufman, G., Taniguchi, H., & Compton, D. L. (2024). Life satisfaction and negative affect among trans men, trans women, and nonbinary individuals in a US national sample. LGBT Health, 11, 57–65.
https://doi.org/10.1089/lgbt.2....
22.
Martin, C. L., & Ruble, D. (2004). Children’s search for gender cues: Cognitive perspectives on gender develop-ment. Current Directions in Psychological Science, 13, 67–70.
https://doi.org/10.1111/j.0963....
23.
Meeus, W. (2011). The study of adolescent identity formation 2000-2010: a review of longitudinal research. Journal of Research on Adolescence, 21, 75–94.
https://doi.org/10.1111/j.1532....
25.
Newcomb, M. E., Hill, R., Buehler, K., Ryan, D. T., Whitton, S. W., & Mustanski, B. (2020). High burden of mental health problems, substance use, violence, and related psychosocial factors in transgender, non-binary, and gender diverse youth and young adults. Archives of Sexual Behavior, 49, 645–659.
https://doi.org/10.1007/s10508....
26.
Operario, D., King, W., Gamarel, K., Iwamoto, M., Tan, S., & Nemoto, T. (2024). Stigma and substance use among transgender and nonbinary young adults: Results from the Phoenix study. Transgender Health, 9, 317–325.
https://doi.org/10.1089/trgh.2....
27.
Reisner, S. L., Poteat, T., Keatley, J., Cabral, M., Mothopeng, T., Dunham, E., Holland, C. E., Max, R., & Baral, S. D. (2016). Global health burden and needs of transgender populations: a review. The Lancet, 388, 412–436.
https://doi.org/10.1016/S0140-....
28.
Sawyer, S. M., Azzopardi, P. S., Wickremarathne, D., & Patton, G. C. (2018). The age of adolescence. The Lancet Child & Adolescent Health, 2, 223–228.
https://doi.org/10.1016/S2352-....
29.
Scandurra, C., Mezza, F., Maldonato, N. M., Bottone, M., Bochicchio, V., Valerio, P., & Vitelli, R. (2019). Health of non-binary and genderqueer people: a systematic review. Frontiers in Psychology, 10, 1453.
https://doi.org/10.3389/fpsyg.....
30.
Steinberg, L. (2014). Age of opportunity: Lessons from the new science of adolescence. Houghton Mifflin Harcourt.
31.
Taber, J. L., & Stults, C. B. (2025). The role of supportive and unsupportive family behaviors in the mental health of transgender and nonbinary young adults. Transgender Health, 10, 438–448.
https://doi.org/10.1089/trgh.2....
32.
Todd, K., Peitzmeier, S. M., Kattari, S. K., Miller-Perusse, M., Sharma, A., & Stephenson, R. (2019). Demographic and behavioral profiles of nonbinary and binary transgender youth. Transgender Health, 4, 254–261.
https://doi.org/10.1089/trgh.2....
33.
West, C., & Zimmerman, D. H. (1987). Doing gender. Gender & Society, 1, 125–151.
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