Health
Number of young adults identifying as transgender plunges by nearly half in two years
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More data is emerging supporting a sharp decline in the number of young adults identifying as transgender or non-binary.
Last week, Fox News Digital reported on data shared by Eric Kaufman, a professor of politics at the University of Buckingham, showing that the share of college students identifying as anything other than male or female has been cut in half in just two years.
Now, Jean Twenge, professor of psychology at San Diego State University, has identified additional data that appears to confirm these findings on a wider scale.
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First, Twenge analyzed data from the nationally representative Household Pulse survey, which asked people directly about identifying as transgender, as she stated in an article for Generation Tech.
“The Household Pulse data showed a decline in trans ID among 18- to 22-year-olds in 2024, but I was cautious about drawing conclusions from it, as the decline appeared only in a limited time period (July to September 2024) — and two of the three survey administrations added an option for non-binary identification that wasn’t there before,” she wrote. “Maybe that was why identifying as trans declined.”
More data is emerging that supports a sharp decline in the number of young adults identifying as transgender or non-binary. (iStock)
Next, the professor — who is also the author of the book “Generations: The Real Differences between Gen Z, Millennials, Gen X, Boomers and Silents” — looked at another nationally representative survey.
The Cooperative Election Study (CES), a nonprobability-based survey fielded each year in the fall by YouGov and administered by Tufts University, asked about transgender identification among all U.S. adults from 2021 to 2024. It also included a separate question about identifying as non-binary.
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In 2021, 2022 and 2024, the CES asked, “Do you identify as transgender?” The choices were “yes,” “no” and “prefer not to say.”
“Prefer not to say” responses were treated as missing data, Twenge shared with Fox News Digital.
Beginning in 2021, the sex/gender question of the CES asked, “What is your gender?” with choices of “man,” “woman,” “non-binary” and “other.”
Beginning in 2021, the sex/gender question of the CES asked, “What is your gender?” with choices of “man,” “woman,” “non-binary” and “other.” (Smith Collection/Gado/Getty Images)
Among 18- to 22-year-olds, trans identification was cut nearly in half from 2022 to 2024 — and non-binary identification dropped by more than half between 2023 and 2024.
“When I looked at adults of all ages in the survey … I found a huge increase in identifying as transgender from those born before 1980 (Gen X and Boomers) to those born in the early 2000s (who are now 21 to 25 years old),” Twenge told Fox News Digital.
“Identifying as transgender then declined, especially for those born in 2005 and 2006 (who are now 18 to 20 years old).”
“I think the question now is not if trans is in decline, but how far it will fall.”
There are several theories as to why this is happening.
“One possibility is changes in acceptance; as acceptance increased, more young adults identified as transgender and/or were willing to identify as transgender in a survey,” Twenge said. “When acceptance declined, identifying as transgender (or at least identifying as transgender on a survey) declined.”
Among 18- to 22-year-olds, trans identification was cut nearly in half from 2022 to 2024 — and non-binary identification dropped by more than half between 2023 and 2024. (iStock)
In previous analyses looking at data from another survey, Twenge found that the increase in identifying as transgender between 2014 and 2023 did not extend to people over age 45 (Gen X and boomers).
“That makes it less likely that the changes are due to acceptance, which should impact people of all ages,” she said. “However, it’s possible that acceptance increased more among young adults between 2014 and 2023 and then decreased more into 2024.”
Twenge emphasized that identifying as transgender and identifying as non-binary are two different things.
“One of the reasons I did this analysis was because the surveys Prof. Kaufmann relied on did not ask about identifying as transgender — they asked about identifying as non-binary or something other than male or female,” she noted. “I wanted to see if there was a decline in identifying as transgender.”
She added, “I also thought it was important to look at a nationally representative sample and not just at students from elite schools.”
“Once people become more comfortable [with] who they are, they stop needing to define themselves so rigidly,” a mental health expert said. (iStock)
Kaufmann applauded Twenge’s new report, calling her “the best in the business.”
“It was good to see that mainstream academic generation researchers are following up,” he told Fox News Digital. “Her data very much reinforces what I found using FIRE, Brown and Andover Phillips data.”
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“I think the question now is not if trans is in decline,” he added, “but how far it will fall — and what the implications will be for the cultural progressive project, and for trends in gender surgery and diagnosis.”
“Perhaps young people are realizing they don’t have to announce or label everything about themselves to be valid.”
Jonathan Alpert, a New York City psychotherapist, said this shift likely marks a “natural correction.”
“For a while, we taught young people to over-interpret every feeling. Therapy culture told them that every discomfort needed a label or diagnosis,” Alpert, who was not part of the cited surveys, previously told Fox News Digital. “For some, that label became ‘non-binary’ — not identifying with a gender.”
Rather than rejecting who they are, Alpert said, young people may simply be tired of feeling pressure to define every emotion or difference with a new identity.
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“So, in essence, it’s the performance that’s slowing down — at least in what this study showed,” he said. “A few years ago, identity was treated almost like a social badge. Now, perhaps young people are realizing they don’t have to announce or label everything about themselves to be valid.”
Alpert said he sees this same pattern in his own therapy practice.
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“Once people become more comfortable [with] who they are, they stop needing to define themselves so rigidly. To me, that’s a sign of growing self-assurance, not intolerance.”
Fox News Digital reached out to Tufts University and to the U.S. Census Bureau requesting comment.
Health
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Health
Weight-loss experts predict 5 major treatment changes likely to emerge in 2026
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Big moves are continuing in the weight loss landscape in the new year following breakthrough research of GLP-1 medications and other methods.
Weight-loss experts spoke with Fox News Digital about their predictions for the most major changes to come in 2026.
No. 1: Shift to whole-body treatment
Dr. Peter Balazs, a hormone and weight loss specialist in New York and New Jersey, shared that the most important shift is likely to label GLP-1 drugs as “multi-system metabolic modulators” rather than “simple weight loss drugs.”
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“The treatment goal is no longer just BMI reduction, but total cardiometabolic risk mitigation, with effects now documented across the liver, heart, kidneys and vasculature,” he said.
“We are seeing a significant reduction in major adverse cardiovascular events … and progression of renal disease,” he went on.
The focus of GLP-1 drugs will widen beyond weight loss and diabetes, according to experts’ predictions. (iStock)
Philip Rabito, M.D., a specialist in endocrinology, weight loss and wellness in New York City, also shared that “exciting” advancements lie ahead for weight-loss drugs, including GLP-1s and GIPs.
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“These next‑generation agents, along with novel combinations that include glucagon and amylin agonists, are demonstrating even more impressive weight‑loss outcomes than currently available therapies, with the potential for better tolerability and sustained results,” he told Fox News Digital.
“There is also tremendous optimism around new federal agreements with manufacturers that aim to make these medications more widely accessible and affordable for the broad population of patients who need them most.”
No. 2: More convenient dosing
The typical prescription for a GLP-1 medication is a weekly injection, but delivery and dosing may be changing to more convenient methods in 2026, according to Balazs.
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A daily 25 mg pill version of Novo Nordisk’s Wegovy, a semaglutide designed to treat obesity, is now approved and available for chronic weight management, offering a non-injectable option for some patients.
A once-weekly oral GLP-1 is currently in phase 2 trials, as well as an implant that aims for three to six months of drug delivery, Balazs noted.
Incisionless weight-loss procedures will rise as a lower-risk option, according to experts. (iStock)
No. 3: Less invasive surgery
In addition to decreased risk during surgery for GLP-1 users, Balazs also predicted that metabolic surgery without incision will rise as a better option.
“Incisionless endoscopic procedures — like endoscopic sleeve gastroplasty (non-surgical weight-loss procedure that makes the stomach smaller from the inside) and duodenal mucosal resurfacing (non-surgical procedure that resets part of the small intestine to help the body better handle blood sugar) — [may become] more durable and widely available,” he said.
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“These offer significant metabolic benefits with shorter recovery and lower risk than traditional surgery.”
Rabito agreed that “rapid progress” in minimally invasive weight‑loss procedures is “opening powerful new options for patients who are hesitant to pursue traditional bariatric surgery.”
Bariatric surgery remains the most effective weight loss method, one specialist says. (iStock)
This avenue offers “meaningful and durable weight reduction with less risk, shorter recovery times and no external incisions,” the expert added.
Dr. Muhammad Ghanem, bariatric surgeon at the Orlando Health Weight Loss & Bariatric Surgery Institute, reiterated that surgery remains “the most successful modality for the treatment of obesity … with the highest weight loss and most durable outcomes as of yet.”
No. 4: Younger GLP-1 users
As Novo Nordisk’s Wegovy has been indicated for adolescents over 12 years old as an obesity treatment, Balazs commented that pediatric use of weight-loss drugs is “now a clinical reality.”
He predicted that other alternatives are likely to be approved in 2026 for younger users.
No. 5: High-tech, personalized access
Amid the growth of artificial intelligence, Balazs predicted an expansion in the clinical implementation of AI-driven weight-loss methods.
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This could include categorizing obesity into sub-types like “hungry brain,” “emotional hunger” and “slow burn” to personalize how therapy is prescribed while moving away from “trial and error,” he said.
Ghanem agreed that there will likely be a “big focus” on individualized testing for causes of obesity in 2026, as it’s a disease that can have “different causes in different people,” thus requiring different treatments.
AI and other digital opportunities will drive more access for weight-loss patients, experts say. (iStock)
The doctor anticipates that more patients will seek combinations of comprehensive treatments and programs.
“Patients are more aware that now we have a few weapons in our arsenal to combat obesity, and [they] are seeking a multidisciplinary and holistic approach,” Ghanem said.
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Treatment options will also turn digital with the rise of prescription digital therapeutics (PDTs) for weight loss, Balazs predicted.
“These are software applications delivering cognitive behavioral therapy, personalized nutrition and metabolic coaching through algorithms, often integrated with continuous glucose monitors, and reimbursed as medical treatments,” he said.
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Ghanem added that body composition analyzers, like DEXA scans, will likely be more widely used as awareness grows about the limitations of BMI and weight in assessing obesity.
Health
Brain Health Challenge: Doctor Appointments for Your Mind and Body
Congratulations, you’ve reached the final day of the Brain Health Challenge! Today, we’re asking you to do a few things that might feel a bit out of left field — like getting your blood pressure checked.
No, it isn’t as fun as playing Pips, but experts say it’s one of the most important things you can do for your brain. That’s because heart health and brain health are intrinsically linked.
High blood pressure, in particular, can damage brain cells, and it’s a significant risk factor for stroke and dementia. When blood pressure is too high, it places stress on the walls of arteries in the brain. Over time, that added stress can cause the blood vessel walls to thicken, obstructing blood flow. In other cases, the increased pressure causes the artery walls to thin and leak blood into the brain.
These changes to the blood vessels can sometimes cause a large stroke to occur. More commonly, the damage leads to micro-strokes and micro-hemorrhages, which cause fewer immediate problems and often go unnoticed. But if someone has hypertension for years or decades, these injuries can build up, and the person may start to experience cognitive impairment.
High blood pressure “is known as a silent killer for lots of reasons,” said Dr. Shyam Prabhakaran, the chair of neurology at the University of Chicago. “It doesn’t cause you any symptoms until it does.”
Because the damage accumulates over many years, experts say that managing blood pressure in midlife matters most for brain health. Hypertension can be addressed with medication or lifestyle changes, as directed by your doctor. But the first thing you need to do is know your numbers. If your blood pressure comes back higher than 120/80, it’s important to take it seriously, Dr. Prabhakaran said.
While you’re at it, there are a few other aspects of your physical health that you should check on.
Your eyes and ears are two of them. Hearing and vision loss have both been shown to increase the risk of dementia. Experts think that with less sensory information coming in to stimulate the brain, the regions that process hearing and vision can start to atrophy. What’s more, people with sensory loss often withdraw or are left out of social interactions, further depriving them of cognitive stimulation.
Oral health can also affect your brain health. Research has found a connection between regular flossing and reduced odds of having a stroke. That may be because good oral health can help to reduce inflammation in the body. The bacteria that cause gum disease have also been tied to an increased risk of Alzheimer’s.
And have you gotten your shingles vaccine? There is mounting evidence that it’s a powerful weapon for protecting against dementia. One study found that it lowered people’s odds of developing the condition by as much as 20 percent.
To wrap up this challenge, we want you to schedule a few medical appointments that benefit your brain, as well as your body.
After five days of feeding, exercising and challenging your brain, you are well on your way to better cognitive health. Thanks for joining me this week, and keep up the good habits!
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