Kj. Zucker et al., SIBLING SEX-RATIO OF BOYS WITH GENDER IDENTITY DISORDER, Journal of child psychology and psychiatry and allied disciplines, 38(5), 1997, pp. 543-551
Sibling sex ratio (the ratio of brothers to sisters) was calculated fo
r 444 boys with gender identity disorder (or with behaviors consistent
with this diagnosis). The probands were ascertained from several rese
archers with expertise with this disorder and from the English languag
e case report literature between 1938 and 1995. Among the probands wit
h at least one sibling (N = 333), the results showed that boys with ge
nder identity disorder had a significant excess of brothers to sisters
, 131.1:100, when compared with the expected secondary sex ratio of 10
6:100. The excess of brothers replicated a previous study by Blanchard
, Zucker, Bradley, and Hume (1995), in which the sibling sex ratio was
140.6:100. Further analyses showed that the probands were born later
relative to their brothers than they were relative to their sisters. T
hese findings are amenable to several psychosocial and biological expl
anations, which require further investigation.