The Well-Being Gap: Highlighting challenges and supports for gender-diverse youth health in BC, 2018-2023 provides a profile of the health of gender-diverse youth in British Columbia (BC). The report is a collaboration between researchers at SARAVYC and the McCreary Centre Society and uses data from the 2018 and 2023 BC Adolescent Health Survey (BC AHS), which is one of the most reliable, comprehensive health surveys of adolescents ages 12–19 in public schools in BC. Repeated every five years since 1992, the survey involves a large-scale population-based sample. 

This report focuses primarily on health and experiences of different groups of trans, nonbinary and questioning (gender diverse) young people in BC, pre and post the COVID-19 global pandemic (2018 and 2023), looking at what has changed for the better or gotten worse. Some comparisons include cisgender students (whose sex assigned at birth and current gender identity match), because it is important to note where things have changed for everyone, and whether gender-diverse youth have similar patterns or even greater differences over time.