ArticleLGBT health
Psychiatric Epidemiology of Transgender and Nonbinary Adult Patients at an Urban Health Center.
Article in LGBT health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Exploring the global prevalence of mood and anxiety disorders in LGBTIQ+ people: A systematic review.Frontiers in psychiatry · 2025Pooled it
- Intersectional discrimination and alcohol problems among transfeminine people of color: The moderating role of financial instability.Journal of health psychology · 2026Article
- Worldwide prevalence of anxiety in transgender persons: Systematic review with meta-analysis.International journal of transgender health · 2026Review
- Gender Differences and Comorbidities in Major Depression.Advances in experimental medicine and biology · 2026Review
- Transgender Men and Transmasculine One-on-One and Group-Delivered Empowerment for Targeted HIV Reduction (TOGETHR) Study: Protocol for a Digital Factorial Randomized Controlled Trial.JMIR research protocols · 2025Article
- The Role of Supportive and Unsupportive Family Behaviors in the Mental Health of Transgender and Nonbinary Young Adults.Transgender health · 2025Article
- Mental Health Outcomes AmongInternational journal of environmental research and public health · 2025Review
- Mental disorders and sexual orientation in college students across 13 countries of differing levels of LGBTQ+ acceptance.Journal of psychiatric research · 2025Article
- Quality of Chest Masculinization in Trans Men: A Retrospective Study Evaluating Surgical Technique, Complications, Secondary Corrections, and Trends.Transgender health · 2025Article
- Article
- Sex-Based Performance Disparities in Machine Learning Algorithms for Cardiac Disease Prediction: Exploratory Study.Journal of medical Internet research · 2024Article
- Predictors of dropout in cognitive processing therapy for PTSD: An examination of in-session treatment processes.Behaviour research and therapy · 2023Article
- Gender-Affirming Hormone Therapy for the Trans, Gender Diverse, and Nonbinary Community: Coordinating World Professional Association for Transgender Health and Informed Consent Models of Care.Transgender health · 2023Article
- Sexual and gender minority individuals report higher rates of lifetime traumas and current PTSD than cisgender heterosexual individuals admitted to residential eating disorder treatment.Eating and weight disorders : EWD · 2022Article
- Transgender men's preferences when choosing obstetricians and gynecologists.Israel journal of health policy research · 2022Article
- Cross-Sectional Analysis of Medical Conditions in the U.S. Deaf Transgender Community.Transgender health · 2021Article
- A Mixed Methods Study Describing the Quality of Healthcare Received by Transgender and Gender Nonconforming Patients at a Large Integrated Health System.Healthcare (Basel, Switzerland) · 2021Article
- Article
- Providing Care for Transgender Persons With Kidney Disease: A Narrative Review.Canadian journal of kidney health and disease · 2021Review
- Association Between Recalled Exposure to Gender Identity Conversion Efforts and Psychological Distress and Suicide Attempts Among Transgender Adults.JAMA psychiatry · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
purposeTransgender and nonbinary people have an increased burden of psychiatric problems compared with the general population. Data are needed to understand factors associated with psychiatric diagnoses, acuity in terms of suicide attempts and level-of-care escalation, and outpatient engagement among transgender and nonbinary adults.
methodsWe conducted a retrospective review of records from 201 transgender and nonbinary adults who presented for primary care at a health center. Regression models were fit to examine factors associated with psychiatric diagnoses, substance use disorders (SUDs), acuity, and outpatient behavioral health engagement.
resultsMale sex assignment at birth was associated with decreased odds of a psychiatric diagnosis (odds ratio [OR] 0.40, 95% confidence interval [CI]: 0.20-0.81). Increased odds of SUDs were associated with later hormone initiation (OR 1.04, 95% CI: 1.01-1.08) and suicide attempt (OR 5.79, 95% CI: 2.08-16.15). Increased odds of higher acuity were associated with alcohol use disorder (OR 31.54, 95% CI: 5.73-173.51), post-traumatic stress disorder (OR 18.14, 95% CI: 2.62-125.71), major depressive disorder (MDD) (OR 6.62, 95% CI: 1.72-25.44), and absence of psychiatrist integration into primary medical care (OR 4.52, 95% CI: 1.26-16.22). Increased odds of outpatient behavioral health engagement were associated with case management utilization (OR 10.73, 95% CI: 1.32-87.53), anxiety disorders (OR 15.84, 95% CI: 2.00-125.72), and MDD (OR 10.45, 95% CI: 2.28-47.98).
conclusionPsychiatric disorders were highly prevalent among transgender and nonbinary adult patients. Novel findings include associations of lack of psychiatrist integration into primary care with acuity and of case management utilization with outpatient behavioral health engagement.
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Registered trials
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