Evidence map›Paper›PMID 32285311›Full record

ArticleArchives of sexual behavior2020

Non-Binary and Binary Gender Identity in Australian Trans and Gender Diverse Individuals.

Ada S Cheung, Shalem Y Leemaqz, John W P Wong, Denise Chew, Olivia Ooi, Pauline Cundill, Nicholas Silberstein, Peter Locke, Sav Zwickl, Ren Grayson and 2 more

Abstract read
PubMed Publisher
In one paragraph

Article in Archives of sexual behavior, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
8.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 71 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Oncological needs in transgender patients.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Mental health of non-binary youth: a systematic review and meta-analysis.Child and adolescent psychiatry and mental health · 2024
    Review
  11. Invalidation and Mental Health among Nonbinary Individuals.Psychology of sexual orientation and gender diversity · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Gender detransition: A critical review of the literature.Actas espanolas de psiquiatria · 2023
    Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Ada S CheungDepartment of Medicine (Austin Health), The University of Melbourne, Studley Road, Heidelberg, VIC, 3084, Australia. adac@unimelb.edu.au.ORCID http://orcid.org/0000-0001-5257-5525
Shalem Y LeemaqzAdelaide Medical School, The University of Adelaide, Adelaide, SA, Australia.ORCID http://orcid.org/0000-0003-4616-8426
John W P WongRoyal Melbourne Hospital, Parkville, VIC, Australia.
Denise ChewMurdoch Children's Research Institute and University of Melbourne (Department of Paediatrics), Royal Children's Hospital, Parkville, VIC, Australia.
Olivia OoiDepartment of Medicine (Austin Health), The University of Melbourne, Studley Road, Heidelberg, VIC, 3084, Australia.
Pauline CundillEquinox Gender Diverse Health Centre, Thorne Harbour Health, Fitzroy, VIC, Australia.
Nicholas SilbersteinEquinox Gender Diverse Health Centre, Thorne Harbour Health, Fitzroy, VIC, Australia.
Peter LockeEquinox Gender Diverse Health Centre, Thorne Harbour Health, Fitzroy, VIC, Australia.
Sav ZwicklDepartment of Medicine (Austin Health), The University of Melbourne, Studley Road, Heidelberg, VIC, 3084, Australia.ORCID http://orcid.org/0000-0003-2959-5928
Ren GraysonEquinox Gender Diverse Health Centre, Thorne Harbour Health, Fitzroy, VIC, Australia.
Jeffrey D ZajacDepartment of Medicine (Austin Health), The University of Melbourne, Studley Road, Heidelberg, VIC, 3084, Australia.
Ken C PangMurdoch Children's Research Institute and University of Melbourne (Department of Paediatrics), Royal Children's Hospital, Parkville, VIC, Australia.ORCID http://orcid.org/0000-0002-6881-775X
The University of Melbourne · AURoyal Children's Hospital · AUThe Royal Melbourne Hospital · AUThe University of Adelaide · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Many trans and gender diverse (TGD) people have gender identities that are not exclusively male or female but instead fall in-between or outside of the gender binary (non-binary). It remains unclear if and how those with non-binary gender identity differ from TGD individuals with binary identities. We aimed to understand the sociodemographic and mental health characteristics of people with non-binary identities compared with binary TGD identities. We performed a retrospective audit of new consultations for gender dysphoria between 2011 and 2016 in three clinical settings in Melbourne, Australia; (1) Equinox Clinic, an adult primary care clinic, (2) an adult endocrine specialist clinic, and (3) the Royal Children's Hospital, a child and adolescent specialist referral clinic. Age (grouped by decade), gender identity, sociodemographic, and mental health conditions were recorded. Of 895 TGD individuals, 128 (14.3%) had a non-binary gender. Proportions differed by clinical setting; 30.4% of people attending the adult primary care clinic, 7.4% attending the adult endocrine specialist clinic, and 8.0% attending the pediatric clinic identified as non-binary. A total of 29% of people in the 21-30-year-old age-group had a non-binary gender identity, higher than all other age-groups. Compared to TGD people with a binary gender identity, non-binary people had lower rates of gender-affirming interventions, and a higher prevalence of depression, anxiety, and illicit drug use. Tailoring clinical services to be inclusive of non-binary people and strategies to support mental health are required. Further research to better understand health needs and guide evidence-based gender-affirming interventions for non-binary people are needed.

Indexed as

Gender IdentityAdultAustraliaFemaleHumansMaleRetrospective StudiesTransgender PersonsYoung AdultGender dysphoriaGender identityNon-BinaryTransgenderTranssexualism

Identifiers

PMID32285311
OpenAlexW3015430292

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.