ArticleSSM - population health2020
Legal gender marker and name change is associated with lower negative emotional response to gender-based mistreatment and improve mental health outcomes among trans populations.
Article in SSM - population health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
What it found
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Who cites it
27 citing papers in PubMed.
- Physical activity differences in trans and non-binary people: the role of health, social, and legal barriers.European journal of public health · 2026Article
- From Crisis to Action: Psychiatry's Ethical Imperative to Defend Transgender People's Rights, Dignity, and Access to Care.The American journal of psychiatry · 2026Article
- Gender-Affirming identification documents are associated with positive health-related outcomes for transgender people in Bolivia.International journal of transgender health · 2026Article
- Transgender and gender diverse adults are under-enrolled in food assistance programmes and report negative experiences when accessing benefits: an analysis of the US Transgender Survey.Public health nutrition · 2025Article
- Identifying racialized administrative and criminal legal burdens for obtaining gender-affirming identification documents among transgender groups: a qualitative analysis.Health & justice · 2025Article
- Antitransgender Legislation and Needs of Transgender Floridians, 2018-2024.American journal of public health · 2025Article
- Healthcare practitioners as accomplices: a qualitative study of gender affirmation in a context of ambiguous regulation in Indonesia.BMC medical ethics · 2025Article
- The structural violence of cisgender norms: A participatory qualitative study of access to health and social welfare for older transgender women in Indonesia.International journal of transgender health · 2025Article
- Design and pilot evaluation of a brief intervention to reduce transphobia and improve attitudes of government officials to address legal gender affirmation needs of transgender people in Peru.Global health action · 2024Article
- Gender-affirming hormonal therapy induces a gender-concordant fecal metagenome transition in transgender individuals.BMC medicine · 2024Observational
- Risk factors to mental health challenges among the LGBTI+ community in Gaborone, Botswana.Curationis · 2024Article
- Gender Self-Identification: Opinions About Transgender Women from a National Online Survey in Taiwan.Archives of sexual behavior · 2024Article
- Transgender Youth Readiness for Health Care Transition: A Survey of Youth, Parents, and Providers.Transgender health · 2024Article
- Age of first experience of gender incongruence among transgender and non-binary individuals.Obstetrics & gynecology science · 2024Article
- Treatment trajectories of gender incongruent Austrian youth seeking gender-affirming hormone therapy.Frontiers in endocrinology · 2024Article
- Lesbian, gay, bisexual, transgender, queer and intersex (LGBTQI+) healthcare in Singapore: perspectives of non-governmental organisations and clinical year medical students.Medical education online · 2023Article
- Mental health and substance use risks and resiliencies in a U.S. sample of transgender and gender diverse adults.Social psychiatry and psychiatric epidemiology · 2022Article
- Uncertainty and Confusion Regarding Transgender Non-discrimination Policies: Implications for the Mental Health of Transgender Americans.Sexuality research & social policy : journal of NSRC : SR & SP · 2022Article
- Change in Gender on Record and Transgender Adults' Mental or Behavioral Health.American journal of preventive medicine · 2022Article
- Association of Updating Identification Documents with Suicidal Ideation and Attempts among Transgender and Nonbinary Youth.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundIn recent years, Massachusetts (MA) and Rhode Island (RI) joined a growing list of states allowing residents to easily change the gender marker and name on government-identification (ID) documents. This was an important change for transgender and gender diverse (trans) residents, who face frequent mistreatment and thus for whom legal gender affirmation is critical. Little is known about associations between legal gender affirmation and psychological outcomes.
methodsWe examined associations between legal gender affirmation (i.e., having changed gender marker/name on neither, one, or both a passport and state ID), upsetting responses to gender-based mistreatment, and mental health outcomes in a sample of trans MA and RI residents. Analyses controlled for gender identity, age, race/ethnicity, education, employment, income, and insurance status.
findingsLegal gender affirmation was significantly associated with lower reports of depression, anxiety, somatization, global psychiatric distress, and upsetting responses to gender-based mistreatment.
conclusionsThese data provide corroborate recent studies suggesting having pursued legal gender affirmation may be protective. Findings bolster calls to increase structural support for trans individuals, including enactment of state policies easing legal gender affirmation.
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