Evidence map›Paper›PMID 35983565›Full record

ArticlePsychology of sexual orientation and gender diversity2022

Gender Variations, Generational Effects, and Mental Health of Transgender People in Relation to Timing and Status of Gender Identity Milestones.

Jae A Puckett, Samantha Tornello, Brian Mustanski, Michael E Newcomb

Open access · hybridAbstract read
In one paragraph

Article in Psychology of sexual orientation and gender diversity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
11.2field-weighted citation impact, top 1% 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

27 citing papers in PubMed, 80 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Milestones, revisited: Iterative and nonlinear identity development in Gen-Z.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2026
    Article
  5. Article
  6. Article
  7. Heterogeneity in Protective Factors as a Buffer for Unique Risk Factors and Daily Smoking Among Transgender Adults.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Stability and Change in Gender Identity and Sexual Orientation Across Childhood and Adolescence.Monographs of the Society for Research in Child Development · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Mental health of gender minority older adults in the United States: A systematic review.Psychology of sexual orientation and gender diversity · 2024
    Article
  18. Article
  19. Coming out as trans: parental support mediates mental health effects.International journal of transgender health · 2024
    Article
  20. Age Trends in Bias-Based Bullying and Mental Health by Sexual Orientation and Gender Identity.Prevention science : the official journal of the Society for Prevention Research · 2023
    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

4 authors at 3 institutions in 2 countries.

Jae A PuckettDepartment of Psychology, Michigan State University, 316 Physics Rd., Rm 262, East Lansing, MI 48824.
Samantha TornelloHuman Development & Family Studies, Pennsylvania State University, 215 Health & Human Development Building, State College, PA 16801.
Brian MustanskiNorthwestern University Feinberg School of Medicine, Department of Medical Social Sciences, Institute for Sexual and Gender Minority Health and Wellbeing, 625 N Michigan Ave, Suite 1400, Chicago, IL 60657.
Michael E NewcombDepartment of Medical Social Sciences, Northwestern University, Feinberg School of Medicine, Institute for Sexual and Gender Minority Health and Wellbeing, 625 N Michigan Ave, Suite 1400, Chicago, IL 60611.
Northwestern University · USHealth and Human Development (2HD) Research Network · CMMichigan State University · US

Funding

Predictors of Substance Use and HIV Risk in Transgender Men and WomenF32DA038557 · NIDA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI PUCKETT, JULIA · 2014 to 2014
$50k
NIDA NIH HHS F32 DA038557
6 · The paper itself

Abstract

Transgender and gender diverse (TGD) people commonly report the following gender identity milestones: feeling different about their gender than expectations for their sex assigned at birth, identifying as TGD, living in their affirmed gender, and, for some, accessing gender-affirming medical care. We explored the average ages of reaching these milestones and variations across gender groups and generational cohorts. We also examined how gender groups, generational cohorts, and endorsement of reaching each of the milestones related to minority stress variables and mental health. This online study included 695 TGD individuals ages 16-73. Boomers+ and Generation X groups were more likely to identify as trans women compared to the younger generational cohorts, who were more varied in their identities. Trans women had later ages of starting to live in their affirmed gender and receiving gender affirming medical care compared to other gender groups. The Boomers+ cohort reported later ages for the milestones compared to other generational cohorts. And, finally, younger generational cohorts had higher levels of internalized stigma, anxiety, and depression, compared to the older cohorts. Gender congruence emerged as a consistent predictor of mental health in the full sample and within each generational cohort. There are important generational differences across identity milestones, minority stress, and mental health that need exploration in future longitudinal research. In addition, beyond the effects of milestone timing, reporting feelings of congruence with one's gender identity is an important consideration for mental health.

Indexed as

gender minorityidentity developmentmilestonesnonaffirmationtransgender

Identifiers

PMID35983565
PMCPMC9380989
OpenAlexW3138744244

What OpenQuestion holds

Textmetadata
LicenceTDM
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.