ArticleSocial psychiatry and psychiatric epidemiology2024
Structural transphobia is associated with psychological distress and suicidality in a large national sample of transgender adults.
Article in Social psychiatry and psychiatric epidemiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- State of the Science of Structural Stigma and LGBTQ+ Health: Meta-Analytic Evidence, Research Gaps, and Future Directions.Annual review of public health · 2025Pooled it
- Negotiating Multiple Minoritised Identities: An Interpretative Phenomenological Analysis of Intersecting Sexual Orientation, Gender Identity, and Suicidal Thoughts and Behaviours Among Transgender and Gender-Diverse Young Adults.Journal of child & adolescent trauma · 2026Article
- Structural Cissexism, Mental Health, and Unmet Health Care Needs Among Gender-Diverse Adolescents in the United States.American journal of public health · 2026Article
- Comprehend, Cope and Connect: a trauma-informed holistic approach to address mental health crisis as a team.BJPsych bulletin · 2026Article
- Reducing Disparities and Improving Mental Health for Transgender Persons.Alpha psychiatry · 2026Article
- Barriers to Care Among LGBT Cancer Survivors: An Analysis of the All of Us Research Program.Cancers · 2026Article
- LGBTQIA+ People's Perspectives on LGBTQIA+-Targeted State Policies and Mental Health: A Qualitative Study.JAMA network open · 2026Article
- Article
- Structural barriers to accessing gender-affirming care for transgender and gender diverse (TGD) individuals in the United States.International journal of transgender health · 2026Review
- Linking the religious and social environment to sexual minority mental health.American journal of community psychology · 2025Article
- Examining the Experiences of Transgender and Non-Binary Nursing Students and Nurses in Canada.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2025Article
- Leveraging community engagement and human-centered design to develop multilevel implementation strategies to enhance adoption of a health equity intervention.Implementation science communications · 2025Article
- Ethnoracial inequities in social stressors and patterns of alcohol use in a population of United States transgender Veterans.Social science & medicine (1982) · 2025Article
- Local Legislation is Associated With Regional Transgender Attitudes.Personality & social psychology bulletin · 2025Article
- Listening to the voices of black trans men and transmasculine people in Detroit: community strengths and challenges.International journal of transgender health · 2025Article
- Intersecting Identities: Exploring stigma, minority stress, resilience, and identity in sexual and gender diverse youths of color.SSM. Mental health · 2025Article
- US State Policies and Mental Health Symptoms Among Sexual and Gender Minority Adults.JAMA network open · 2025Article
- Prevalence of Disordered Eating Behaviors Among Sexual and Gender Minority Youth Varies at the Intersection of Gender Identity and Race/Ethnicity.The International journal of eating disorders · 2025Article
- Relationships between structural stigma, societal stigma, and minority stress among gender minority people.Scientific reports · 2025Article
- Unmet Healthcare Needs and Medical Cannabis Use Among Sexual and Gender Minoritized Adults in a High-Stigma Environment.Journal of homosexuality · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
purposeTransgender adults face increasingly discriminatory laws/policies and prejudicial attitudes in many regions of the United States (US), yet research has neither quantified state-level transphobia using indicators of both, nor considered their collective association with transgender adults' psychological wellbeing, hindering the identification of this potential social determinant of transgender mental health inequity.
methodsWe therefore used factor analysis to develop a more comprehensive structural transphobia measure encompassing 29 indicators of transphobic laws/policies and attitudes at the state level, which we linked to individual-level mental health data from a large national sample of 27,279 transgender adults (ages 18-100) residing in 45 US states and the District of Columbia (DC).
resultsControlling for individual- (i.e., demographics), interpersonal- (i.e., perceived discrimination), and state- (i.e., income inequality, religiosity) level covariates, transgender adults from US states with higher (vs. lower) levels of structural transphobia reported more severe past-month psychological distress and were more likely to endorse past-year and lifetime suicidal thoughts, plans, and attempts.
conclusionFindings provide novel evidence that state-level transphobic laws/policies and attitudes collectively shape a range of important mental health outcomes among transgender adults in the US. Multilevel intervention strategies, such as affirming mental health treatments, provider-training interventions, and supportive legislation, are needed to address structural transphobia's multifaceted nature and negative mental health consequences.
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