ArticleBMC public health2023
Sexual orientation in transgender adults in the United States.
Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses that pooled it.
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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
19 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Emotion Regulation Differences Between Gender and Sexuality Groups: A Systematic Review and Meta-Analysis.Archives of sexual behavior · 2025Pooled it
- Non-Binary People's Sexuality, Sexual Health, and Relationship Satisfaction: A Review of 12 Years of Quantitative Research (2012-2024).Archives of sexual behavior · 2025Pooled it
- The health consequences of stigma and discrimination: a systematic review and meta-analysis of their impact on Black non-binary individuals in Sub-Saharan Africa.Frontiers in sociology · 2025Pooled it
- Pooled it
- Randomized Controlled Trial of a Couples-Based HIV Intervention for Transgender Women and Their Partners: Findings from the "It Takes Two" Project.AIDS and behavior · 2025Trial
- Demographic and Clinical Features of Early-Onset versus Late-Onset Gender Dysphoria Among Adolescent and Young Adult Birth-Assigned Females.Archives of sexual behavior · 2026Article
- Sociodemographic and Mental Health Characteristics of Adults with Different Gender Trajectories.Archives of sexual behavior · 2026Article
- Experiences of Everyday Discrimination by Sexual Orientation in a Large National Cohort of Female Nurses.Journal of homosexuality · 2026Article
- Substance Use, Suicidal Behavior, and Other Mental Health Outcomes Among Youth With Intersectional Sexual and Gender Diverse Identities.JAACAP open · 2025Article
- Inequities in HIV prevention among trans and/or non-binary people: a cross-sectional survey analysis of PrEP and PEP awareness and use in Spain.International journal for equity in health · 2025Article
- Mental Health Treatment Preferences of Sexual Minority Youth and Young Adults: Findings from Three Samples.Psychology of sexual orientation and gender diversity · 2025Article
- From rejection by others to affirmation of self: Understanding the dynamics of cissexism-based stress, resilience factors, and suicidal ideation among bi+ transgender and gender diverse adults.Psychology of sexual orientation and gender diversity · 2025Article
- White Matter Microstructure Among Straight and Gay Cisgender Men, Sao Praphet Song, and Straight Cisgender Women in Thailand.Human brain mapping · 2025Article
- Determining transgender identity: a discussion from legal, medical, and social perspectives.Frontiers in public health · 2025Review
- The intersection of bisexuality and gender modality: Exploring differences in sexual interest and satisfaction.International journal of transgender health · 2025Article
- Impact of Gender-confirming Chest Surgery on Sexual Health: A Prospective Study.Plastic and reconstructive surgery. Global open · 2024Article
- Leveraging Polygenic Scores to Go Beyond Examinations of Pathology Among Gender-Diverse Individuals.Biological psychiatry global open science · 2024Article
- Transgender health issues addressed in research on telehealth use: a scoping review.Frontiers in sociology · 2024Article
- Oral Healthcare-Seeking Behavior among Transgenders in Kerala: A Cross-Sectional Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundSexual orientation refers to a person's enduring emotional, romantic, or sexual attractions to other people. Sexual orientation measures do not typically consider desires for, or sexual behavior with, transgender people. We describe measures inclusive of transgender people and characterize sexual orientation identity, behavior, and attraction in a representative sample of the U.S. transgender population.
methodsBetween April 2016-December 2018, a U.S. national probability sample of transgender (n = 274) and cisgender (n = 1,162) adults were invited to complete a self-administered web or mailed paper survey. We assessed sexual identity with updated response options inclusive of recent identity terms (e.g., queer), and revised sexual behavior and attraction measures that included transgender people. Multiple response options were allowed for sexual behavior and attraction. Weighted descriptive statistics and sexual orientation differences by gender identity groups were estimated using age-adjusted comparisons.
resultsCompared to the cisgender population, the transgender population was more likely to identify as a sexual minority and have heterogeneity in sexual orientation, behavior, and attraction. In the transgender population, the most frequently endorsed sexual orientation identities were "bisexual" (18.9%), "queer" (18.1%), and "straight" (17.6%). Sexually active transgender respondents reported diverse partners in the prior 5 years: 52.6% cisgender women (CW), 42.7% cisgender men (CM), 16.9% transgender women (TW), and 19.5% transgender men (TM); 27.7% did not have sex in the past 5 years. Overall, 73.6% were "somewhat"/ "very" attracted to CW, 58.3% CM, 56.8% TW, 52.4% TM, 59.9% genderqueer/nonbinary-females-at-birth, 51.9% genderqueer/nonbinary-males-at-birth. Sexual orientation identity, behavior, and attraction significantly differed by gender identity for TW, TM, and nonbinary participants (all p < 0.05).
conclusionsInclusive measures of sexual orientation captured diverse sexual identities, partner genders, and desires. Future research is needed to cognitively test and validate these measures, especially with cisgender respondents, and to assess the relation of sexual orientation and health for transgender people.
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