ArticleThe Lancet regional health. Western Pacific2023
Transgender-related stigma and gender minority stress-related health disparities in Aotearoa New Zealand: hypercholesterolemia, hypertension, myocardial infarction, stroke, diabetes, and general health.
Article in The Lancet regional health. Western Pacific, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Minority stress in relation to biological outcomes among sexual and gender minority people: a systematic review and update.Journal of behavioral medicine · 2025Pooled it
- Differences in substance use among trans, non-binary and cis people in Spain: a cross-sectional study.Substance abuse treatment, prevention, and policy · 2026Article
- Survey Evaluation of the Role of Social Media and Social Support for Transgender, Nonbinary, and Intersex People: Observational Study.JMIR formative research · 2026Observational
- Data gaps for symptoms of myocardial infarction in transgender and gender diverse patients: a brief literature review and call to action.Frontiers in public health · 2026Review
- Forms of transphobia and their influence on health outcomes among transgender, nonbinary, and gender diverse individuals: a global systematic review.International journal of transgender health · 2025Article
- The relationship between symptoms of gender dysphoria and social anxiety in transgender young adults: a network analysis.BMC psychiatry · 2025Article
- Cultural safety, the LGBTQI+ community and international medical graduate training.The Medical journal of Australia · 2025Article
- Mental and Physical Health Among Danish Transgender Persons Compared With Cisgender Persons.JAMA network open · 2025Article
- Hormones, Stress, and Heart Disease in Transgender Women with HIV in LITE Plus.American journal of preventive medicine · 2025Observational
- 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
- Primary care feels more comfortable: A meta-ethnography of transgender people accessing hormone therapy in primary care.International journal of transgender health · 2025Review
- Towards inclusive healthcare: evaluating knowledge, confidence and awareness of LGBTQ + health among Internal Medicine Trainees in London.BMC medical education · 2024Article
- Health intervention trials involving transgender, transabled and transracial persons in Africa: A scoping review.Public health challenges · 2024Review
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Research has found that transgender-related enacted stigma-including discrimination, harassment, violence, cyberbullying, community rejection, and conversion efforts-is associated with negative mental health among transgender people. Transgender people also experience physical health disparities that could be due to chronic gender minority stress caused by stigma and prejudice. Methods: We compared a large New Zealand national survey of transgender participants with the New Zealand Health Survey (NZHS) with age and ethnicity weightings on stress-related health conditions and indicators. We conducted multivariate logistic regression to test associations between transgender-related enacted stigma and physical health conditions and indicators, controlling for age, gender, ethnicity, gender affirming hormone use, and alcohol and tobacco use. Findings: Transgender participants had a greater likelihood of ever having hypertension (63%, 95% CI 41%-89%), a myocardial infarction (98%, 6%-271%), a stroke (104%, 2%-311%), hypercholesteremia 148% (114%-188%), and current poor or fair general health (128%, 107%-151%). There were no significant differences for diabetes. Compared with those scoring at the 10th percentile on transgender-related enacted stigma, those at the 90th percentile were more likely to have had hypertension (81%, 36%-140%), hypercholesteremia (54%, 20%-98), and poor/fair health (75%, 45%-110%). Interpretation: We found large disparities for stress-related physical health conditions and indicators, and transgender people who experienced higher transgender-related enacted stigma had a significantly increased prevalence of these negative outcomes. Our findings highlight the need for health professionals to consider gender minority stress and for interventions and policy/law reforms to address transgender-related stigma. Funding: The Health Research Council of New Zealand and Rule Foundation.
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Registered trials
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