ArticleSocial science & medicine (1982)2025
State-level gender-affirming healthcare policy and depressive symptoms among LGBTQ+ youth.
Article in Social science & medicine (1982), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
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Who cites it
3 citing papers in PubMed.
- Bullying, State Policy, and Mental Health Symptoms in Gender-Diverse Youths.JAMA network open · 2026Article
- Anxiety symptoms and self-reported executive functioning in transgender and gender nonconforming adults: associations with autistic traits and depression.Frontiers in psychology · 2026Article
- Association between bullying, state-level policy and mental health symptoms in gender diverse youth.medRxiv : the preprint server for health sciences · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
U.S. states vary in their level of support and protection for transgender and gender diverse youth. Few studies have examined associations between state-level policy affecting access to gender-affirming healthcare (GAC) and mental health among these youth. This study examines the association between the GAC Index, a composite index that includes four state-level policies affecting access to GAC, and individual-level depressive symptoms in a national sample of LGBTQ + adolescents (N = 10,513) cross-sectionally in 2017. Multilevel linear regression models adjusted for individual and state-level demographic and socioeconomic covariates suggest that better access to gender-affirming healthcare (a higher score on the GAC Index) is associated with a lower frequency of depressive symptoms among gender diverse youth but not transgender youth or cisgender LGBQ+ youth. This research contributes to the understanding of the association between state policy environment and mental health for transgender and gender diverse youth.
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Registered trials
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