ArticleAIDS and behavior2026
The Gender Non-affirmation from Sexual Partners Scale: Psychometric Evaluation and Correlates of a Brief Stigma Scale in a Sample Transgender and Gender Diverse Community Health Center Patients.
Article in AIDS and behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
This study evaluated the psychometric performance and correlates of a 4-item GNSP scale among transgender, nonbinary, and gender diverse (TGD) adults. Data were collected in 2019-2020 via an electronic, self-reported cross-sectional survey of 2192 TGD adults accessing two U.S. LGBTQ+ community health centers. Participants reporting sex within the past 6 months (60.7%, n = 1463) were asked the 4-item GNSP scale. Analyses were internal consistency reliability (α), confirmatory factor analysis, and a multivariable logistic regression model of GNSP scale correlates (adjusted odds ratios [AOR], 95% confidence intervals [95% CI]). Mean age was 27 years (range = 18-71 years), 18.7% were people of color, and 33.6% nonbinary. 42.7% reported past 6-month GNSP. The GNSP scale showed good reliability (α = 0.78) loaded onto a single factor (eigenvalue = 2.45; variance explained = 48.7%). Higher odds of reporting GNSP included nonbinary identity (AOR = 1.63; 95% CI 1.51, 1.70), more past 6-month sexual partners (AOR = 1.19; 95% CI 1.17-1.21), a cisgender woman sexual partner (AOR = 1.51; 95% CI 1.42-1.61), a high school degree or less (AOR = 1.43; 95% CI 1.28-1.59), elevated alcohol use (AOR = 1.55; 95% CI 1.46-1.65), severe psychological distress (AOR = 1.80; 95% CI 1.68-1.92), penile sex with a condom (AOR = 1.74; 95% CI 1.59-1.90) or without a condom (AOR = 1.38; 95% CI 1.28-1.49), and current PrEP use (AOR = 1.42; 95% CI 1.25-1.61). Lower odds of reporting GNSP included older age vs. ages 18-24 (AORs range 0.65-0.75), transfeminine identity (AOR = 0.87; 95% CI 0.80-0.94), uninsured (AOR = 0.56; 95% CI 0.48-0.60), and in committed relationships (AOR = 0.36; 95% CI 0.33-0.40) or ethically non-monogamous relationships (AOR = 0.38; 95% CI 0.35-0.43). Gender non-affirmation from sexual partners was highly prevalent and may represent important intervention targets for sexual and mental health. The GNSP scale demonstrated good psychometric properties and is a promising tool for future TGD research.
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