Non-Binary and Binary Gender Identity in Australian Trans and Gender Diverse Individuals.


Journal

Archives of sexual behavior
ISSN: 1573-2800
Titre abrégé: Arch Sex Behav
Pays: United States
ID NLM: 1273516

Informations de publication

Date de publication:
10 2020
Historique:
received: 15 03 2019
accepted: 21 03 2020
revised: 19 03 2020
pubmed: 15 4 2020
medline: 15 12 2020
entrez: 15 4 2020
Statut: ppublish

Résumé

Many trans and gender diverse (TGD) people have gender identities that are not exclusively male or female but instead fall in-between or outside of the gender binary (non-binary). It remains unclear if and how those with non-binary gender identity differ from TGD individuals with binary identities. We aimed to understand the sociodemographic and mental health characteristics of people with non-binary identities compared with binary TGD identities. We performed a retrospective audit of new consultations for gender dysphoria between 2011 and 2016 in three clinical settings in Melbourne, Australia; (1) Equinox Clinic, an adult primary care clinic, (2) an adult endocrine specialist clinic, and (3) the Royal Children's Hospital, a child and adolescent specialist referral clinic. Age (grouped by decade), gender identity, sociodemographic, and mental health conditions were recorded. Of 895 TGD individuals, 128 (14.3%) had a non-binary gender. Proportions differed by clinical setting; 30.4% of people attending the adult primary care clinic, 7.4% attending the adult endocrine specialist clinic, and 8.0% attending the pediatric clinic identified as non-binary. A total of 29% of people in the 21-30-year-old age-group had a non-binary gender identity, higher than all other age-groups. Compared to TGD people with a binary gender identity, non-binary people had lower rates of gender-affirming interventions, and a higher prevalence of depression, anxiety, and illicit drug use. Tailoring clinical services to be inclusive of non-binary people and strategies to support mental health are required. Further research to better understand health needs and guide evidence-based gender-affirming interventions for non-binary people are needed.

Identifiants

pubmed: 32285311
doi: 10.1007/s10508-020-01689-9
pii: 10.1007/s10508-020-01689-9
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2673-2681

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Auteurs

Ada S Cheung (AS)

Department of Medicine (Austin Health), The University of Melbourne, Studley Road, Heidelberg, VIC, 3084, Australia. adac@unimelb.edu.au.

Shalem Y Leemaqz (SY)

Adelaide Medical School, The University of Adelaide, Adelaide, SA, Australia.

John W P Wong (JWP)

Royal Melbourne Hospital, Parkville, VIC, Australia.

Denise Chew (D)

Murdoch Children's Research Institute and University of Melbourne (Department of Paediatrics), Royal Children's Hospital, Parkville, VIC, Australia.

Olivia Ooi (O)

Department of Medicine (Austin Health), The University of Melbourne, Studley Road, Heidelberg, VIC, 3084, Australia.

Pauline Cundill (P)

Equinox Gender Diverse Health Centre, Thorne Harbour Health, Fitzroy, VIC, Australia.

Nicholas Silberstein (N)

Equinox Gender Diverse Health Centre, Thorne Harbour Health, Fitzroy, VIC, Australia.

Peter Locke (P)

Equinox Gender Diverse Health Centre, Thorne Harbour Health, Fitzroy, VIC, Australia.

Sav Zwickl (S)

Department of Medicine (Austin Health), The University of Melbourne, Studley Road, Heidelberg, VIC, 3084, Australia.

Ren Grayson (R)

Equinox Gender Diverse Health Centre, Thorne Harbour Health, Fitzroy, VIC, Australia.

Jeffrey D Zajac (JD)

Department of Medicine (Austin Health), The University of Melbourne, Studley Road, Heidelberg, VIC, 3084, Australia.

Ken C Pang (KC)

Murdoch Children's Research Institute and University of Melbourne (Department of Paediatrics), Royal Children's Hospital, Parkville, VIC, Australia.

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