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. 2024 May 17;47:101084. doi: 10.1016/j.lanwpc.2024.101084

Table 3.

Standardised mean differences in gender identity, gender expression and gender (and body) dysphoria in those with and without autistic traits.

Non-autistic traits
Autistic traits
Difference in standardised meana
N Median (IQR) N Median (IQR) N Diff 95% CI p value
Gender Identityb
 Gender identity—Slider (Continuum)
 Male slider—birth-assigned male (congruence) 89 15.0 (5.0–31.0) 57 10.0 (1.0–31.0) 146 −0.1 −0.4 to 0.3 0.69
 Female slider—birth-assigned male (incongruence) 94 75.0 (61.0–95.0) 57 81.0 (56.0–95.0) 151 0.0 −0.3 to 0.3 0.92
 Male slider—birth-assigned female (incongruence) 167 86.0 (71.0–96.0) 164 85.0 (66.0–96.0) 331 −0.1 −0.4 to 0.1 0.19
 Female slider—birth-assigned female (congruence) 169 6.0 (1.0–21.0) 160 6.0 (1.0–16.0) 329 −0.1 −0.3 to 0.1 0.31
Gender Expressionc
 Gender diverse behaviour
 Gender diverse behaviour (GIQ -14 item) 98 2.1 (1.9–2.7) 55 2.5 (2.1–2.9) 153 0.2 −0.2 to 0.5 0.32
Gender Dysphoriac
 Gender preoccupation and stability
 GPSQ Total score 214 39.5 (35.0–45.0) 205 41.0 (37.0–45.0) 419 0.1 −0.1 to 0.3 0.20
Body Dysphoria
 Body dissatisfaction: Body Image (BIS)c
 Overall body 192 3.5 (3.2–3.8) 188 3.7 (3.3–4.0) 380 0.3 0.1–0.5 0.0043
 Primary characteristics 191 4.4 (4.0–4.8) 187 4.6 (4.1–4.8) 378 0.1 −0.1 to 0.3 0.53
 Secondary characteristics 192 3.4 (3.0–3.8) 188 3.7 (3.2–4.1) 380 0.3 0.1–0.5 0.0011
 Hormonally unresponsive body characteristics 192 3.0 (2.6–3.4) 188 3.2 (2.8–3.5) 380 0.2 0.0–0.4 0.016
 Voice dysphoriac
 Frequency of distress about voice (min 6; max 24) 194 13.5 (10.0–18.0) 190 16.0 (12.0–20.0) 384 0.3 0.1–0.5 0.00087
 Chest dysphoriac
 Overall chest dysphoria (min 0; max 48) 57 26.0 (19.0–32.0) 78 27.0 (22.0–34.0) 135 0.2 −0.1 to 0.5 0.26
a

Simple linear regression was used to assess the association between gender diversity and the autistic trait (yes/no) adjusting for the effect of age and assigned gender at birth (except for sex-specific outcomes). Marginal effects as difference in standardise mean was estimated using the fitted models.

b

Difference in standardised mean is adjusted for age.

c

Difference in standardised mean is adjusted for age and assigned gender at birth.