Table 5.

Mediation Models Examining the Effect of Gender Identity on Health Outcomes by Health Care Access, Health-Related Behaviors, Risk Factors, and Protective Factors

	Dependent variables
	Physical health	Disability	Depressive symptomatology	Perceived stress
	Path coefficient	Path coefficient	Path coefficient	Path coefficient
Health care access as mediators
Direct effect	−0.041	0.036	0.041	0.028
Indirect effect: financial barriers	−0.010	0.009	0.012	0.012
Indirect effect: fear of access	−0.008*	0.015**	0.019***	0.023***
Proportion of total effect mediated	0.300	0.394	0.434	0.557
Health-related behaviors as mediators
Direct effect	−0.030	0.037	0.055*	0.050*
Indirect effect: lack of physical activity	−0.017**	0.014**	0.017**	0.016**
Indirect effect: obesity	−0.013*	0.012*	0.004	0.002
Proportion of total effect mediated	0.507	0.417	0.278	0.274
Risk factors as mediators
Direct effect	−0.021	0.017	0.008	0.004
Indirect effect: internalized stigma	−0.015**	0.017**	0.034***	0.035***
Indirect effect: victimization	−0.023***	0.022***	0.023***	0.017***
Indirect effect: identity concealment	0.003	0.005	0.008	0.009*
Proportion of total effect mediated	0.631	0.724	0.888	0.943
Protective factors as mediators
Direct effect	−0.047*	0.047	0.040	0.033
Indirect effect: social support	−0.008**	0.010**	0.026**	0.024**
Indirect effect: community belonging	−0.002	0.002	0.006*	0.006*
Proportion of total effect mediated	0.180	0.202	0.446	0.474

Note: The regression analyses controlled for age, income, gender, and race/ethnicity.

*p < .05. **p < .01. ***p < .001.