Table 4.
Correlates of Mental and Physical Health Outcomes (n = 452)
| Model 1 | Model 2 | Model 3 | Model 4 | Model 5 | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Emotional Symptoms, | CES-D Depression, | Physical Symptoms, | Asthma Diagnosis, | Gastrointestinal | ||||||
| Past 30 Days, 67.70% | Past 7 Days, 26.55% | Past 30 Days, 49.12% | 24.12% | Diagnosis, 12.39% | ||||||
| aRR (95% CI) | p-value | aRR (95% CI) | p-value | aRR (95% CI) | p-value | aRR (95% CI) | p-value | aRR (95% CI) | p-value | |
| Discrimination in health care (Y/N) | 1.39 | 0.007 | 1.81 | < 0.0001 | 1.31 | 0.013 | 1.08 | 0.517 | 1.64 | 0.0009 |
| (1.09, 1.77) | (1.45, 2.25) | (1.06, 1.62) | (0.86, 1.36) | (1.22, 2.20) | ||||||
| Public accommodations discrimination (number of settings) | 1.44 | < 0.0001 | 1.33 | < 0.0001 | 1.40 | < 0.0001 | 1.27 | < 0.0001 | 1.20 | 0.0009 |
| (1.32, 1.56) | (1.23, 1.44) | (1.31, 1.51) | (1.17, 1.37) | (1.08, 1.33) | ||||||
| Age (in years) | 0.97 | < 0.0001 | 1.00 | 0.208 | 0.97 | < 0.0001 | 1.00 | 0.522 | 1.04 | < 0.0001 |
| (0.96, 0.98) | (0.99, 1.01) | (0.96, 0.98) | (0.99, 1.01) | (1.03, 1.05) | ||||||
| FTM vs MTF spectrum | 0.87 | 0.220 | 0.64 | 0.0002 | 0.78 | 0.021 | 1.44 | 0.003 | 5.73 | < 0.0001 |
| (0.69, 1.09) | (0.51, 0.81) | (0.63, 0.96) | (1.13, 1.83) | (3.82, 8.59) | ||||||
| POC vs white (non-Hispanic) | 1.10 | 0.481 | 1.50 | 0.002 | 0.99 | 0.910 | 0.92 | 0.532 | 0.46 | 0.0002 |
| (0.85, 1.42) | (1.17, 1.94) | (0.78, 1.25) | (0.71, 1.20) | (0.30, 0.69) | ||||||
| Medical gender affirmation | 0.99 | 0.898 | 0.66 | < 0.0001 | 1.37 | 0.001 | 0.99 | 0.908 | 1.25 | 0.121 |
| (0.81, 1.20) | (0.54, 0.81) | (1.13, 1.64) | (0.81, 1.21) | (0.94, 1.65) | ||||||
| Moderatea GNC | 2.25 | < 0.0001 | 0.66 | 0.0009 | 1.27 | 0.027 | 0.60 | < 0.0001 | 0.73 | 0.073 |
| expression vs lowb | (1.78, 2.84) | (0.52, 0.85) | (1.03, 1.56) | (0.47, 0.77) | (0.51, 1.03) | |||||
| GNC expression | ||||||||||
| Highc GNC expression | 2.48 | < 0.0001 | 0.95 | 0.684 | 2.00 | < 0.0001 | 0.97 | 0.811 | 1.49 | 0.023 |
| vs lowb GNC | (1.88, 3.27) | (0.73, 1.24) | (1.56, 2.57) | (0.74, 1.26) | (1.06, 2.09) | |||||
| expression | ||||||||||
| Low income | 1.09 | 0.466 | 1.43 | 0.001 | 1.39 | 0.002 | 1.43 | 0.002 | 1.88 | < 0.0001 |
| (0.87, 1.35) | (1.15, 1.79) | (1.13, 1.69) | (1.15, 1.79) | (1.38, 2.55) | ||||||
| Low education | 0.82 | 0.192 | 1.20 | 0.212 | 0.77 | 0.066 | 1.19 | 0.259 | 2.83 | < 0.0001 |
| (0.62, 1.10) | (0.90, 1.61) | (0.59, 1.02) | (0.88, 1.61) | (1.95, 4.12) | ||||||
| Employed vs not employed | 1.06 | 0.591 | 0.67 | 0.0004 | 1.12 | 0.253 | 1.10 | 0.428 | 1.07 | 0.656 |
| (0.86, 1.32) | (0.54, 0.84) | (0.92, 1.38) | (0.87, 1.37) | (0.79, 1.46) | ||||||
| Public/no insurance vs private | 0.88 | 0.305 | 0.92 | 0.514 | 1.01 | 0.826 | 0.82 | 0.138 | 0.62 | 0.009 |
| (0.69, 1.12) | (0.71, 1.19) | (0.80, 1.27) | (0.64, 1.07) | (0.43, 0.89) | ||||||
| Online vs in-person survey mode | 0.79 | 0.134 | 0.38 | < 0.0001 | 0.74 | 0.051 | 1.02 | 0.892 | 1.41 | 0.130 |
| (0.57, 1.08) | (0.26, 0.55) | (0.55, 1.00) | (0.73, 1.43) | (0.91, 2.19) | ||||||
Abbreviations: aRR = adjusted risk ratio; 95% CI = 95% confidence interval; FTM = female-to-male; MTF = male-to-female; POC = people of color; GNC = gender-nonconforming.
aModerate: People can tell I’m trans/GNC “sometimes.”
bLow: People can tell I’m trans/GNC “never”/“occasionally.”
cHigh: People can tell I’m trans/GNC “most of the time”/“always.”