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. 2017 Apr;107(4):582–589. doi: 10.2105/AJPH.2016.303648

TABLE 2—

Health Status and Activity Limitations of Transgender and Cisgender Adults: Pooled Behavioral Risk Factor Surveillance System Sample, United States, 2014

Transgender Group (n = 691)
Cisgender Group (n = 150 765)
Variable No. % (SE) No. % (SE) Transgender vs Cisgender, OR (95% CI) Transgender vs Cisgender, Adjusted ORa (95% CI)
General health fair or poor 183 26.17 (0.03) 27 002 17.02 (< 0.01) 1.73 (1.24, 2.40) 1.75 (1.27, 2.42)
Physical health not good (days per month)b 664 6.28 (0.93) 147 604 3.85 (0.04) 2.43 (0.61, 4.24)c 2.37 (0.64, 4.11)d
Mental health not good (days per month)b 671 5.41 (0.74) 148 307 3.67 (0.04) 1.74 (0.28, 3.19)e 1.70 (0.22, 3.17)f
Lifetime history of diagnosed chronic conditions
 Diabetes 116 13.88 (0.02) 19 788 10.69 (< 0.01) 1.35 (0.95, 1.90) 1.37 (0.96, 1.95)
 Kidney disease 40 4.29 (0.01) 5 284 2.65 (< 0.01) 1.65 (0.96, 2.84) 1.70 (0.98, 2.95)
 Arthritis 235 29.84 (0.03) 53 481 27.85 (< 0.01) 1.10 (0.81, 1.50) 1.16 (0.86, 1.57)
 Asthma 99 13.50 (0.02) 19 859 14.15 (< 0.01) 0.95 (0.65, 1.37) 0.94 (0.65, 1.37)
 Chronic obstructive pulmonary disease 66 7.87 (0.02) 12 693 6.91 (< 0.01) 1.15 (0.75, 1.78) 1.18 (0.76, 1.83)
 Skin cancer 55 5.68 (0.01) 13 419 5.71 (< 0.01) 0.99 (0.63, 1.58) 1.04 (0.65, 1.68)
 Cancer (other than skin) 55 4.32 (0.01) 14 387 6.64 (< 0.01) 0.63 (0.42, 0.95) 0.65 (0.43, 0.99)
 Stroke 46 4.74 (0.02) 6 134 3.01 (< 0.01) 1.60 (0.83, 3.09) 1.75 (0.93, 3.29)
 Angina or coronary heart disease 49 5.71 (0.01) 9 195 4.54 (< 0.01) 1.27 (0.78, 2.07) 1.37 (0.83, 2.25)
 Myocardial infarction 68 7.29 (0.01) 9 029 4.46 (< 0.01) 1.69 (1.13, 2.51) 1.82 (1.22, 2.72)
 Depressive disorder 142 19.72 (0.03) 28 886 18.76 (< 0.01) 1.06 (0.74, 1.54) 1.06 (0.73. 1.53)
Unable to do usual activities because of physical or mental health issues (days per month)b 680 4.47 (0.81) 149 246 2.52 (0.03) 1.95 (0.35, 3.55)g 1.90 (0.33, 3.48)h
Limited because of physical, mental, or emotional problems 198 24.43 (0.03) 36 885 20.99 (< 0.01) 1.22 (0.88, 1.69) 1.22 (0.89, 1.68)
Health problems that require use of special equipment 94 8.70 (0.02) 17 308 8.79 (< 0.01) 0.99 (0.68, 1.44) 1.00 (0.67, 1.48)
Blind or have serious difficulty seeing 58 8.80 (0.02) 7 296 4.30 (< 0.01) 2.15 (1.23, 3.76) 2.16 (1.22, 3.83)
Difficulty concentrating, remembering, or making decisions because of physical, mental, or emotional problems 124 20.14 (0.03) 14 700 10.28 (< 0.01) 2.20 (1.47, 3.29) 2.18 (1.46, 3.28)
Serious difficulty walking 168 19.19 (0.03) 25 899 13.85 (< 0.01) 1.48 (1.04, 2.10) 1.52 (1.06, 2.18)
Difficulty dressing or bathing 38 3.94 (0.01) 6 013 3.56 (< 0.01) 1.11 (0.69, 1.79) 1.09 (0.68, 1.76)
Difficulty doing errands alone because of a physical, mental, or emotional condition 72 6.59 (0.01) 10 838 6.49 (< 0.01) 1.02 (0.69, 1.49) 1.02 (0.69, 1.51)

Note. CI = confidence interval; OR = odds ratio. Percentages are weighted. The sample size was n = 151 456.

a

Adjusted for age group.

b

Linear regression coefficient.

c

t = 2.62; P < .01.

d

t = 2.68; P < .01.

e

t = 2.34; P = .02.

f

t = 2.25; P = .02.

g

t = 2.39; P = .02.

h

t = 2.38; P = .02.