Table 1.
Variables | Wanted Therapy/Counseling (N = 18,195) | Wanted Hormone Treatment (N = 18,421) |
---|---|---|
State‐level policies | ||
Nondiscrimination protections, % (n) | ||
State policy includes gender identity/expression | 47.81 (8,699) | 47.71 (8,788) |
State policy does not include gender identity/expression | 52.19 (9,496) | 52.29 (9,633) |
Religious exemption laws, % (n) | ||
Broad law exists in state | 35.61 (6,480) | 36.04 (6,639) |
Only specific law exists in state | 6.97 (1,269) | 7.06 (1,300) |
No law exists in state | 57.41 (10,446) | 56.90 (10,482) |
Private health insurance, % (n) | ||
State policy has TGGD‐specific protections | 39.13 (7,119) | 39.14 (7,210) |
State policy does not have TGGD‐specific protections | 60.87 (11,076) | 60.86 (11,211) |
Medicaid policies, % (n) | ||
State has TGGD‐specific Medicaid policies | 71.31 (12,975) | 71.43 (13,158) |
State excludes TGGD‐specific care | 5.57 (1,014) | 5.53 (1,018) |
State includes TGGD‐specific care | 23.12 (4,206) | 23.04 (4,245) |
Gender marker change requirements on state ID, % (n) | ||
No policies exist in state | 1.45 (264) | 1.49 (274) |
State requires proof of surgery, court order, or amended birth certificate | 19.07 (3,469) | 19.18 (3,534) |
State accepts documentation from a limited list of providers | 37.93 (6,902) | 37.71 (6,946) |
State accepts documentation from a broad range of providers | 41.55 (7,560) | 41.62 (7,667) |
Legal name change requirements, % (n) | ||
State has unclear rules or requirements are decided by an individual court | 48.97 (8,911) | 49.09 (9,043) |
State requires a public announcement | 8.44 (1,536) | 8.21 (1,512) |
State does not require a public announcement | 42.58 (7,748) | 42.70 (7,866) |
Composite score, mean (SD) | 1.61 (2.15) | 1.61 (2.15) |
State‐level characteristics | ||
State proportion of non‐Hispanic white people, mean (SD) | 77.81 (8.59) | 77.83 (8.63) |
State population density, mean (SD) | 318.36 (872.72) | 315.44 (864.55) |
State proportion living in an urban area, mean (SD) | 0.56 (0.22) | 0.56 (0.22) |
Individual‐level sociodemographic characteristics | ||
Age (y), mean (SD) | 31.03 (12.84) | 31.45 (12.97) |
Gender identity, % (n) | ||
Transfeminine | 37.47 (6,817) | 41.25 (7,599) |
Transmasculine | 30.70 (5,586) | 36.11 (6,651) |
Other gender diverse (AFAB) | 25.45 (4,631) | 17.46 (3,217) |
Other gender diverse (AMAB) | 6.38 (1,161) | 5.18 (954) |
Sexual identity, % (n) | ||
Heterosexual/straight | 11.01 (2,004) | 12.75 (2,349) |
LGB+ | 73.17 (13,313) | 71.85 (13,236) |
Asexual | 9.40 (1,711) | 9.11 (1,679) |
Other | 6.41 (1,167) | 6.28 (1,157) |
Race/ethnicity, % (n) | ||
Non‐Hispanic White | 81.62 (14,851) | 81.48 (15,010) |
American Indian/Alaska Native | 1.13 (205) | 1.19 (220) |
Asian, Native Hawaiian, Pacific Islander | 2.59 (472) | 2.68 (493) |
Black | 2.53 (461) | 2.71 (500) |
Latinx/Hispanic | 5.03 (916) | 4.90 (902) |
Multiracial | 4.48 (816) | 4.46 (822) |
Other | 2.61 (474) | 2.57 (474) |
Has U.S. citizenship, % (n) | 98.40 (17,903) | 98.41 (18,128) |
Highest education level, % (n) | ||
Less than high school | 2.73 (496) | 2.92 (537) |
High school graduate (including GED) | 11.12 (2,023) | 11.76 (2,166) |
Some college (no degree) | 37.71 (6,862) | 37.50 (6,908) |
Undergraduate degree | 34.93 (6,355) | 34.53 (6,361) |
Graduate or professional degree | 13.51 (2,459) | 13.29 (2,449) |
Employment status, % (n) | ||
Employed | 67.45 (12,272) | 67.42 (12,420) |
Unemployed | 12.72 (2,314) | 12.69 (2,338) |
Out of the labor force | 19.84 (3,609) | 19.88 (3,663) |
Experiences of transgender‐related stigma in past year | ||
Experienced discrimination, % (n) | 14.75 (2,683) | 15.26 (2,811) |
Experienced verbal harassment, % (n) | 49.13 (8,940) | 47.81 (8,807) |
Experienced physical violence, % (n) | 9.19 (1,672) | 9.00 (1,658) |
Experiences of racism in past year | ||
Experienced discrimination, % (n) | 1.79 (326) | 1.70 (313) |
Experienced verbal harassment, % (n) | 4.83 (878) | 4.40 (810) |
Experienced physical violence, % (n) | 0.89 (162) | 0.76 (140) |
Gender expression, outness, and social support | ||
Living full time in gender different from sex assigned at birth, % (n) | 62.80 (11,426) | 68.20 (12,564) |
Outness scale, mean (SD) | 3.61 (2.34) | 3.90 (2.27) |
Has social support, % (n) | 63.49 (11,552) | 66.67 (12,281) |
Systemic vulnerability | ||
Living at/near poverty, % (n) | 32.67 (5,945) | 32.34 (5,958) |
Ever experienced homelessness, % (n) | 29.83 (5,427) | 30.88 (5,689) |
Incarcerated in the past year, % (n) | 1.27 (231) | 1.38 (254) |
Ever engaged in sex work/industry, % (n) | 10.16 (1,849) | 10.94 (2,016) |
Health status and health insurance | ||
Experienced psychological distress in the past month, % (n) | 40.44 (7,358) | 38.29 (7,054) |
Ever experienced suicidal ideation, % (n) | 84.46 (15,368) | 83.81 (15,439) |
HIV status, % (n) | ||
Not living with HIV | 52.67 (9,583) | 53.50 (9,855) |
Living with HIV | 0.55 (100) | 0.69 (128) |
Never tested/does not know | 46.78 (8,512) | 45.81 (8,438) |
Experienced binge drinking in the past 30 days, % (n) | 25.71 (4,678) | 25.39 (4,678) |
Used drugs in the past 30 days, % (n) | 28.63 (5,209) | 28.66 (5,280) |
Has health insurance coverage, % (n) | 87.99 (16,009) | 87.56 (16,130) |
Abbreviations: AFAB, assigned female at birth; AMAB, assigned male at birth; GED, general educational development certificate; HRT, hormone replacement treatment; LGB+, lesbian, gay, bisexual, etc.; SD, standard deviation; TGGD, transgender and other gender‐diverse.