Table 1:
Characteristics stratified by identity document status
| Total respondents (n=22 286) | Amount of identity documents
reflecting preferred name and gender |
|||
|---|---|---|---|---|
| None (n=10 288) | Some (n=9666) | All (n=2332) | ||
|
| ||||
| Age, years (mean [SE]) | 30·9 (0·1) | 27·8 (0·1) | 32·1 (0·2) | 39·1 (0·4) |
| Gender | ||||
| Transgender woman | 7948 (35·6%) | 3389 (33·9%) | 3476 (35·0%) | 1083 (45·3%) |
| Transgender man | 7235 (33·1%) | 3092 (29·7%) | 3331 (35·8%) | 812 (36·8%) |
| Non-binary, assigned female | 5800 (25·5%) | 3213 (30·6%) | 2285 (23·3%) | 302 (12·6%) |
| Non-binary, assigned male | 1303 (5·8%) | 594 (5·8%) | 574 (5·9%) | 135 (5·3%) |
| Race and ethnicity | ||||
| Alaska Native or American Indian | 277 (0·7%) | 138 (0·7%) | 118 (0·7%) | 21 (0·5%) |
| Asian or Pacific islander | 624 (5·0%) | 282 (4·9%) | 284 (5·3%) | 58 (4·7%) |
| Biracial, multiracial, or not listed | 1212 (2·3%) | 583 (2·4%) | 520 (2·3%) | 109 (1·9%) |
| Black or African American | 657 (13·0%) | 260 (11·7%) | 319 (14·0%) | 78 (14·1%) |
| Latinx or Hispanic | 1202 (16·7%) | 615 (18·4%) | 469 (15·3%) | 118 (15·7%) |
| White, Middle Eastern, or north African | 18 314 (62·3%) | 8410 (61·8%) | 7956 (62·5%) | 1948 (63·0%) |
| Education | ||||
| Less than high school | 730 (2·6%) | 522 (3·7%) | 169 (1·6%) | 39 (1·8%) |
| High school | 2723 (10·5%) | 1730 (14·1%) | 824 (7·8%) | 169 (6·9%) |
| Some college or Associate’s degree | 10 329 (49·2%) | 5266 (55·0%) | 4235 (46·0%) | 828 (38·0%) |
| Bachelor’s degree or higher | 8504 (37·7%) | 2770 (27·2%) | 4438 (44·7%) | 1296 (53·3%) |
| Poverty | ||||
| Above poverty threshold | 14 075 (62·3%) | 5842 (55·4%) | 6432 (66·1%) | 1801 (75·1%) |
| At or near poverty threshold | 7177 (33·4%) | 3826 (39·1%) | 2878 (30·3%) | 473 (22·2%) |
| Missing data | 1034 (4·3%) | 620 (5·5%) | 356 (3·5%) | 58 (2·7%) |
| US census region | ||||
| No census region | 48 (0·4%) | 33 (0·6%) | 12 (0·2%) | 3 (0·2%) |
| Northeast | 4553 (20·3%) | 1892 (17·7%) | 2177 (23·2%) | 484 (19·5%) |
| Midwest | 4597 (18·8%) | 2246 (20·0%) | 1943 (18·5%) | 408 (14·7%) |
| South | 6019 (28·8%) | 3099 (31·6%) | 2367 (26·7%) | 553 (25·9%) |
| West | 7069 (31·7%) | 3018 (30·0%) | 3167 (31·4%) | 884 (39·6%) |
| Born in the USA | 21 474 (94·3%) | 9943 (94·7%) | 9303 (94·1%) | 2228 (93·6%) |
| Functional disability | 8573 (37·5%) | 4792 (45·6%) | 3234 (32·6%) | 547 (23·8%) |
| Active military duty | 1928 (8·6%) | 715 (7·0%) | 918 (9·3%) | 295 (12·6%) |
| Medical transition | ||||
| Not needed | 1974 (8·6%) | 724 (6·7%) | 1000 (10·3%) | 250 (10·2%) |
| Not begun | 7539 (32·2%) | 5688 (52·9%) | 1696 (17·3%) | 155 (6·6%) |
| Hormones or non-genital surgery, or both | 11 185 (52·5%) | 3777 (39·6%) | 6201 (65·3%) | 1207 (54·3%) |
| Genital surgery | 1501 (6·2%) | 60 (0·5%) | 727 (6·6%) | 714 (28·6%) |
| Missing data | 87 (0·4%) | 39 (0·4%) | 42 (0·5%) | 6 (0·3%) |
| Family supportive of gender | ||||
| Supportive | 10 851 (48·8%) | 4176 (40·5%) | 5266 (54·1%) | 1409 (61·9%) |
| Neutral | 3745 (167%) | 1865 (17·9%) | 1582 (16·4%) | 298 (13·1%) |
| Unsupportive | 3325 (14·6%) | 1640 (15·4%) | 1395 (14·6%) | 290 (11·3%) |
| Not applicable or missing data | 4365 (19·8%) | 2607 (26·1%) | 1423 (14·8%) | 335 (13·7%) |
| Years living in gender full-time (mean [SE]) | 4·1 (0·1) | 2·1 (0·2) | 5·1 (0·1) | 8·5 (0·3) |
| Outcomes | ||||
| Psychological distress on Kessler 6 scale (mean [SE]) | 10·5 (0·1) | 12·2 (0·1) | 9·7 (0·1) | 7·0 (0·2) |
| Serious psychological distress | 8576 (38·4%) | 5070 (49·3%) | 3063 (32·2%) | 443 (18·8%) |
| Suicidal ideation | 10 964 (48·8%) | 5993 (57·6%) | 4259 (44·3%) | 712 (30·0%) |
| Suicide planning | 5560 (24·1%) | 3201 (29·6%) | 2043 (21·1%) | 316 (13·7%) |
| Suicide attempt | 1739 (7·6%) | 1052 (9·6%) | 591 (6·4%) | 96 (4·3%) |
Data are in n (%) unless otherwise stated. Frequencies (n) are unweighted; proportions (%) are weighted to the age and race and ethnicity distribution of the US population from the American Community Survey. SE=standard error. At or near poverty threshold defined as 101–124% of Census Bureau poverty threshold. Serious psychological distress defined as 13 points or more on the Kessler 6 scale.