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Health disparities between binary and non binary trans people: A community-driven survey
Aisa Burgwal1, Natia Gvianishvili2, Vierge Hård3
1Center for Sexology and Gender, Ghent University Hospital, Ghent, Belgium.
The International Journal of Transgenderism
|October 1, 2020
Summary
Genderqueer and nonbinary individuals report worse health and well-being compared to binary trans people. Socioeconomic factors and the need for gender-affirming care significantly impact these disparities.
Area of Science:
- Health disparities research
- Gender studies
- Sociology of health
Background:
- Genderqueer and nonbinary (GQNB) individuals are underrepresented in health research.
- Existing studies indicate poorer health outcomes for transgender individuals compared to cisgender controls.
- Data comparing health outcomes between binary transgender and GQNB individuals remain inconclusive.
Purpose of the Study:
- To compare the overall health and well-being of GQNB individuals against binary trans men and trans women.
- To assess the influence of socioeconomic position and the need for gender-affirming medical interventions on these health differences.
Main Methods:
- A community-driven survey was conducted in 2016 across five European countries.
- Self-reported health and well-being data were analyzed for 853 respondents (230 GQNB, 254 trans women, 369 trans men).
- Statistical controls included age, economic situation, education, minority group status, sex assigned at birth, and need for gender-affirming interventions.
Main Results:
- GQNB respondents reported significantly worse self-reported health and general well-being than binary trans respondents.
- Lower educational level, economic stress, and belonging to a disability minority group were associated with additional negative health impacts.
- The need for gender-affirming medical interventions significantly worsened self-reported health, while younger age correlated with poorer general well-being.
Conclusions:
- Understanding health disparities requires considering the cumulative effects of socioeconomic factors and the need for gender-affirming care for GQNB individuals.
- The high prevalence of poor health outcomes among GQNB individuals underscores the urgent need for inclusive policies and healthcare environments.
- Healthcare providers and policymakers must prioritize creating nonbinary-inclusive healthcare settings to address these disparities.
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