Related Experiment Video
Updated: Jun 26, 2025
06:27
Establishment of Rat Models Mimicking Gender-affirming Hormone Therapies
Published on: January 10, 2025
727
Differences Between Transgender and Gender Diverse Adults in Michigan Currently Using Gender-Affirming Hormone
Deirdre A Shires1, Leonardo Kattari1, Haley Hill1
1School of Social Work, Michigan State University, East Lansing, Michigan, USA.
LGBT Health
|May 16, 2024
Summary
Transgender and gender diverse individuals interested in hormone therapy (HT) often face barriers. Nonbinary and Black individuals, along with those lacking insurance, show higher interest, indicating access disparities in gender-affirming care.
Area of Science:
- Sociology
- Public Health
- Endocrinology
Background:
- Transgender and gender diverse (TGD) individuals experience unique healthcare needs.
- Hormone therapy (HT) is a key component of gender-affirming care.
- Understanding factors influencing HT access and interest is crucial for addressing health disparities.
Purpose of the Study:
- To explore sociodemographic, insurance coverage, and substance use differences between TGD individuals currently using HT and those interested in future HT.
- To identify predictors of interest in future HT among TGD individuals.
Main Methods:
- Cross-sectional survey of 536 TGD individuals in Michigan in 2018.
- Logistic regression models used to analyze differences between current HT users and those interested in future HT.
- Data collected on sociodemographics, insurance coverage, and substance use.
Main Results:
- Nonbinary participants (OR=6.91) and Black participants (OR=8.79) showed significantly higher odds of interest in future HT.
- Lack of or uncertainty about trans-specific insurance coverage strongly predicted interest in future HT (OR=42.39 and OR=4.50, respectively).
- Heavy marijuana use and higher education levels (bachelor's degree) were associated with lower odds of future HT interest.
Conclusions:
- Disparities in access to HT among TGD individuals are evident, particularly for nonbinary and Black individuals.
- Insurance coverage is a significant barrier to accessing gender-affirming HT.
- Standardized and comprehensive insurance coverage for gender-affirming care is essential to improve health equity for TGD populations.
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