The mental health of transgender and gender-nonconforming individuals in the United States is worsening, suggesting an urgent need for policy change.
Mental health distress increased disproportionately among transgender and gender-nonconforming US adults between 2014 and 2021 compared with among their cisgender counterparts, a new study suggested. Investigators said the findings among an historically marginalized segment of society point to a need to address a growing inequality in mental health.
They included 43 states that implemented the optional sexual orientation and gender identity module in the BRFSS. Outcomes included the number of poor mental health days in the past month, as well as frequent mental distress .Even in 2014, there was a discrepancy between cisgender and transgender and gender-nonconforming individuals in the reported mean of poor mental health days .
The size of this disparity, adjusted by differences in observable characteristics, increased by 2.75 days over the study period. The inequality in mental health status between cisgender and transgender and nonconforming adults grew from 11.4% vs 18.9% in 2014, respectively, to 14.6% vs 32.9% in 2021, respectively."Our findings demonstrate sizable and worsening inequities in mental health across gender identity," the authors wrote."Mental health and primary care providers must be prepared to address the unique psychosocial needs of gender minority adults.
SDOH Social Determinants Of Health (SDOH) Transgender Gender Identity Core Gender Identity Sexual Orientation Primary Care Psychosocial
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