Breaking down barriers and binaries in trans healthcare: the validation of non-binary people

Vincent, B.

doi:10.1080/15532739.2018.1534075

Cited by 37 publications

(32 citation statements)

References 18 publications

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“…There is an increasing recognition of the prevalence of gender experiences that fall outside of the 'male' and 'female' binary categories (Vincent, 2019), including experiences of having components of both, neither or fluidity of the binary genders. Emerging evidence suggests that nonbinary experiences and identities may be particularly common in autism (Dewinter et al, 2017;Stagg & Vincent, 2019;Walsh et al, 2018).…”

Section: The Importance Of Nonbinary Conceptualizations Of Gendermentioning

confidence: 99%

Both sex- and gender-related factors should be considered in autism research and clinical practice

Strang

Miesen

Caplan³

et al. 2020

Autism

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Section: The Importance Of Nonbinary Conceptualizations Of Gendermentioning

confidence: 99%

Both sex- and gender-related factors should be considered in autism research and clinical practice

Strang

Miesen

Caplan³

et al. 2020

Autism

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“…34 We also encourage future studies to examine disparities in affirmation processes by race, gender, and social class and to examine ways that NB people may engage in so-cial transition not captured in this survey. 11,14 Finally, transgender congruence may differ significantly for individuals during the gender affirmation process. 11 We recommend future studies compare nuances in congruence by stage, identity, and desired outcomes.…”

Section: Limitationsmentioning

confidence: 99%

“…[9][10][11] However, many NB people pursue gender affirmation 11 and may have unique needs compared with transgender women (TW) and transgender men (TM). 12 Current clinical guidelines poorly reflect such nuances 13,14 and NB people often report barriers to affirming care, including difficulty finding affirming providers, stigma in health care encounters, and denial of coverage. 11,15,16 In a 2015 national survey, for example, 70% of NB people reported a need for counseling, yet only 31% accessed care (compared with 73% among TW and TM).…”

Section: Introductionmentioning

confidence: 99%

Toward Nonbinary Nuance in Research and Care: Mapping Differences in Gender Affirmation and Transgender Congruence in an Online National U.S. Survey

et al. 2021

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To close gaps in transgender health research, we mapped trends in gender affirmation processes (i.e., social, legal, and psychological transitions) that are unique among nonbinary (NB) transgender adults when compared with transgender women (TW) and transgender men (TM). Methods: Data were drawn from the Columbia Trans Empowerment Survey (N = 707), an online national study conducted between 2014 and 2015 in the United States. We used one-way analysis of variance tests, chi-square tests, Kruskal-Wallis tests, and post hoc analyses to estimate differences in gender affirmation processes and transgender congruence between: (1) NB adults, n = 271, 38%; (2) TW, n = 291, 41%; and (3) TM, n = 145, 21%. We then identified bivariate correlations between variables of interest. Results: In the full sample (n = 707), we found significant positive bivariate correlations between pursuing gender affirmation and transgender congruence. In terms of demographics, NB participants were significantly more likely to be queer (42.1%), polyamorous (25.5%), unemployed (44.8%), and younger (median = 22) than TW and TM. They also reported taking significantly fewer gender affirmation processes, with significant differences between the three groups in terms of particular experiences. The NB participants also reported significantly lower rates of transgender congruence, specifically lower appearance congruence though similar gender identity acceptance. Conclusion: The NB transgender adults in this sample report unique identity-related characteristics, including significantly lower rates of medical/social transition as well as decreased transgender congruence. These data are among the first to describe unique pathways by which NB adults, TW, and TM may pursue gender affirmation and interact with providers as they navigate congruence, transition, and well-being.

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“…Gendered pronouns could be an additional cause of distress as many languages, including the English and Spanish language, do not possess non-gendered pronouns. This is likely to leave non-binary transgender people feeling as if their gender identity is not socially recognised and hence validated (e.g., Fiani & Han, 2018;Monro, 2019;Vincent, 2019).…”

Section: Discussionmentioning

confidence: 99%

Mental health and quality of life in non-binary transgender adults: a case control study

Jones¹,

Bouman²,

Haycraft³

et al. 2020

Non-Binary and Genderqueer Genders

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Background: The social challenges that non-binary people experience, due in part to social intolerance and the lack of validation of non-binary gender identities, may affect the mental health and quality of life of this population. However, studies that have distinguished between non-binary and binary transgender identities are lacking. Objective: To compare the mental health and quality of life of a community sample of nonbinary transgender adults with controls (binary transgender people and cisgender people) matched on sex assigned at birth. Method: A total of 526 participants were included. Ninety-seven were classified as non-binary and were compared with two control groups: 91 people classified as binary and 338 cisgender people. Only transgender people not on gender affirming hormone treatment or who had not undergone gender affirming surgery were included. Participants were invited to complete an online survey that included mental health and quality of life measures. Results: Non-binary people reported significantly better mental health than binary transgender people, but worse than cisgender people. Overall, there were no significant differences in quality of life between non-binary and binary transgender participants assigned male at birth and transgender females, but non-binary assigned males at birth had better scores on the psychological and social domains of quality of life than transgender males. Quality of life was better across all domains in cisgender people than transgender groups. Conclusion: There is an inequality with regard to mental health and quality of life between non-binary (and binary) transgender people and the cisgender population that needs to be addressed. The better mental health scores in non-binary people may reflect lower levels of body dissatisfaction among the non-binary population. Mental health problems and poor quality of life are likely to have social causes and hence legislative measures and broader government-led inclusive directives should be put in place to recognize and to validate nonbinary identifying people.

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Breaking down barriers and binaries in trans healthcare: the validation of non-binary people

Abstract: This article has been republished with minor changes. These changes do not impact the academic content of the article.

Cited by 37 publications

References 18 publications

Both sex- and gender-related factors should be considered in autism research and clinical practice

Both sex- and gender-related factors should be considered in autism research and clinical practice

Toward Nonbinary Nuance in Research and Care: Mapping Differences in Gender Affirmation and Transgender Congruence in an Online National U.S. Survey

Mental health and quality of life in non-binary transgender adults: a case control study

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