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Title: Non-Binary and Binary Gender Identity in Australian Trans and Gender Diverse Individuals.
Austin Authors: Cheung, Ada S ;Leemaqz, Shalem Y;Wong, John W P;Chew, Denise;Ooi, Olivia;Cundill, Pauline;Silberstein, Nicholas;Locke, Peter;Zwickl, Sav;Grayson, Ren;Zajac, Jeffrey D ;Pang, Ken C
Affiliation: Murdoch Children's Research Institute and University of Melbourne (Department of Paediatrics), Royal Children's Hospital, Parkville, VIC, Australia
Adelaide Medical School, The University of Adelaide, Adelaide, SA, Australia
Royal Melbourne Hospital, Parkville, VIC, Australia
Equinox Gender Diverse Health Centre, Thorne Harbour Health, Fitzroy, VIC, Australia
Medicine (University of Melbourne)
Issue Date: 13-Apr-2020
Date: 2020-04-13
Publication information: Archives of Sexual Behavior 2020; online first: 13 April
Abstract: Many trans and gender diverse (TGD) people have gender identities that are not exclusively male or female but instead fall in-between or outside of the gender binary (non-binary). It remains unclear if and how those with non-binary gender identity differ from TGD individuals with binary identities. We aimed to understand the sociodemographic and mental health characteristics of people with non-binary identities compared with binary TGD identities. We performed a retrospective audit of new consultations for gender dysphoria between 2011 and 2016 in three clinical settings in Melbourne, Australia; (1) Equinox Clinic, an adult primary care clinic, (2) an adult endocrine specialist clinic, and (3) the Royal Children's Hospital, a child and adolescent specialist referral clinic. Age (grouped by decade), gender identity, sociodemographic, and mental health conditions were recorded. Of 895 TGD individuals, 128 (14.3%) had a non-binary gender. Proportions differed by clinical setting; 30.4% of people attending the adult primary care clinic, 7.4% attending the adult endocrine specialist clinic, and 8.0% attending the pediatric clinic identified as non-binary. A total of 29% of people in the 21-30-year-old age-group had a non-binary gender identity, higher than all other age-groups. Compared to TGD people with a binary gender identity, non-binary people had lower rates of gender-affirming interventions, and a higher prevalence of depression, anxiety, and illicit drug use. Tailoring clinical services to be inclusive of non-binary people and strategies to support mental health are required. Further research to better understand health needs and guide evidence-based gender-affirming interventions for non-binary people are needed.
DOI: 10.1007/s10508-020-01689-9
ORCID: 0000-0001-5257-5525
Journal: Archives of Sexual Behavior
PubMed URL: 32285311
Type: Journal Article
Subjects: Gender dysphoria
Gender identity
Appears in Collections:Journal articles

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