Treatment Preferences and Gender Affirmation of Nonbinary and Transgender People in a National Probability Sample

Abstract

Although visibility of nonbinary gender identities continues to improve in the United States, there is still a paucity of medical literature on the unique needs and experiences of nonbinary individuals. Using the TransPop survey, we compared gender-affirming treatment preferences and societal affirmation among nonbinary individuals, transmen, and transwomen using bivariate analysis and multivariable linear regression. Nonbinary individuals had or desired surgery and hormones at lower rates compared with binary transgender individuals. Nonbinary respondents had lower rates of adjusted and nonadjusted societal affirmation. This study showed variation in both treatment preferences and societal affirmation, which should be considered in clinical care and research studies clustering transgender and nonbinary individuals in analysis.