Unmet need for gender-affirming care as a social determinant of mental health inequities for transgender youth in Aotearoa/New Zealand

Simple item page
dc.contributor.authorTan, Kyle K. H.en_NZ
dc.contributor.authorByrne, Jack L.en_NZ
dc.contributor.authorTreharne, Gareth J.en_NZ
dc.contributor.authorVeale, Jaimieen_NZ
dc.coverage.spatialEnglanden_NZ
dc.date.accessioned2023-02-01T23:42:37Z
dc.date.available2023-02-01T23:42:37Z
dc.date.issued2022-12-03en_NZ
dc.description.abstractBACKGROUND: Past studies have demonstrated better mental health and well-being among transgender youth who had accessed gender-affirming care. However, few existing studies have assessed unmet need for gender-affirming care as a social determinant of mental health inequities. METHODS: Data on unmet need for gender-affirming care, distress and suicidality were analysed from the 2018 Counting Ourselves nationwide community-based survey of transgender people in Aotearoa/New Zealand. Associations between unmet need for gender-affirming care and mental health indicators were tested for transgender youth within the sample (aged 14-26 years; n = 608; Mage = 20.5). RESULTS: Transgender youth reported unmet needs ranging from 42% for gender-affirming hormone to 100% for feminizing surgeries and voice surgeries. Overall unmet need for gender-affirming care was associated with worse mental health. Trans men with an unmet need for chest reconstruction (84%) scored an average of 7.13 points higher on the K10 Psychological Distress Scale relative to those whose need had been met. Participants reporting unmet need for hormones (42%) had twice the odds (adjusted odds ratios = 2.01; CI = 1.02-3.98) of having attempted suicide in the last 12 months. CONCLUSIONS: Dismantling barriers to accessing gender-affirming care could play a crucial role in reducing mental health inequities faced by transgender youth.en_NZ
dc.format.mimetypeapplication/pdf
dc.identifier.doi10.1093/pubmed/fdac131en_NZ
dc.identifier.eissn1741-3850en_NZ
dc.identifier.urihttps://hdl.handle.net/10289/15479
dc.language.isoenen_NZ
dc.publisherOxford University Press
dc.relation.isPartOfJournal of Public Healthen_NZ
dc.relation.urihttps://academic.oup.com/jpubhealth/advance-article/doi/10.1093/pubmed/fdac131/6871034
dc.rights© 2022 The Authors. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. This work is licensed under a CC BY 4.0 license.
dc.subjectgender-affirming careen_NZ
dc.subjectgender-affirming hormonesen_NZ
dc.subjectmental healthen_NZ
dc.subjectsuicideen_NZ
dc.subjecttransgenderen_NZ
dc.subjectyouthen_NZ
dc.titleUnmet need for gender-affirming care as a social determinant of mental health inequities for transgender youth in Aotearoa/New Zealanden_NZ
dc.typeJournal Article
pubs.elements-id301726
pubs.organisational-group/Waikato
pubs.organisational-group/Waikato/2026 PBRF
pubs.organisational-group/Waikato/DASL
pubs.organisational-group/Waikato/DASL/2026 PBRF - DASL
pubs.organisational-group/Waikato/DASL/DALPS Academics
pubs.organisational-group/Waikato/DASL/SPSY
pubs.organisational-group/Waikato/DASL/SPSY/2026 PBRF - SPSY
pubs.organisational-group/Waikato/DASL/SPSY/SPSY Academics
pubs.organisational-group/Waikato/Manually Created Groups
pubs.organisational-group/Waikato/Manually Created Groups/DHECS - Manually Created Groups
pubs.organisational-group/Waikato/VICH
pubs.organisational-group/Waikato/VICH/2026 PBRF - VICH
pubs.organisational-group/Waikato/VICH/DVCM
pubs.organisational-group/Waikato/VICH/DVCM/2026 PBRF
pubs.organisational-group/Waikato/VICH/DVCM/DVCM Academic
pubs.organisational-group/Waikato/VICH/FMIS
pubs.organisational-group/Waikato/VICH/FMIS/2026 PBRF - FMIS
pubs.organisational-group/Waikato/VICH/FMIS/FMIS Academic
pubs.publication-statusPublished onlineen_NZ
pubs.user.infoTan, Kar Hou (k.tan@waikato.ac.nz)
pubs.user.infoVeale, Jaimie (jaimie.veale@waikato.ac.nz)
uow.verification.statusverified
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Unmet need for gender-affirming care as a social determinant of mental health inequities for transgender youth in Aotearoa New Zealand.pdf
Size:
310.1 KB
Format:
Adobe Portable Document Format
Description:
Published version
Thumbnail Image
Name: Unmet need for gender-affirming care as a social determinant of mental health inequities for transgender youth in Aotearoa New Zealand.pdf
Size: 310.1 KB
Kind: Adobe PDF
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
Research Commons Deposit Agreement 2017.pdf
Size:
188.11 KB
Format:
Adobe Portable Document Format
Description:
Name: Research Commons Deposit Agreement 2017.pdf
Size: 188.11 KB
Kind: Adobe PDF
Collections
Arts and Social Sciences Papers