Comparison of Gender Minority Stress and Resilience Among Transmasculine, Transfeminine, and Nonbinary Adolescents and Young Adults

Purpose: This study examined whether transmasculine, transfeminine, and nonbinary adolescents and young adults (AYA) experience different levels of gender minority stress and resilience. Methods: Demographic and clinical information were abstracted from medical charts from AYA initiating gender-affirming care. Group comparisons between transgender and nonbinary groups were examined using one-way analyses of variance and Tukey's honestly significant difference post hoc tests. Results: Participants were 638 transgender and nonbinary AYA (65.5% transmasculine, 24.6% transfeminine, and 9.9% nonbinary). Transmasculine and transfeminine AYA reported more discrimination (ps = .008 and .006, respectively) compared to non-binary AYA. Transfeminine and nonbinary AYA reported more negative future expectations (ps = .006 and .016, respectively) and pride (ps <= .001 and .032, respectively) than transmasculine AYA. Conclusions: Findings suggest that transmasculine, transfeminine, and nonbinary AYA experience different levels of gender minority stress and resilience. Future research is warranted to further examine between-group differences and differential impact on mental health outcomes. (C) 2020 Society for Adolescent Health and Medicine. All rights reserved.

Automated summary

This study found that transmasculine, transfeminine, and nonbinary adolescents and young adults experience different levels of gender minority stress and resilience. Transmasculine and transfeminine individuals reported more discrimination, while transfeminine and nonbinary individuals reported more negative future expectations and pride compared to transmasculine individuals.