Association Between Gender Affirmation and Adoption Interest Among a Large Sample of Transgender, Nonbinary, and Gender-Diverse Populations in Washington State, 2023.
Objectives. To investigate the association between gender affirmation and interest in adoption among transgender, nonbinary, and gender-diverse adults. Methods. We analyzed data from the Washington Priority Assessment in Trans Health Project, which was conducted in Washington State in 2023. We contr...
| Publicado en: | American Journal of Public Health Vol. 116; no. 2; pp. 229 - 240 |
|---|---|
| Autores principales: | , , , , , , , |
| Formato: | Artículo |
| Publicado: |
American Public Health Association
Feb2026
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=190911978&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 190911978 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Feb2026 vid: 116 iid: 2 pid: 44 pub: American Public Health Association artinfo: ui: 190911978 10.2105/AJPH.2025.308312 ppf: 229 ppct: 11 formats: tig: atl: Association Between Gender Affirmation and Adoption Interest Among a Large Sample of Transgender, Nonbinary, and Gender-Diverse Populations in Washington State, 2023. aug: au: Ogunbajo, Adedotun DeAtley, Teresa Breslow, Aaron Gamarel, Kristi Operario, Don Kershaw, Trace Tavernier, Rebecca L. Emery Restar, Arjee Javellana su: Washington (State) Gender-nonconforming people Health services accessibility Documentation Cross-sectional method Trans men Gender identity Transphobia Asian Americans African Americans Transgender people Health insurance Food security Residential patterns Nonbinary people Sociodemographic factors Trans women Public health Psychosocial factors Adoption Educational attainment Scale analysis (Psychology) Research funding Gender affirming care Multiple regression analysis Questionnaires Descriptive statistics Chi-squared test Multivariate analysis Odds ratio Intention Confidence intervals Data analysis software Comparative studies sug: subj: Gender-nonconforming people Health services accessibility Documentation Cross-sectional method Trans men Gender identity Transphobia Asian Americans African Americans Transgender people Health insurance Food security Residential patterns Nonbinary people Sociodemographic factors Trans women Public health Psychosocial factors Adoption Educational attainment Washington (State) Direct individual life, health and medical insurance carriers Direct group life, health and medical insurance carriers Health and Welfare Funds Scale analysis (Psychology) Research funding Gender affirming care Multiple regression analysis Questionnaires Descriptive statistics Chi-squared test Multivariate analysis Odds ratio Intention Confidence intervals Data analysis software Comparative studies ab: Objectives. To investigate the association between gender affirmation and interest in adoption among transgender, nonbinary, and gender-diverse adults. Methods. We analyzed data from the Washington Priority Assessment in Trans Health Project, which was conducted in Washington State in 2023. We controlled for sociodemographic characteristics and health care indicators using multinomial logistic regression. Results. Of the 788 participants, 56% expressed interest in adoption, 24% were undecided or maybe interested, and 20% reported no interest. Participants who expressed interest in adoption were more likely to have updated their legal name documentation (adjusted odds ratio [AOR] = 4.7; 95% confidence interval [CI] = 2.73, 8.08), were more likely to have private insurance (AOR = 11.01; 95% CI = 2.89, 42.02), and were less likely to have food insecurity (AOR = 0.46; 95% CI = 0.20, 0.82). Participants who were undecided about adoption reported higher rates of legal gender affirmation (AOR = 1.59; 95% CI = 1.04, 2.42), educational attainment (AOR = 3.77; 95% CI = 1.19, 11.91), and internalized transphobia (AOR = 1.53; 95% CI = 1.01, 2.34). Conclusions. Legal gender affirmation and health care access were associated with adoption interest and were significantly influenced by economic stability and psychological factors. Comprehensive initiatives are needed to develop more trans-inclusive family-planning services. (Am J Public Health. 2026;116(2):229–239. https://doi.org/10.2105/AJPH.2025.308312) pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|