Association Between Gender Affirmation and Adoption Interest Among a Large Sample of Transgender, Nonbinary, and Gender-Diverse Populations in Washington State, 2023.
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| Title: | Association Between Gender Affirmation and Adoption Interest Among a Large Sample of Transgender, Nonbinary, and Gender-Diverse Populations in Washington State, 2023. |
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| Authors: | Ogunbajo, Adedotun, DeAtley, Teresa, Breslow, Aaron, Gamarel, Kristi, Operario, Don, Kershaw, Trace, Tavernier, Rebecca L. Emery, Restar, Arjee Javellana |
| Source: | American Journal of Public Health. Feb2026, Vol. 116 Issue 2, p229-239. 11p. |
| Subjects: | Gender-nonconforming people, Health services accessibility, Documentation, Cross-sectional method, Scale analysis (Psychology), Trans men, Gender identity, Research funding, Transphobia, Asian Americans, African Americans, Transgender people, Gender affirming care, Multiple regression analysis, Health insurance, Food security, Questionnaires, Residential patterns, Nonbinary people, Descriptive statistics, Chi-squared test, Multivariate analysis, Odds ratio, Intention, Sociodemographic factors, Confidence intervals, Data analysis software, Comparative studies, Trans women, Public health, Psychosocial factors, Adoption, Educational attainment |
| Geographic Terms: | Washington (State) |
| Abstract: | 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) [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | 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) [ABSTRACT FROM AUTHOR] |
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| ISSN: | 00900036 |
| DOI: | 10.2105/AJPH.2025.308312 |
