48 Annual Meeting

th
Submission ID #: 2135

Predictors of Age of Initiation of Gender Affirmation:

Time Trends and Demographic Predictors

Rania El Mais MD, Christopher Morley MD PhD, Rachel Hopkins

MD

Department of Endocrinology & Department of Public Health,

SUNY Upstate Medical University, Syracuse, NY, USA
PURPOSE RESULTS CONCLUSIONS
Table 1 - Linear Regression Model Age at
-Increasing visibility+ acceptance Initiation by Year of Initiation, 1964-2019 -Over the last 9 years, trans females
-Mean AOI over time: trend unevenly upward
of transgender people in popular   Constant Beta p AOI trended upward
culture in recent years, -Trans-Female trending upward in age
-Year of initiation: not a significant predictor of AOI
Year of Initiation (All Cases) 23.289 0.73 NS
-Study examined trend of age of -Predictors of an older AOI of
initiation (AOI) of gender affirming Year of Initiation Trans hormone therapy: trans-female,
18.882 .233 .017
therapy over time+ effect of Female Only being white
demographic covariates on this Year of Initiation Trans Male -.06
AOI 26.675 NS
Only 8
REFERENCES
METHODS -Andre C. Breaking into Transgender Life:
-Retrospective cohort study Transgender Audiences' Experiences with
including transgender patients>18 Table 2 - Linear Regression Model of predictors "First of its Kind" Visibility in Popular Media.
2017.
y.o. seen in an endocrine clinic on Age at Initiation
from 2010-2019 -Van Kesteren PJ, Gooren LJ, Megens JA.
-Data collected: age, gender Beta p An epidemiological and demographic study
identification, religion, ethnicity, Year of Initiation 0.107 NS of transsexuals in The Netherlands. Arch
Sex Behav. 1996;25(6):589-600.
race, insurance type, employment Trans Female 6.214 <.001
status White 3.949 0.013 -The Report of the 2015 U.S. Transgender
-Visually inspected mean AOI by Hispanic -3.462 NS Survey. 2015.
year of initiation+ tested the Employed at start 6.101 <.001 -Dowshen NL, Christensen J, Gruschow SM.
relationship using linear Health Insurance Coverage of
regression techniques. Commercial Insurance -5.313 <.001 Recommended Gender-Affirming Health
-Then examined effect of Care Services for Transgender Youth:
Religious Identification & Mental Health indicators Shopping Online for Coverage Information.
covariates as binary variables on
were not significant predictors of Age of Initiation Transgend Health. 2019;4(1):131-5
age