Socioeconomic status in Danish transgender persons: a nationwide register-based cohort study
Background: Gender dysphoria could be associated with low socioeconomic status (SES). SES could be modified by age, ethnic background, and medical mor bidity. Aim: To determine SES in a national study population including transgender persons in Denmark. Methods: National register-based cohort st...
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Bioscientifica
2021-09-01
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Series: | Endocrine Connections |
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Online Access: | https://ec.bioscientifica.com/view/journals/ec/10/9/EC-21-0119.xml |
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author | Dorte Glintborg Katrine Hass Rubin Simon Bang Mohr Kristensen Øjvind Lidegaard Guy T’Sjoen Aisa Burgwal Malene Hilden Marianne Skovsager Andersen |
author_facet | Dorte Glintborg Katrine Hass Rubin Simon Bang Mohr Kristensen Øjvind Lidegaard Guy T’Sjoen Aisa Burgwal Malene Hilden Marianne Skovsager Andersen |
author_sort | Dorte Glintborg |
collection | DOAJ |
description | Background: Gender dysphoria could be associated with low socioeconomic status (SES). SES could be modified by age, ethnic background, and medical mor bidity.
Aim: To determine SES in a national study population including transgender persons in Denmark.
Methods: National register-based cohort study in Danish transgender persons and age-matched controls. The transgender study cohort included persons with ICD-10 diagnosis code of 'gender identity disorder' and/or persons with legal sex change and persons who fulfiled the inclusion criteria during 2000–2018. The main outco me measure was SES including personal income, occupational status, and education.
Results: The cohort included 2770 transgender persons and 27,700 controls. In the transgender study cohort, 1437 were assigned male at birth (AMAB), median age (interquartile range, IQR) 26.0 (17.3) years, and 1333 were assigned female at birth (AFAB), median age 22.5 (10.3) years. Adjusting for age and sex, the relative risk ratio (RRR) of low vs high personal income was 5.6 (95% CI: 4.9; 6.3) in transgender persons compared to controls. The RRR of low vs high income was 6.9 (5. 8; 8.3) in persons AMAB compared to control males and 4.7 (3.9; 5.6) in persons AFAB compared to control females. The RRR of low vs high income was 3.7 (3.2; 4.3) in transgender persons of Danish origin compared to controls. The Charlson comorbidity index was comparable in transgender persons vs controls.
Conclusions: Being transgender was negatively associated with SES. In transgender persons, the risk of low vs high income could be more pronounced in transgender persons of foreign origin. |
first_indexed | 2024-04-11T15:01:13Z |
format | Article |
id | doaj.art-ff7028e78ee741fbb5bd2b3f70548d3c |
institution | Directory Open Access Journal |
issn | 2049-3614 |
language | English |
last_indexed | 2024-04-11T15:01:13Z |
publishDate | 2021-09-01 |
publisher | Bioscientifica |
record_format | Article |
series | Endocrine Connections |
spelling | doaj.art-ff7028e78ee741fbb5bd2b3f70548d3c2022-12-22T04:17:00ZengBioscientificaEndocrine Connections2049-36142021-09-0110911551166https://doi.org/10.1530/EC-21-0119Socioeconomic status in Danish transgender persons: a nationwide register-based cohort studyDorte Glintborg0Katrine Hass Rubin1Simon Bang Mohr Kristensen2Øjvind Lidegaard3Guy T’Sjoen4Aisa Burgwal5Malene Hilden6Marianne Skovsager Andersen7Department of Endocrinology, Odense University Hospital, Odense, Denmark; Institute of Clinical Research, University of Southern Denmark, Odense, DenmarkOpen Patient Data Explorative Network, Department of Clinical Research, University of Southern Denmark and Odense University Hospital, Odense, DenmarkOpen Patient Data Explorative Network, Department of Clinical Research, University of Southern Denmark and Odense University Hospital, Odense, DenmarkDepartment of Gynecology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark; Department of Clinical Medicine, University of Copenhagen, Copenhagen, DenmarkDepartment of Endocrinology and Center for Sexology and Gender, Ghent University Hospital, Gent, BelgiumDepartment of Endocrinology and Center for Sexology and Gender, Ghent University Hospital, Gent, BelgiumDepartment of Gynecology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark; Centre for Gender Identity, Department of Gynaecology, Rigshospitalet, University of Copenhagen, Copenhagen, DenmarkDepartment of Endocrinology, Odense University Hospital, Odense, Denmark; Institute of Clinical Research, University of Southern Denmark, Odense, DenmarkBackground: Gender dysphoria could be associated with low socioeconomic status (SES). SES could be modified by age, ethnic background, and medical mor bidity. Aim: To determine SES in a national study population including transgender persons in Denmark. Methods: National register-based cohort study in Danish transgender persons and age-matched controls. The transgender study cohort included persons with ICD-10 diagnosis code of 'gender identity disorder' and/or persons with legal sex change and persons who fulfiled the inclusion criteria during 2000–2018. The main outco me measure was SES including personal income, occupational status, and education. Results: The cohort included 2770 transgender persons and 27,700 controls. In the transgender study cohort, 1437 were assigned male at birth (AMAB), median age (interquartile range, IQR) 26.0 (17.3) years, and 1333 were assigned female at birth (AFAB), median age 22.5 (10.3) years. Adjusting for age and sex, the relative risk ratio (RRR) of low vs high personal income was 5.6 (95% CI: 4.9; 6.3) in transgender persons compared to controls. The RRR of low vs high income was 6.9 (5. 8; 8.3) in persons AMAB compared to control males and 4.7 (3.9; 5.6) in persons AFAB compared to control females. The RRR of low vs high income was 3.7 (3.2; 4.3) in transgender persons of Danish origin compared to controls. The Charlson comorbidity index was comparable in transgender persons vs controls. Conclusions: Being transgender was negatively associated with SES. In transgender persons, the risk of low vs high income could be more pronounced in transgender persons of foreign origin.https://ec.bioscientifica.com/view/journals/ec/10/9/EC-21-0119.xmltransgendergender identitygender incongruenceregister-basedsocioeconomic statusethnicitynationwidecharlson comorbidity index |
spellingShingle | Dorte Glintborg Katrine Hass Rubin Simon Bang Mohr Kristensen Øjvind Lidegaard Guy T’Sjoen Aisa Burgwal Malene Hilden Marianne Skovsager Andersen Socioeconomic status in Danish transgender persons: a nationwide register-based cohort study Endocrine Connections transgender gender identity gender incongruence register-based socioeconomic status ethnicity nationwide charlson comorbidity index |
title | Socioeconomic status in Danish transgender persons: a nationwide register-based cohort study |
title_full | Socioeconomic status in Danish transgender persons: a nationwide register-based cohort study |
title_fullStr | Socioeconomic status in Danish transgender persons: a nationwide register-based cohort study |
title_full_unstemmed | Socioeconomic status in Danish transgender persons: a nationwide register-based cohort study |
title_short | Socioeconomic status in Danish transgender persons: a nationwide register-based cohort study |
title_sort | socioeconomic status in danish transgender persons a nationwide register based cohort study |
topic | transgender gender identity gender incongruence register-based socioeconomic status ethnicity nationwide charlson comorbidity index |
url | https://ec.bioscientifica.com/view/journals/ec/10/9/EC-21-0119.xml |
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