Reproductive endocrinology

Autoimmune diseases in 3812 Danish transgender persons and 38 120 cisgender controls before and after transgender care: a register-based cohort study

Eur J EndocrinolPublished Register-based cohort study

Authors' conclusion

Higher incidence of type 1 diabetes in TG compared with cisgender controls could be attenuated by TG care.

Study context

Population
Individuals diagnosed with gender dysphoria 2000–2021, Danish national registers3,812 transgender (TG), 38,120 controls
Participants
1,993 / 1,819 / 38,120
Exposure
Transgender persons vs age-matched cisgender controls of same and opposite birth sex
  • TMn = 1,993
  • TFn = 1,819
  • Controlsn = 38,120reference
Outcome
Any autoimmune disease, T1D and/or thyroid disease (ICD-10 diagnosis and/or medical treatment for T1D or thyroid disease)
Methodological detailsnational, age-matched controls
  • National
  • Age-matched controls

Main finding

As reported in the abstract

Autoimmune disease incidence before TG diagnosis
Each group vs controlsIncidence rate ratio (CI)
TMT1D; controls of same birth sex
1.98(1.16–3.36)
TFT1D; controls of same birth sex
1.66(1.05–2.61)
TFany autoimmune disease; controls of same birth sex
1.35(1.04–1.77)

Observational data: associations, not effects.

Further findings

OutcomeIRR (CI)
Autoimmune disease incidence after TG diagnosisTFvs ControlsThyroid disease; controls of same birth sex1.98 (1.09–3.61)
OutcomeEstimate
Autoimmune disease in TM using GAHT vs nonusers · after TG diagnosis2.50 (CI 1.10–5.67)

Autoimmune disease incidence after TG diagnosis

IRR for remaining autoimmune outcomes comparable between TG and controls of same birth sex

Original publication

Autoimmune diseases in 3812 Danish transgender persons and 38 120 cisgender controls before and after transgender care: a register-based cohort study. Eur J Endocrinol. Published 15 March 2025. doi:10.1093/ejendo/lvaf051

Composed by AI from the published abstract and checked against it. How Briefs are made →

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