Reproductive endocrinology

Gender-affirming treatment and mental health diagnoses in Danish transgender persons: a nationwide register-based cohort study

Eur J EndocrinolPublished Nationwide register-based cohort study

Authors' conclusion

The OR for mental health disorders was higher in transgender persons compared to controls and remained elevated throughout follow up, especially in transgender persons AMAB.

Study context

Population
Danish transgender persons with diagnosis code of "gender identity disorder", 2000–2021; median age 19 (assigned female at birth (AFAB)) and 23 (assigned male at birth (AMAB)) years3,812 transgender, 38,120 controls
Participants
1,993 / 1,819 / 38,120
Exposure
Transgender persons vs age-matched controls
  • AFABn = 1,993
  • AMABn = 1,819
  • Controlsn = 38,120reference
Outcome
Diagnosis codes of mental and behavioral disorders and/or prescription of psychopharmacological agents
Follow-up
Until June 2022
Methodological detailsage-matched controls, five controls of same sex and five of other sex at birth per transgender person
  • Age-matched controls
  • Five controls of same sex and five of other sex at birth per transgender person

Main finding

As reported in the abstract

Mental and behavioral disorders · before index date; 1, 5 and 8 years follow up
Odds ratio (95% CI)P value
AFABvs Control womenbefore index date
6.7(5.5–8.1)
AFABvs Control women1 year
9.9(8.4–11.7)
AFABvs Control women5 years
5.8(4.4–7.7)
AFABvs Control women8 years
3.4(2.1–7.5)
AMABvs Control menbefore index date
5.0(4.0–6.4)
all P < .001
AMABvs Control men1 year
11.3(9.3–13.7)
all P < .001
AMABvs Control men5 years
4.8(3.5–6.5)
all P < .001
AMABvs Control men8 years
6.6(4.2–10.3)
all P < .001

Observational data: associations, not effects.

Original publication

Gender-affirming treatment and mental health diagnoses in Danish transgender persons: a nationwide register-based cohort study. Eur J Endocrinol. Published 6 September 2023. doi:10.1093/ejendo/lvad119

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