Differences Between Transgender and Gender Diverse Adults in Michigan Currently Using Gender-Affirming Hormone Therapy and Nonusers Reporting Interest in Future Use.

About two-thirds of surveyed TGD individuals in Michigan had ever used hormone therapy.

• Total respondents: N = 536
• 65.7% had ever used hormone therapy
• Sample was 80.1% White and 18.0% nonbinary
• Survey conducted in Michigan in 2018
• Logistic regression models were used to examine differences between current HT users and those interested in future use

Nonbinary participants were much more likely to be in the future HT interest group compared to transmasculine individuals.

• Odds ratio for nonbinary participants vs. transmasculine individuals: OR = 6.91
• This finding was from multivariate logistic regression analyses
• No significant difference was found between transmasculine and transfeminine individuals
• Authors interpret this as nonbinary individuals potentially lacking access rather than lacking interest

Black participants had higher odds of being in the future HT interest group compared to other racial groups.

• Odds ratio for Black participants: OR = 8.79
• This finding was from multivariate logistic regression analyses
• Authors note this may reflect known health care disparities around race impacting HT access

Lack of trans-specific insurance coverage was strongly associated with being in the future HT interest group rather than being a current user.

• Participants who did not know if they had trans-specific insurance coverage had OR = 42.39 compared to those with full trans care coverage
• Those with no trans-specific insurance coverage had OR = 4.50 compared to those with full trans care coverage
• Both findings were from multivariate logistic regression analyses
• Authors conclude that standard and transparent insurance coverage for gender-affirming care is 'sorely needed'

Having a bachelor's degree was associated with lower odds of being in the future HT interest group compared to those with some college education or an associate's degree.

• This finding was from multivariate logistic regression analyses
• Specific odds ratio not reported in the abstract
• Authors note this may reflect socioeconomic status impacts on HT access

Heavy marijuana use was associated with lower odds of being in the future HT interest group.

• Heavy marijuana users were less likely to be in the future interest group compared to non-heavy users
• Specific odds ratio not reported in the abstract
• This finding was from multivariate logistic regression analyses