Family Support in Transgender and Gender-Diverse Young Adults Seeking Telehealth for Hormone Therapy.

Less than half of transgender and gender-diverse young adults seeking telehealth hormone therapy reported having family support.

• Cross-sectional data from TGD young adults ages 18-24 (n = 7,740) were analyzed.
• Participants provided demographic information and information on family support at intake.
• Data came from a US telehealth service providing gender-affirming hormone therapy.
• The sample represents a geographically diverse population across the United States.

Patients with family support reported lower rates of depression compared to those without family support.

• The relationship between family support and depression rates was examined in TGD young adults ages 18-24.
• Family support was identified as potentially mitigating mental health disparities in TGD young adults.
• Depression rates were assessed at intake along with family support status.
• The finding suggests family support functions as a key social determinant of mental health in this population.

Patients with family support had higher incidence of previous gender-affirming medical care, including hormone therapy and surgeries.

• Prior gender-affirming medical care included both hormone therapy and surgeries.
• This association was identified in the cross-sectional intake data from the telehealth service.
• The finding suggests family support may facilitate earlier or greater access to gender-affirming care.

Patients with family support had lower rates of being uninsured.

• Insurance status and family support were found to be closely related in this geographically diverse population.
• The relationship between family support and insurance status was examined across the full sample of 7,740 young adults.
• The finding underscores the interconnected nature of social determinants of health in TGD young adults seeking telehealth.

Patients with family support were more likely to reside in the Northeast or Western United States.

• Geographic variation in family support rates was identified across the US telehealth sample.
• The relationship between family support and geography was among the key associations examined.
• The sample was described as geographically diverse, spanning multiple US regions.

Young adults assigned female at birth had higher rates of family support compared to other groups.

• Sex assigned at birth was examined in relation to family support rates.
• This difference was identified within the sample of TGD young adults ages 18-24 (n = 7,740).
• The finding highlights demographic variation in family support within the TGD population.