Sexual Health

Non-Binary People's Sexuality, Sexual Health, and Relationship Satisfaction: A Review of 12 Years of Quantitative Research (2012-2024).

TL;DR

Non-binary people often report non-monosexual sexual identities, more attraction to and relationships with other non-binary individuals, and similar levels of sexual and relationship satisfaction as binary transgender people, though research tools are frequently not inclusive enough to adequately represent their experiences.

Key Findings

Non-binary people frequently report non-monosexual sexual identities such as queer and pansexual.

  • The review synthesized 44 articles published between 2012 and 2024.
  • Searches were conducted on PsycINFO, Web of Science, and MEDLINE for papers in Italian or English.
  • Non-monosexual identities (e.g., queer, pansexual) were among the most commonly reported sexual identities in this population.
  • This pattern was identified across the range of quantitative studies included in the synthesis.

Non-binary people report more attraction to and relationships with other non-binary individuals compared to binary gender groups.

  • This finding emerged across multiple studies included in the 44-article synthesis.
  • The review covered a 12-year period from 2012 to 2024.
  • This pattern suggests within-group attraction preferences distinct from those of binary transgender or cisgender populations.
  • The review noted this as one of the distinguishing features of non-binary people's sexual and relational experiences.

Non-binary people report similar levels of sexual satisfaction and relationship satisfaction compared to binary transgender people.

  • This finding was synthesized across the 44 quantitative studies included in the review.
  • The comparison group was binary transgender people (trans men and trans women), not cisgender individuals.
  • The review covered sex-related variables including sexual health and relationship satisfaction.
  • The authors noted that grouping gender minority individuals together in analyses may obscure within-group differences that could affect this finding.

Research tools and language used in studies were frequently not inclusive or expansive enough to adequately represent non-binary people's experiences.

  • 44 articles were appraised for the inclusivity of measures for non-binary identities, focusing on language and terminology.
  • Gender minority individuals were often grouped together for analysis, 'hiding likely within group differences.'
  • The authors identified that gender-neutral language and measures were not consistently employed across the literature.
  • This methodological limitation was identified as a key gap requiring attention in future research.

The number of publications on the sexuality of gender minority individuals, including non-binary people, has grown over the 12-year period reviewed.

  • The review covered quantitative research published between 2012 and 2024.
  • 44 articles were ultimately included for synthesis from searches across three databases: PsycINFO, Web of Science, and MEDLINE.
  • Papers included were in Italian or English.
  • The authors describe this growth in research interest as a motivation for conducting a comprehensive systematic review.

Future research should consider non-binary individuals separately from binary transgender people rather than grouping all gender minority individuals together.

  • The authors found that combining gender minority groups in analyses obscures 'likely within group differences.'
  • The recommendation is to use gender-neutral language and measures.
  • The goal stated is to 'better understand their specific sexual health, well-being, and relationship needs and outcomes.'
  • This recommendation emerged from the appraisal of measures across all 44 included studies.

What This Means

This research systematically reviewed 44 scientific studies published over 12 years (2012–2024) that used quantitative methods to examine the sexuality, sexual health, and relationship satisfaction of non-binary people — individuals whose gender identity falls outside the traditional man-woman binary. The review found several consistent patterns: non-binary people tend to identify with non-monosexual orientations (such as pansexual or queer), are more likely to be attracted to and form relationships with other non-binary people, and report levels of sexual and relationship satisfaction that are broadly similar to those of binary transgender people (trans men and trans women). However, the review also identified a significant problem with how research in this area has been conducted. Many studies grouped all gender minority people together — including non-binary, trans men, and trans women — when analyzing data, which can mask important differences specific to non-binary individuals. Additionally, the language and measurement tools used in studies were often not designed with non-binary people in mind, meaning their experiences may not be accurately captured. This research suggests that the scientific understanding of non-binary people's sexual health and relationships is still developing and that existing studies may underrepresent or misrepresent non-binary experiences due to methodological limitations. The authors call for future studies to treat non-binary individuals as a distinct group, use gender-neutral language, and develop more inclusive measurement tools, so that the specific needs and outcomes of non-binary people can be better understood and addressed.

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Citation

Mastrantonio F, Kovshoff H, Armstrong H. (2025). Non-Binary People's Sexuality, Sexual Health, and Relationship Satisfaction: A Review of 12 Years of Quantitative Research (2012-2024).. Archives of sexual behavior. https://doi.org/10.1007/s10508-025-03224-0