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Table 2 Bivariate and multivariable associations between socio-demographics, resilience, support, acceptance, violence, and discrimination and mental health and substance use status in a sample of trans masculine adults (N = 150)

From: Risk and protective factors for mental health morbidity in a community sample of female-to-male trans-masculine adults

 

PTSD

BSI - DEPRESSED

BSI - ANXIETY

NSSI - PAST 12 MONTHS

 

Bivariate

Multivariable

Bivariate

Multivariable

Bivariate

Multivariable

Bivariate

Multivariable

 

OR

95% CI

P-Value

aOR

95% CI

P-Value

OR

95% CI

P-Value

aOR

95% CI

P-Value

OR

95% CI

P-Value

aOR

95% CI

P-Value

OR

95% CI

P-Value

aOR

95% CI

P-Value

Age

 Continuous

1.00

0.95–1.06

0.94

   

0.91

0.84–0.99

0.03

†

†

†

0.97

0.91–1.04

0.35

   

0.82

0.71–0.94

0.004

0.85

0.74–0.98

0.02

Race

 White

1.00

–

–

–

–

–

1.00

–

–

–

–

–

1.00

–

–

–

–

–

1.00

–

–

–

–

–

 Person of color

0.97

0.45–2.08

0.94

–

–

–

0.75

0.31–1.81

0.52

–

–

–

0.77

0.34–1.77

0.54

–

–

–

1.55

0.58–4.15

0.39

–

–

–

Gender Identity

 Binary

1.00

–

–

–

–

–

1.00

–

–

1.00

–

–

1.00

–

–

1.00

–

–

1.00

–

–

–

–

–

 Nonbinary

1.76

0.82–3.82

0.15

–

–

–

2.20

0.97–5.01

0.06

†

†

†

2.11

0.96–4.67

0.06

†

†

†

1.69

0.63–4.57

0.30

–

–

–

Educational Attainment

 High school or equivalent

0.38

0.10–1.45

0.16

–

–

–

3.25

0.98–10.78

0.05

4.71

1.06–20.96

0.04

1.12

0.32–3.92

0.86

–

–

–

1.15

0.23–5.64

0.86

–

–

–

 Some college or more

1.00

–

–

–

–

–

1.00

–

–

1.00

–

–

1.00

–

–

–

–

–

1.00

–

–

–

–

–

Employment Status

 Employed

1.00

–

–

1.00

–

–

1.00

–

–

–

–

–

1.00

–

–

–

–

–

1.00

–

–

–

–

–

 Unemployed

2.99

1.33–6.70

0.01

2.76

1.04–7.29

0.04

1.02

0.43–2.43

0.97

–

–

–

1.24

0.55–2.78

0.61

–

–

–

1.26

0.45–3.52

0.66

–

–

–

Annual Household Income

 $32,000 or less

2.58

1.27–5.25

0.01

†

†

†

2.53

1.14–5.62

0.02

†

†

†

4.11

1.87–9.00

< 0.001

3.95

1.61–9.71

0.003

1.89

0.71–5.06

0.20

–

–

–

  > $32,000

1.00

–

–

1.00

–

–

1.00

–

–

1.00

–

–

1.00

–

–

1.00

–

–

1.00

–

–

–

–

–

Partnered

 No

1.00

–

–

1.00

–

–

1.00

–

–

–

–

–

1.00

–

–

1.00

–

–

1.00

–

–

–

–

–

 Yes

0.45

0.23–0.89

0.02

0.38

0.17–0.88

0.02

0.54

0.26–1.15

0.11

–

–

–

0.50

0.24–1.02

0.06

†

†

†

1.25

0.47–3.29

0.65

–

–

–

Unstably Housed - Past 12 Months

 No

1.00

–

–

1.00

–

–

1.00

–

–

1.00

–

–

1.00

–

–

1.00

–

–

1.00

–

–

1.00

–

–

 Yes

4.24

1.43–12.63

0.01

†

†

†

2.67

0.97–7.36

0.06

†

†

†

2.51

0.93–6.83

0.07

†

†

†

3.53

1.16–10.73

0.03

†

†

†

Problems Accessing Gender-Affirming Care - Past 12 Months

 No

1.00

–

–

1.00

–

–

1.00

–

–

–

–

–

1.00

–

–

–

–

–

1.00

–

–

–

–

–

Yes

2.39

1.11–5.15

0.03

†

†

†

0.91

0.38–2.15

0.83

–

–

–

1.76

0.81–3.82

0.15

–

–

–

1.89

0.72–4.95

0.19

–

–

–

RESILIENCE, SUPPORT & ACCEPTANCE

 Resilience Score (n = 148)

  Continuous

0.90

0.81–0.99

0.04

†

†

†

0.80

0.71–0.91

< 0.001

0.81

0.71–0.93

0.003

0.79

0.70–0.89

< 0.001

0.77

0.66–0.90

< 0.001

0.74

0.64–0.87

< 0.001

0.78

0.66–0.91

0.002

 Social Support Score (n = 149)

  Continuous

0.91

0.83–0.99

0.02

†

†

†

0.91

0.83–1.00

0.05

†

†

†

0.88

0.80–0.97

0.01

–

–

–

0.97

0.86–1.08

0.55

–

–

–

  Self-Acceptance (n = 146)

               

†

†

†

      

  Continuous

0.77

0.59–1.00

0.05

†

†

†

0.69

0.52–0.91

0.01

†

†

†

0.80

0.62–1.03

0.08

†

†

†

0.81

0.59–1.10

0.18

–

–

–

 Acceptance - Other Trans People (n = 146)

  Continuous

0.80

0.67–0.95

0.01

†

†

†

0.78

0.65–0.93

0.01

†

†

†

0.79

0.66–0.94

0.01

†

†

†

0.92

0.74–1.14

0.44

–

–

–

DISCRIMINATION & VIOLENCE

 Any IPV - Lifetime

  No

1.00

–

–

1.00

–

–

1.00

–

–

1.00

–

–

1.00

–

–

–

–

–

1.00

–

–

–

–

–

  Yes

3.75

1.72–8.17

< 0.001

3.08

1.26–7.53

0.01

2.74

1.11–6.77

0.03

†

†

†

2.23

1.00–4.99

0.05

†

†

†

0.85

0.33–2.20

0.74

–

–

–

 Everyday Discrimination - Past 12 Months

  Continuous

1.09

1.05–1.14

< 0.001

1.07

1.02–1.12

0.01

1.09

1.04–1.14

< 0.001

1.08

1.03–1.13

0.002

1.11

1.06–1.17

< 0.001

1.09

1.03–1.15

0.003

1.08

1.02–1.13

0.01

1.06

1.01–1.13

0.03

  1. Note: Bolded p-values = significant a p < 0.05. Multivariable models included any variable with an association <= 0.10 and used backward selection. Final models 1 to 11% missing: PTSD (n = 137); Depressed (n = 148); Anxiety (n = 134); and Self Harm (n = 147)
  2. † Included in multivariable model and ultimately excluded via backward selection
  3. PTSD post-traumatic stress disorder, IPV Intimate partner violence, NSSI non-suicidal self-injury
  4. Predictive validity of model based on Area Under the Curve: Model 1 = 0.75 (acceptable); Model 2 = 0.77 (acceptable); Model 3 = 0.82 (excellent); Model 4 = 0.81 (excellent)