Gender identity and activity limitations: A national study on transgender and non-binary Canadians

作     者：Bai, Yihong Cao, Peiya Kim, Chungah Ienciu, Kristine Selvaratnam, Inthuja Abramovich, Alex Jakubiec, Brittany Brennan, David J. Chum, Antony 

作者机构：York Univ Sch Kinesiol & Hlth Sci Toronto ON Canada Western Univ Dept Epidemiol & Biostat Toronto ON Canada Univ Toronto Dalla Lana Sch Publ Hlth Toronto ON Canada Ctr Addict & Mental Hlth CAMH Toronto ON Canada Egale Canada Toronto ON Canada Univ Toronto Factor Inwentash Fac Social Work Toronto ON Canada 

出 版 物：《PREVENTIVE MEDICINE》 (Prev. Med.)

年 卷 期：2025年第192卷

页      面：108224-108224页

核心收录：

学科分类：12[管理学] 1204[管理学-公共管理] 120402[管理学-社会医学与卫生事业管理(可授管理学、医学学位)] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 10[医学] 

基　　金：Canadian Institutes of Health Research Canada Research Chairs [CRC-2021-00269] Social Sciences and Humanities Research Council [435-2020-1086] 

主　　题：activity limitation transgender non-binary Canada Census 

摘      要：Introduction: Activity limitations among transgender and non-binary individuals remain largely unexplored using population-based samples. This study examines the risk of activity limitations across different gender identities in Canada. Method: Using data from the 2021 Canadian long-form Census, logistic regressions estimated the adjusted odds of reporting activity limitations (seeing, hearing, mobility/dexterity, mental, cognitive, and other) across gender identities. Results: Non-binary individuals assigned female at birth (AFAB) had the highest predicted probability of reporting any activity limitations (76.13 %), followed by non-binary individuals assigned male at birth (AMAB) at 61.56 %, transgender men (44.71 %), and transgender women (34.41 %). Cisgender men (19.31 %) and cisgender women (21.98 %) had the lowest probabilities. Mental limitations showed the largest disparity, with 39.4 % of non-binary AFAB individuals affected, compared to 4.9 % of cisgender men. These findings highlight significant disparities in activity limitations across gender identities. Conclusion: Non-binary and transgender individuals are most at risk for activity limitations. These findings underscore the need for targeted policies to address challenges faced by gender-diverse populations. Future research should investigate the mechanisms behind these disparities. Healthcare policies must prioritize culturally competent, transgender-inclusive care to reduce disparities in activity limitations.