The Mental Health Age Gradient by Gender Identity

Samuel J. Mann, Megan S. Schuler, Annaliese Paulson, Michael S. Dunbar

ResearchPosted on rand.org Jun 18, 2025Published in: Social Psychiatry and Psychiatric Epidemiology (2025). doi: 10.1007/s00127-025-02895-3

Using data from the Behavioral Risk Factor Surveillance System (BRFSS) 2017–2022 we estimated adjusted and unadjusted differences in self-reported number of poor mental health days (past month) between gender minority (GM) and cisgender adults. We document that the disparity is largest among younger individuals. Among 18- to 23-year-olds, GM adults report on average 14.5 days of poor mental health, compared to 6.3 days for cisgender individuals, yielding an unadjusted disparity of 8.2 days [95% CI: 7.15, 9.24]. This disparity decreases with age – among people over the age of 73, the observed difference was 1.7 days [95% CI: 0.13, 3.27].

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Document Details

  • Publisher: Springer Nature
  • Availability: Non-RAND
  • Year: 2025
  • Pages: 3
  • Document Number: EP-70954

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