Job and Health Outcomes Among Transgender and Gender-Diverse Nurses
Bibliographic Data
| ID | 19462008 |
|---|---|
| Authors | Hyunmin Yu (0000-0002-6770-0808, University of Pennsylvania, corresponding author), Daniela Golinelli (0000-0002-6433-1752, University of Pennsylvania), Jose A Bauermeister (University of Pennsylvania, Philadelphia, USA), Jose Bauermeister (0000-0002-9276-2306, University of Pennsylvania), Karen B Lasater (0000-0002-5834-1954, University of Pennsylvania), Matthew D McHugh (0000-0002-1263-0697, University of Pennsylvania) |
| Year | 2026 |
| Volume | 37 |
| Issue | 4 |
| Pages | 605-616 |
| Publication date | 2026-07-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Transcultural Nursing (JOURNAL) |
| Journal identifiers | ISSN: 1043-6596 • E-ISSN: 1552-7832 |
| Publisher | SAGE Publications (PUBLISHER • US) |
| DOI | 10.1177/10436596261426096 |
| PMID | 41795701 |
| OpenAlex | W7134271720 |
| Language | EN |
| References cited | 42 |
Introduction: Transgender and gender-diverse (TGD) individuals face health disparities and workplace discrimination, yet the job and health outcomes of TGD nurses remain underexplored. Purpose: To investigate how gender identity affects job and health outcomes. Methods: This cross-sectional observational study included 52,491 nurses (52,455 identifying as cisgender and 36 as TGD) in New York and Illinois surveyed in 2021. Job outcomes were burnout and job dissatisfaction. Health outcomes were depression, anxiety, and overall health ratings. Propensity score weighting was used to address confounding factors. Doubly robust methods were applied to refine estimates. Results: Compared with cisgender nurses, TGD nurses had higher odds of high burnout (adjusted odds ratio [aOR] = 2.60, p = .036), job dissatisfaction (aOR = 2.21, p = .044), poorer overall health (aOR = 3.98, p < .001), and more depressive ( b = 0.82, p = .013) and anxiety symptoms ( b = 0.76, p = .044). Conclusions: TGD nurses reported poorer job and health outcomes than cisgender nurses, underscoring the need to identify workplace factors associated with these disparities
Gender identity · Health care · MEDLINE · Public health · Qualitative research · Transgender · LGBTQ Health, Identity, and Policy · Sex and Gender in Healthcare · Workplace Health and Well-being
Anxiety Disorders in Primary Care
Doubly Robust Estimation in Missing Data and Causal Inference Models
A tutorial on propensity score estimation for multiple treatments using generalized boosted models
Associations between minority stress, depression, and suicidal ideation and attempts in transgender and gender diverse (TGD) individuals
Propensity Score Estimation With Boosted Regression for Evaluating Causal Effects in Observational Studies.
The central role of the propensity score in observational studies for causal effects
Measuring Sex, Gender Identity, and Sexual Orientation
System-Level Factors Contributing to Burnout and Professional Well-Being Among Transgender and Gender-Diverse Nurses
Transgender Equity in the Workplace
Deconstructing the complex perceptions of gender roles, gender identity, and sexual orientation among transgender individuals
Job demands, job resources, and their relationship with burnout and engagement
The Patient Health Questionnaire-2
| Citation velocity | historical |
|---|---|
| Highly cited | No |