Sexual orientation, gender expression and socioeconomic status in the National Longitudinal Study of Adolescent to Adult Health

Citation

Hernandez, Stephanie, M.; Halpern, Carolyn T.; & Conron, Kerith, J. (2023). Sexual orientation, gender expression and socioeconomic status in the National Longitudinal Study of Adolescent to Adult Health. Journal of Epidemiology and Community Health.

Abstract

Background: Socioeconomic status (SES) is a fundamental contributor to health, yet it is rarely examined relative to gender expression, particularly gender non-conformity and sexual orientation.
Methods: We use data from 11, 242 Wave V respondents (aged 33–44) in the National Longitudinal Study of Adolescent to Adult Health (2016–2018) to examine associations between socially assigned gender expression, sexual orientation and SES, in logistic and multinomial regression models stratified by sex assigned at birth.
Results: Among both women and men a general pattern of heightened risk for lower SES among gender non-conforming sexual minorities relative to gender conforming heterosexuals was observed. Gender non-conforming heterosexuals were also at elevated risk of lower SES compared with their conforming heterosexual peers.
Conclusion: Socioeconomic differences by sexual orientation and gender expression have important implications for understanding health disparities among gender non-conforming sexual minorities and their gender conforming heterosexual counterparts.

URL

https://doi.org/10.1136/jech-2022-220164

Keyword(s)

Cohort analysis

Reference Type

Journal Article

Journal Title

Journal of Epidemiology and Community Health

Author(s)

Hernandez, Stephanie, M.
Halpern, Carolyn T.
Conron, Kerith, J.

Year Published

2023

Edition

November 28, 2023

DOI

10.1136/jech-2022-220164

Reference ID

10187