Gender identity and mental health inequalities 2001-2022: population-level evidence from an Australian cohort study

Abstract

Background Trans, non-binary and gender-diverse (TGD) people experience poorer mental health relative to cisgender populations. However, we know little on how TGD mental health inequalities are changing over time. With newly available information on gender identity within Australia's largest longitudinal household survey, we aimed to provide the first nationally representative estimates of temporal trends in TGD mental health inequalities. Methods We used the 2001-2022 Household, Income and Labour Dynamics in Australia Survey, a national probability sample of Australian adults. Using questions about sex at birth and gender identity, asked in the 2022 wave, we compared temporal trends in ment..