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Int J Environ Res Public Health. 2021 Mar 23;18(6). doi: 10.3390/ijerph18063298.

Measuring Satisfaction and Comfort with Gender Identity and Gender Expression among Transgender Women: Development and Validation of the Psychological Gender Affirmation Scale.

International journal of environmental research and public health

Jae M Sevelius, Deepalika Chakravarty, Samantha E Dilworth, Greg Rebchook, Torsten B Neilands

Affiliations

  1. Center for AIDS Prevention Studies, Department of Medicine, University of California, San Francisco, CA 94158, USA.
  2. Center of Excellence for Transgender Health, Department of Medicine, University of California, San Francisco, CA 94158, USA.

PMID: 33806834 PMCID: PMC8005192 DOI: 10.3390/ijerph18063298

Abstract

Among transgender and gender diverse people, psychological gender affirmation is an internal sense of valuing oneself as a transgender or gender diverse person, being comfortable with one's gender identity, and feeling satisfied with one's body and gender expression. Gender affirmation can reduce gender dysphoria and mitigate deleterious health effects of marginalization. We sought to create an instrument to measure psychological gender affirmation among transgender women. Following initial item development using qualitative interviews, we used self-administered survey data from two distinct samples (

Keywords: gender affirmation; gender expression; gender identity; mental health; scale development; scale validation; substance use; transgender

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