Stigma and diurnal cortisol among transitioning transgender men

Psychoneuroendocrinology
L Zachary DuboisRobert-Paul Juster

Abstract

This study assessed diurnal cortisol functioning in relation to stigma-based transition-specific stressors experienced by transgender men during their transition from female to male. Sixty-five healthy transgender men undergoing testosterone therapy participated in in-person interviews through which transition-specific stressors were identified. Interviews were coded according to participant reported (1) Transitioning-identity stress; (2) Coming Out stress; (3) Gender-specific Public Bathroom stress; and (4) levels of general Perceived Stress. Participants provided fifteen salivary samples assessing cortisol diurnal rhythm over three days. Hierarchical linear models, adjusted for duration of time on testosterone therapy, body mass index, steroid-related medication use, mean awakening time, and CAR, confirmed that elevated diurnal cortisol levels at awakening were associated with transition-specific social stressors including experiencing Transitioning-identity stress, frequent Coming Out stress, and Gender-specific Public Bathroom stress. Transitioning-identity stress and Gender-specific Public Bathroom stress also predicted a steeper negative slope at awakening. General Perceived Stress was not associated with elevated cortiso...Continue Reading

Citations

Nov 10, 2017·International Journal of Environmental Research and Public Health·Peggy M ZoccolaRyan C Johnson
Jul 7, 2018·New Directions for Child and Adolescent Development·Luis A Parra, Paul D Hastings
Mar 6, 2019·Stress : the International Journal on the Biology of Stress·Robert-Paul JusterJennifer J McGrath
Jul 19, 2020·American Journal of Human Biology : the Official Journal of the Human Biology Council·Morgan K Hoke, Lawrence M Schell
Oct 21, 2019·Current Psychiatry Reports·Robert-Paul JusterOlivier Bourdon
Dec 20, 2020·American Journal of Human Biology : the Official Journal of the Human Biology Council·L Zachary DuBoisSally I Powers
Jun 8, 2021·American Journal of Human Biology : the Official Journal of the Human Biology Council·L Zachary DuBois, Heather Shattuck-Heidorn
Jun 26, 2021·Psychoneuroendocrinology·Magdalena MijasGrazyna Jasienska
Jul 28, 2021·Journal of Neural Transmission·Frank A SattlerRicarda Mewes

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