Methods: A secondary data analysis was conducted utilizing the transgender sample of the TransPop 2018 data (N = 274). Study analyses were conducted using SPSS and utilized univariate and bivariate analytic techniques. Comparisons among passing difficulty were made by gender and by the pursuit of and/or desire for various steps in medical transition.
Results: Non-binary people report markedly more difficulty passing than transgender men and women combined (p < .001) and are simultaneously significantly less likely (83.4%, p < .001) to pursue medical transition. Notably, the desire for more gender-affirming surgeries is positively correlated with difficulty passing (p < . 001), indicating that as people desire more gender-affirming surgeries, they report more difficulty passing. When medical transition and the desire for further medical transition are accounted for, non-binary people continue to report markedly more difficulty passing than both transgender men and transgender women (p < .001, adjusted R2 = 0.325).
Implications: Existing literature demonstrates that visual conformity and/or passing is correlated with a service user’s tendency to seek, receive, and benefit from social services. Given the comparatively low levels of reported passing among non-binary individuals combined with their comparatively low rate of seeking medical transition, we can expect that these individuals face unique challenges when engaging with social and healthcare services. This data analysis indicates a need for more targeted research on the experiences of non-binary individuals in particular when seeking social services.