Transgender and gender nonconforming youth were more distressed than cisgender youth across both race strata but non-white transgender and gender nonconforming young people were not more distressed than white transgender and gender nonconforming young people. Compared to cisgender young people, transgender and gender nonconforming young people reported significantly higher levels of mental health distress. The quantitative sample ( n = 727) had a mean age of 21 years (SD = 2), 48% were non-white, 51% were white, and 77% were from Metro Vancouver. Participants were recruited from a network of community health centers in British Columbia, Canada. We used stratified simple linear regression to test the association of race with transgender and gender nonconforming identity and mental health distress.

We analyzed the difference using a two-sample t-test. To better understand the needs of transgender and gender nonconforming young people accessing Foundry-this study compares rates of mental health distress between transgender and gender nonconforming young people and cisgender young people accessing services and examines the extent to which race may have amplified the association between transgender and gender nonconforming identity and mental health distress. 4Foundry, Providence Health Care, Vancouver, BC, Canadaįoundry is an integrated service network delivering services to young people across British Columbia, Canada.3The University of British Columbia, School of Population and Public Health, Vancouver, BC, Canada.2Centre for Health Evaluation and Outcome Sciences, Providence Health Care Research Institute, Vancouver, BC, Canada.1Department of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, BC, Canada.Puyat 2,3, Allison Giesbrecht 1, Marco Zenone 1, Steve Mathias 4 and Skye Barbic 1,2,4 *

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