title: Differences in Sexual Orientation Diversity and Sexual Fluidity in Attractions Among Gender Minority Adults in Massachusetts.
abstract: This study characterized sexual orientation identities and sexual fluidity in attractions in a community-based sample of self-identified transgender and gender-nonconforming adults in Massachusetts. Participants were recruited in 2013 using bimodel methods (online and in person) to complete a one-time, Web-based quantitative survey that included questions about sexual orientation identity and sexual fluidity. Multivariable logistic regression models estimated adjusted risk ratios (aRRs) and 95% confidence intervals (95% CIs) to examine the correlates of self-reported changes in attractions ever in lifetime among the whole sample (n = 452) and after transition among those who reported social gender transition (n = 205). The sample endorsed diverse sexual orientation identities: 42.7% queer, 19.0% other nonbinary, 15.7% bisexual, 12.2% straight, and 10.4% gay/lesbian. Overall, 58.2% reported having experienced changes in sexual attractions in their lifetime. In adjusted models, trans masculine individuals were more likely than trans feminine individuals to report sexual fluidity in their lifetime (aRR = 1.69; 95% CI = 1.34, 2.12). Among those who transitioned, 64.6% reported a change in attractions posttransition, and trans masculine individuals were less likely than trans feminine individuals to report sexual fluidity (aRR = 0.44; 95% CI = 0.28, 0.69). Heterogeneity of sexual orientation identities and sexual fluidity in attractions are the norm rather than the exception among gender minority people.
authors.affiliation: a Division of Adolescent/Young Adult Medicine , Boston Children's Hospital.|b Department of Pediatrics , Harvard Medical School.
authors.forename: Sabra L
authors.initials: SL
authors.lastname: Katz-Wise
authors.affiliation: c Department of Epidemiology , Harvard School of Public Health.|d The Fenway Institute, Fenway Health.
authors.forename: Sari L
authors.initials: SL
authors.lastname: Reisner
authors.affiliation: d The Fenway Institute, Fenway Health.|e Chronic Disease Epidemiology Department , Yale School of Public Health.
authors.forename: Jaclyn White
authors.initials: JW
authors.lastname: Hughto
authors.affiliation: f Department of Psychology , University of Houston.|g Michael E. DeBakey VA Medical Center.|h Menninger Department of Psychiatry and Behavioral Services , Baylor College of Medicine.
authors.forename: Colton L
authors.initials: CL
authors.lastname: Keo-Meier
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008404:Massachusetts / Q000208:ethnology; D008875:Middle Aged; D012725:Sexual Behavior / Q000523:psychology*; D000072339:Sexual and Gender Minorities / Q000523:psychology*; D019529:Sexuality / Q000523:psychology*; D063106:Transgender Persons / Q000523:psychology; D055815:Young Adult