Research in trans and non-binary populations has shown the intrinsic nature of gender in sexual well-being, both with regard to social expressions of gender and gendered/sexed embodiment. Little research exists holistically describing psychosexual well-being among trans and non-binary people, despite its impacts on overall health and well-being. Using data from Trans PULSE Canada, this analysis aimed to determine whether distinct latent profiles of psychosexual well-being were present within a sample of 1,620 trans and non-binary people aged 16 or older who had ever had partnered sex. Latent profile analysis (LPA) was used to identify subgroups (profiles) based on patterns of responses to variables measuring body- and social-related gender dysphoria and gender positivity, body image worries, barrier self-efficacy, sexual satisfaction, sexual anxiety, and sexual fear. Associations between profiles and covariates were assessed to understand the characteristics of who fell within each of four profiles. While the profile solution was qualitatively similar across gender groups, transfeminine participants tended to score lower for sexual satisfaction and higher for sexual anxiety and body-related gender distress across all profiles. Profile membership was significantly associated with age, gender identity, gender-affirming medical care status, relationship status, frequency of being misgendered, history of sexual abuse, levels of emotional social support, and anticipated discrimination. Finally, we evaluated the potential for a causal association between sexual well-being profiles and positive psychological well-being, finding a positive association.
Presentation date: January 7, 2025