Adjusted hazard ratios of gender affirmation in binary gender identity group compared among imputation methods.

Model adjusts for age at transgender awareness, race/ethnicity, assigned sex at birth, and education. The HRs (IRRs for initial analysis) that are bolded represent those significantly different from one (p<0.05). Reference group = no gender affirmation of any type. Social (No surgery/hormones) = participants had social affirmation but did not have surgery or hormones. Social (Surgery or hormones) = participants had social affirmation and either or both of surgery and hormones.