Inequities in Conversion Practice Exposure at the Intersection of Ethnoracial and Gender Identities.

Abstract

<b>Objectives.</b> To examine inequities in conversion practice exposure across intersections of ethnoracial groups and gender identity in the United States. <b>Methods.</b> Data were obtained from The Population Research in Identity and Disparities for Equality Study of sexual and gender minority people from 2019 to 2021 (n = 9274). We considered 3 outcomes: lifetime exposure, age of first exposure, and period between first and last exposure among those exposed to conversion practices. We used log-binomial, Cox proportional hazards, and negative binomial models to examine inequities by ethnoracial groups and gender identity adjusting for confounders. We considered additive interaction. <b>Results.</b> Conversion practice prevalence was highest among minoritized ethnoracial transgender and nonbinary participants (TNB; 8.6%). Compared with White cisgender participants, minoritized ethnoracial TNB participants had twice the prevalence (prevalence ratio = 2.16; 95% confidence interval [CI] = 1.62, 2.86) and risk (hazard ratio = 2.04; 95% CI = 1.51, 2.69) of conversion practice exposure. Furthermore, there was evidence of a positive additive interaction for age of first exposure. <b>Conclusions.</b> Minoritized ethnoracial TNB participants were most likely to recall experiencing conversion practices. <b>Public Health Implications.</b> Policies banning conversion practices may reduce the disproportionate burden experienced by minoritized ethnoracial TNB participants. (<i>Am J Public Health.</i> 2024;114(4):424-434. https://doi.org/10.2105/AJPH.2024.307580).