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Is being gender nonconforming distressing? It depends where you live: gender equality across 15 nations predicts how much gender nonconformity is related to self-esteem

Published online by Cambridge University Press:  16 November 2020

Marcel Zentner Open the ORCID record for Marcel Zentner [Opens in a new window]  and
Christian von Aufsess
Marcel Zentner*
Affiliation:
University of Innsbruck, Innsbruck, Austria
Christian von Aufsess
Affiliation:
University of Innsbruck, Innsbruck, Austria
*
Author for correspondence: Marcel Zentner, E-mail: [email protected]
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Abstract

Background

Individuals exhibiting gender nonconforming behaviors experience low self-esteem and a number of other mental health conditions, including elevated suicide risk. Most of the relevant evidence is confined to US studies, however. Adopting a cross-national approach, we examined the pervasiveness of the psychological burden associated with gender nonconformity. Because self-esteem is sensitive to the fulfillment of societal expectations for gender conformity, we reasoned that the relationship between gender conformity and self-esteem ought to decrease as societies become less restrictive in their gender norms.

Methods

To test this proposition, we conducted two studies including 18 national samples from 15 countries varying in gender equality. Participants responded to an online survey that included measures of gender conformity and self-esteem (N = 4486).

Results

Using multilevel analyses and meta-analytic statistics over the samples of both studies, we found that as gender equality increased, the association between gender conformity and self-esteem decreased.

Conclusions

The results suggest that rather than being inherently noxious, gender non-conformity becomes detrimental to self-esteem when it clashes with restrictive gender role norms that are enacted by the macrosocial context. We suggest that previous findings on psychological problems related to gender nonconformity be considered within a broader macrosocial context that may constrain people's freedom to move against gender role norms.

Keywords

Cross-culturalgender inequalitygender nonconformitygender rolesself-esteem
Type
Original Article
Information
Psychological Medicine , Volume 52 , Issue 10 , July 2022 , pp. 1857 - 1865
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Copyright
Copyright © The Author(s) 2020. Published by Cambridge University Press

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References

Aguinis, H., & Stone-Romero, E. F. (1997). Methodological artifacts in moderated multiple regression and their effects on statistical power. Journal of Applied Psychology, 82, 192–205.10.1037/0021-9010.82.1.192CrossRefGoogle Scholar
Ahmed, T., Vafaei, A., Auais, M., Guralnik, J., & Zunzunegui, M. V. (2016). Gender roles and physical function in older adults: Cross-sectional analysis of the International Mobility in Aging Study (IMIAS). PLoS ONE, 11(6), e0156828.10.1371/journal.pone.0156828CrossRefGoogle Scholar
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: APA.Google Scholar
Beaver, K., Kaur-Ballagan, K., & Hall, S. (2019). International women's day 2019: Global attitudes towards gender equality. Retrieved from https://www.kcl.ac.uk/giwl/assets/iwd-giwl-main.pdf.Google Scholar
Bem, S. L. (1974). The measurement of psychological androgyny. Journal of Consulting and Clinical Psychology, 42, 155–162.CrossRefGoogle ScholarPubMed
Bennett, D. S., Borczon, E., & Lewis, M. (2019). Does gender nonconforming behavior in early childhood predict adolescents’ depressive symptoms? Sex Roles, 81(7–8), 521–528.CrossRefGoogle ScholarPubMed
Borenstein, M., Hedges, L. V., Higgins, J. P., & Rothstein, H. R. (2010). A basic introduction to fixed-effect and random-effects models for meta-analysis. Research Synthesis Methods, 1, 97–111.10.1002/jrsm.12CrossRefGoogle ScholarPubMed
Carver, P. R., Yunger, J. L., & Perry, D. G. (2003). Gender identity and adjustment in middle childhood. Sex Roles, 49(3–4), 95–109.CrossRefGoogle Scholar
Corby, B. C., Hodges, E. V., & Perry, D. G. (2007). Gender identity and adjustment in black, Hispanic, and white preadolescents. Developmental Psychology, 43, 261–266.CrossRefGoogle ScholarPubMed
DiDonato, M. D., & Berenbaum, S. A. (2011). The benefits and drawbacks of gender typing: How different dimensions are related to psychological adjustment. Archives of Sexual Behavior, 40, 457–463.CrossRefGoogle ScholarPubMed
DiDonato, M. D., & Berenbaum, S. A. (2013). Predictors and consequences of gender typicality: The mediating role of communality. Archives of Sexual Behavior, 42, 429–436.10.1007/s10508-012-9955-1CrossRefGoogle ScholarPubMed
Donnellan, M. B., Trzesniewski, K. H., Robins, R. W., Moffitt, T. E., & Caspi, A. (2005). Low self-esteem is related to aggression, antisocial behavior, and delinquency. Psychological Science, 16, 328–335.CrossRefGoogle ScholarPubMed
Eagly, A. H., Nater, C., Miller, D. I., Kaufmann, M., & Sczesny, S. (2020). Gender stereotypes have changed: A cross-temporal meta-analysis of U.S. public opinion polls from 1946 to 2018. American Psychologist, 75, 301–315.CrossRefGoogle ScholarPubMed
Egan, S. K., & Perry, D. G. (2001). Gender identity: A multidimensional analysis with implications for psychosocial adjustment. Developmental Psychology, 37, 451–463.CrossRefGoogle ScholarPubMed
Fernández, J., & Coelleo, T. (2010). Do the BSRI and PAQ really measure masculinity and femininity? The Spanish Journal of Psychology, 13, 1000–1009.CrossRefGoogle ScholarPubMed
Glick, P., & Fiske, S. T. (1996). The Ambivalent Sexism Inventory: Differentiating hostile and benevolent sexism. Journal of Personality and Social Psychology, 70, 491–512.CrossRefGoogle Scholar
Good, J. J., & Sanchez, D. T. (2010). Doing gender for different reasons: Why gender conformity positively and negatively predicts self-esteem. Psychology of Women Quarterly, 34, 203–214.10.1111/j.1471-6402.2010.01562.xCrossRefGoogle Scholar
Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (2nd ed.). New York, London: Guilford Press.Google Scholar
Hedges, L. V., & Olkin, I. (2014). Statistical methods for meta-analysis. New York: Academic Press.Google Scholar
Helwig, N. E., & Ruprecht, M. R. (2017). Age, gender, and self-esteem: A sociocultural look through a nonparametric lens. Archives of Scientific Psychology, 5, 19–31.CrossRefGoogle Scholar
Hyde, J. S., Bigler, R. S., Joel, D., Tate, C. C., & van Anders, S. M. (2019). The future of sex and gender in psychology: Five challenges to the gender binary. The American Psychologist, 74, 171–193.CrossRefGoogle Scholar
Jacobson, R., Cohen, H., & Diamond, G. M. (2016). Gender atypicality and anxiety response to social interaction stress in homosexual and heterosexual men. Archives of Sexual Behavior, 45, 713–723.CrossRefGoogle ScholarPubMed
Kwan, K. M. W., Shi, S. Y., Nabbijohn, A. N., MacMullin, L. N., VanderLaan, D. P., & Wong, W. I. (2020). Children's appraisals of gender nonconformity: Developmental pattern and intervention. Child Development, 91, 780–798.10.1111/cdev.13316CrossRefGoogle ScholarPubMed
Levy, J. K., Darmstadt, G. L., Ashby, C., Quandt, M., Halsey, E., Nagar, A., & Greene, M. E. (2020). Characteristics of successful programmes targeting gender inequality and restrictive gender norms for the health and wellbeing of children, adolescents, and young adults: A systematic review. The Lancet Global Health, 8(2), e225–e236.CrossRefGoogle Scholar
Lowry, R., Johns, M. M., Gordon, A. R., Austin, S. B., Robin, L. E., & Kann, L. K. (2018). Nonconforming gender expression and associated mental distress and substance use among high school students. Journal of the American Medical Association Pediatrics, 172, 1020–1028.Google ScholarPubMed
Martin-Storey, A. (2016). Gender, sexuality, and gender nonconformity: Understanding variation in functioning. Child Development Perspectives, 10, 257–262.CrossRefGoogle Scholar
McNeish, D. M., & Stapleton, L. M. (2016). The effect of small sample size on two-level model estimates: A review and illustration. Educational Psychology Review, 28, 295–314.CrossRefGoogle Scholar
Menon, M. (2011). Does felt gender compatibility mediate influences of self-perceived gender nonconformity on early adolescents’ psychosocial adjustment? Child Development, 82, 1152–1162.10.1111/j.1467-8624.2011.01601.xCrossRefGoogle ScholarPubMed
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674–697.CrossRefGoogle ScholarPubMed
Miller, L. R., & Grollman, E. A. (2015). The social costs of gender nonconformity for transgender adults: Implications for discrimination and health. Sociological Forum, 30, 809–831.10.1111/socf.12193CrossRefGoogle ScholarPubMed
Ormel, J., Oldehinkel, A. J., & Vollebergh, W. (2004). Vulnerability before, during, and after a major depressive episode: A 3-wave population-based study. Archives of General Psychiatry, 61, 990–996.10.1001/archpsyc.61.10.990CrossRefGoogle Scholar
Reinherz, H. Z., Giaconia, R. M., Pakiz, B., Silverman, A. B., Frost, A. K., & Lefkowitz, E. S. (1993). Psychosocial risks for major depression in late adolescence: A longitudinal community study. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 1155–1163.CrossRefGoogle ScholarPubMed
Rieger, G., & Savin-Williams, R. C. (2012). Gender nonconformity, sexual orientation, and psychological well-being. Archives of Sexual Behavior, 41, 611–621.CrossRefGoogle ScholarPubMed
Roberts, A. L., Rosario, M., Slopen, N., Calzo, J. P., & Austin, S. B. (2013). Childhood gender nonconformity, bullying victimization, and depressive symptoms across adolescence and early adulthood: An 11-year longitudinal study. Journal of the American Academy of Child and Adolescent Psychiatry, 52, 143–152.10.1016/j.jaac.2012.11.006CrossRefGoogle Scholar
Rollero, C., Glick, P., & Tartaglia, S. (2014). Psychometric properties of short versions of the Ambivalent Sexism Inventory and Ambivalence Toward Men Inventory. TPM-Testing, Psychometrics, Methodology in Applied Psychology, 21, 149–159.Google Scholar
Rosenberg, M. (1965). Society and the adolescent self-image. Princeton: Princeton University Press.10.1515/9781400876136CrossRefGoogle Scholar
Sani, G. M. D., & Quaranta, M. (2017). The best is yet to come? Attitudes toward gender roles among adolescents in 36 countries. Sex Roles, 77(1–2), 30–45.10.1007/s11199-016-0698-7CrossRefGoogle Scholar
Schmitt, D. P., & Allik, J. (2005). Simultaneous administration of the Rosenberg Self-Esteem Scale in 53 nations: Exploring the universal and culture-specific features of global self-esteem. Journal of Personality and Social Psychology, 89, 623–642.CrossRefGoogle ScholarPubMed
Schönbrodt, F. D., & Perugini, M. (2013). At what sample size do correlations stabilize? Journal of Research in Personality, 47(5), 609–612.CrossRefGoogle Scholar
Shu, X., Barnett, G., & Faris, R. (2020). Telecommunication ties and gender ideologies in the age of globalization: International telephone networks and gender attitudes in 47 countries. Chinese Journal of Sociology, 6, 3–34.CrossRefGoogle Scholar
Shumer, D. E., Roberts, A. L., Reisner, S. L., Lyall, K., & Austin, S. B. (2015). Autistic traits in mothers and children associated with child's gender nonconformity. Journal of Autism and Developmental Disorders, 45, 1489–1494.10.1007/s10803-014-2292-6CrossRefGoogle ScholarPubMed
Smith, E. R. (2020). Women in the fire service: Investigating the influence of conformity to masculine gender role norms and perceived social support on trauma symptomology (Doctoral dissertation). The University of Texas. Austin, Texas.Google Scholar
Sowislo, J. F., & Orth, U. (2013). Does low self-esteem predict depression and anxiety? A meta-analysis of longitudinal studies. Psychological Bulletin, 139, 213–240.10.1037/a0028931CrossRefGoogle ScholarPubMed
Spivey, L. A., Huebner, D. M., & Diamond, L. M. (2018). Parent responses to childhood gender nonconformity: Effects of parent and child characteristics. Psychology of Sexual Orientation and Gender Diversity, 5(3), 360–370.CrossRefGoogle Scholar
Stegmueller, D. (2013). How many countries for multilevel modeling? A comparison of frequentist and Bayesian approaches. American Journal of Political Science, 57, 748–761.CrossRefGoogle Scholar
Tate, C. C., Bettergarcia, J. N., & Brent, L. M. (2015). Re-assessing the role of gender-related cognitions for self-esteem: The importance of gender typicality for cisgender adults. Sex Roles, 72(5–6), 221–236.10.1007/s11199-015-0458-0CrossRefGoogle Scholar
Tobin, D. D., Menon, M., Menon, M., Spatta, B. C., Hodges, E. V., & Perry, D. G. (2010). The intrapsychics of gender: A model of self-socialization. Psychological Review, 117, 601–622.10.1037/a0018936CrossRefGoogle Scholar
United Nations Development Programme (2018). Human development indices and indicators: Gender Inequality Index (GII). Retrieved from http://hdr.undp.org/en/data.Google Scholar
Vasey, P. L., & Bartlett, N. H. (2007). What can the Samoan ‘Fa'afafine’ teach us about the Western concept of gender identity disorder in childhood? Perspectives in Biology and Medicine, 50, 481–490.10.1353/pbm.2007.0056CrossRefGoogle ScholarPubMed
Viechtbauer, W. (2010). Conducting meta-analyses in R with the metafor package. Journal of Statistical Software, 36, 1–48.10.18637/jss.v036.i03CrossRefGoogle Scholar
Wood, W., & Eagly, A. H. (2012). Biosocial construction of sex differences and similarities in behavior. In Zanna, M. & Olson, J. (Eds.), Advances in experimental social psychology (Vol. 46, pp. 55–123). New York: Academic Press.Google Scholar
Yildirim, B., Perdahli Fis, N., Yazkan Akgul, G., & Ayaz, A. B. (2017). Gender dysphoria and attention problems: Possible clue for biological underpinnings. Psychiatry and Clinical Psychopharmacology, 27, 283–290.CrossRefGoogle Scholar
Yunger, J. L., Carver, P. R., & Perry, D. G. (2004). Does gender identity influence children's psychological well-being? Developmental Psychology, 40, 572–582.10.1037/0012-1649.40.4.572CrossRefGoogle ScholarPubMed
Zahidi, S., Geiger, T., & Crotti, R. (2018). The global gender gap report 2018. Geneva: World Economic Forum.Google Scholar
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