{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T09:05:39Z","timestamp":1791968739614,"version":"4.3.4"},"reference-count":55,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2011,11,28]],"date-time":"2011-11-28T00:00:00Z","timestamp":1322438400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["American J Hum Biol"],"published-print":{"date-parts":[[2012,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives:<\/jats:title><jats:p>To characterize challenges experienced during stages of female\u2010to\u2010male sex transition and investigate associations between transition\u2010specific measures of psychosocial stress, nocturnal decline in ambulatory blood pressure (amBP), and changes in C\u2010reactive protein (CRP) levels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p>For this biocultural study, 65 healthy transmen who were using testosterone (T) therapy participated in interviews to assess transition\u2010specific stress experience. They provided perceived stress scores, self\u2010esteem scores, 24\u2010h amBP measures, salivary samples for T levels, and a blood spot for CRP levels. Psychosocial stress was examined in relation to amBP and CRP using linear regression while adjusting for age, body mass index, and smoking.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>There were no differences in mean levels of amBP in association with stage of transition. Men reporting stress associated with being \u201cout\u201d as transgender had significantly diminished nocturnal decline in systolic and diastolic amBP compared to men who did not report such stress. The associations remained significant when examined among men in stages 1 and 2 (\u22643 years on T), but not among men in stage 3 (&gt;3 years on T) of transition. Men reporting stress related to \u201cpassing\u201d as someone born male had higher CRP levels than those who did not report such stress. The association remained significant when examined among men in stages 2 and 3 (&gt;0.5\u20133 years on T).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p>Measures of stress that captured individuals' experiences of gender liminality were associated with diminished nocturnal decline in amBP and increased levels of CRP. There are significant differences between men grouped into different stages of the transition process. Am. J. Hum. Biol., 2012. \u00a9 2011Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajhb.22203","type":"journal-article","created":{"date-parts":[[2011,11,28]],"date-time":"2011-11-28T07:56:24Z","timestamp":1322466984000},"page":"52-61","source":"Crossref","is-referenced-by-count":58,"title":["Associations between transition\u2010specific stress experience, nocturnal decline in ambulatory blood pressure, and C\u2010reactive protein levels among transgender men"],"prefix":"10.1002","volume":"24","author":[{"given":"L. 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