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Data were collected in 2019\u20132020 via an electronic, self-reported cross-sectional survey of 2192 TGD adults accessing two U.S. LGBTQ+ community health centers. Participants reporting sex within the past 6 months (60.7%,\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20091463) were asked the 4-item GNSP scale. Analyses were internal consistency reliability (\u03b1), confirmatory factor analysis, and a multivariable logistic regression model of GNSP scale correlates (adjusted odds ratios [AOR], 95% confidence intervals [95% CI]). Mean age was 27 years (range\u2009=\u200918\u201371 years), 18.7% were people of color, and 33.6% nonbinary. 42.7% reported past 6-month GNSP. The GNSP scale showed good reliability (\u03b1\u2009=\u20090.78) loaded onto a single factor (eigenvalue\u2009=\u20092.45; variance explained\u2009=\u200948.7%). Higher odds of reporting GNSP included nonbinary identity (AOR\u2009=\u20091.63; 95% CI 1.51, 1.70), more past 6-month sexual partners (AOR\u2009=\u20091.19; 95% CI 1.17\u20131.21), a cisgender woman sexual partner (AOR\u2009=\u20091.51; 95% CI 1.42\u20131.61), a high school degree or less (AOR\u2009=\u20091.43; 95% CI 1.28\u20131.59), elevated alcohol use (AOR\u2009=\u20091.55; 95% CI 1.46\u20131.65), severe psychological distress (AOR\u2009=\u20091.80; 95% CI 1.68\u20131.92), penile sex with a condom (AOR\u2009=\u20091.74; 95% CI 1.59\u20131.90) or without a condom (AOR\u2009=\u20091.38; 95% CI 1.28\u20131.49), and current PrEP use (AOR\u2009=\u20091.42; 95% CI 1.25\u20131.61). Lower odds of reporting GNSP included older age vs. ages 18\u201324 (AORs range 0.65\u20130.75), transfeminine identity (AOR\u2009=\u20090.87; 95% CI 0.80\u20130.94), uninsured (AOR\u2009=\u20090.56; 95% CI 0.48\u20130.60), and in committed relationships (AOR\u2009=\u20090.36; 95% CI 0.33\u20130.40) or ethically non-monogamous relationships (AOR\u2009=\u20090.38; 95% CI 0.35\u20130.43). Gender non-affirmation from sexual partners was highly prevalent and may represent important intervention targets for sexual and mental health. The GNSP scale demonstrated good psychometric properties and is a promising tool for future TGD research.\n                  <\/jats:p>","DOI":"10.1007\/s10461-026-05043-3","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T14:43:08Z","timestamp":1773758588000},"page":"2174-2187","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Gender Non-affirmation from Sexual Partners Scale: Psychometric Evaluation and Correlates of a Brief Stigma Scale in a Sample Transgender and Gender Diverse Community Health Center Patients"],"prefix":"10.1007","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0526-354X","authenticated-orcid":false,"given":"Mari","family":"Tarantino","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asa E.","family":"Radix","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Harris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blanca C.","family":"Esquivel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amiyah","family":"Guerra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth H.","family":"Mayer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sari L.","family":"Reisner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,17]]},"reference":[{"key":"5043_CR1","doi-asserted-by":"publisher","first-page":"e0260063","DOI":"10.1371\/journal.pone.0260063","volume":"12","author":"SE Stutterheim","year":"2021","unstructured":"Stutterheim SE, van Dijk M, Wang H, Jonas KJ. 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