Informed by structural stigma theory, this article presents the results of two studies that explored mental health experiences of transgender, nonbinary, and gender-diverse (TNG) individuals and cisgender lesbian, gay, bisexual, and queer (LGBQ) individuals (N = 523) prior to and following a state referendum to remove gender-based protections. In the Preelection Study, a path model explored relationships among individual factors (i.e., TNG identity, history of gender-based victimization), interpersonal variables (i.e., Referendum familiarity, exposure to Referendum-related messages, sexual orientation, and gender identity-specific social support), and mental health factors (i.e., Referendum-related anxiety and depressive symptomatology). Referendum-related anxiety mediated the relationships between TNG identity, gender-based victimization, sexual orientation and gender identity social support, and depressive symptomatology, explaining 40% of the variance in depressive symptomatology. Postelection, a subsample of participants (N = 117) was used to test a model of differences from pre- to postelection. Neither TNG identity nor victimization predicted Postelection mental health, however, Referendum-related anxiety and depressive symptomatology were significantly lower following the ballot vote that retained gender-based rights. Clinical implications suggest sexual and gender minorities may report increased anxiety in the face of anti-lesbian, gay, bisexual, transgender, and queer (LGBTQ) legislation, which may be associated with heightened symptoms of depression. TNG people and LGBTQ people with histories of gender-based victimization may be more at risk for mental health concerns related to anti-TNG legislation. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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浴室账单的恶臭和反跨性别立法：州公投期间跨性别、非二元和顺性别 LGBQ 人的焦虑和抑郁。

根据结构性耻辱理论，本文介绍了两项研究的结果，这些研究探讨了跨性别、非二元和性别多元化 (TNG) 个体和顺性别女同性恋、男同性恋、双性恋和酷儿 (LGBQ) 个体的心理健康经历 (N = 523 ) 在国家公投之前和之后取消基于性别的保护。在选举前研究中，路径模型探索了个体因素（即 TNG 身份、基于性别的受害历史）、人际变量（即公投熟悉度、对公投相关信息的接触、性取向和特定性别认同）之间的关系社会支持）和心理健康因素（即公投相关的焦虑和抑郁症状）。公投相关焦虑介导了 TNG 身份、基于性别的受害、性取向和性别认同社会支持和抑郁症状，解释了抑郁症状中 40% 的差异。选举后，参与者的子样本（N = 117）用于测试从选举前到选举后的差异模型。TNG 身份和受害都不能预测选举后的心理健康，但是，在保留基于性别的权利的投票后，与公投相关的焦虑和抑郁症状显着降低。临床意义表明，性和性别少数群体在面对反女同性恋、男同性恋、双性恋、跨性别和酷儿 (LGBTQ) 立法时可能会报告焦虑增加，这可能与抑郁症状加重有关。有性别受害历史的 TNG 人和 LGBTQ 人可能更容易出现与反 TNG 立法相关的心理健康问题。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。