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MY RESEARCH ON LGBTQ+ POPULATIONS

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One strand of my research aims to bring visibility to LGBTQ+ populations that are often overlooked in national statistics and academic research. This work is interdisciplinary, recognizing how social, legal, and medical institutions interact to uniquely shape LGBTQ+ people's lives. I collaborate with economists, sociologists, and medical researchers and practitioners. My current focus is on the life circumstances of transgender people who seek gender-affirming health care or obtain legal gender recognition in Sweden. This research is supported by grants from FORTE, the Swedish Research Council, and the Royal Swedish Academy of Sciences.

JOURNAL PUBLICATIONS
 
The end of an impossible choice: Removing infertility as a prerequisite for legal gender recognition.
AEA Papers & Proceedings, vol. 115, May 2025. Co-authored with Ylva Moberg, Rinni Norlinder, and Emma von Essen.
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The demography of Sweden's transgender population: A research note on patterns, changes,  and sociodemographics. Demography, vol. 62(2), April 2025. Co-authored with Martin Kolk, Emma von Essen, Ylva Moberg, and Ian Burn
WP version: Stockholm Research Reports in Demography No. 2023:22. Media: Medical XpressLandets Fria. QX​​
 

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WORKING PAPERS

Transgender parents in Sweden: Insights from administrative data. Co-authored with Ylva Moberg* and Emma von Essen* denotes the lead author. Conditionally accepted at GENUS. Pre-print not publicly available. Draft available upon request.

Abstract: This article uses longitudinal Swedish administrative data to provide the first population-level evidence on the prevalence and characteristics of transgender parents. In 2020, 10% of trans men (assigned female at birth) and 13% of trans women (assigned male at birth) were parents. Parenthood rates varied considerably by age, peaking at 41% for trans men aged 45–49 and 43% for trans women aged 50–64—about half the rates observed among cisgender peers. Paths to parenthood differed by gender: most trans women with children became parents before starting medical gender transition, whereas a majority of trans fathers initiated transition before becoming parents. Compared to cisgender parents, transgender parents entered parenthood with weaker labor market attachment, and these gaps widened over time. However, trans people with children were economically better off than trans non-parents, suggesting a positive selection into parenthood. Taken together, our findings show that although a meaningful minority of transgender people form families, they remain a small and economically vulnerable group whose opportunities for parenthood are constrained by medical, legal, and social conditions.

National administrative data in research on transgender people: A matter of measure and time? Co-authored with Emma von Essen*, Ian Burn, and Ylva Moberg* denotes the lead author. Revise & resubmit at Population Research and Policy Review. Pre-print not publicly available. Draft available upon request.

Abstract: The use of administrative data is increasingly common in transgender research, providing a specific perspective on measuring transgender populations. This study examines how measures of transgender populations using administrative data capture different sociodemographic characteristics over time and around gender transitions. Using population-wide data from Sweden between 2005 and 2019, we compare sociodemographic characteristics with three different measurement strategies to identify the transgender population. The basis of these measurements includes the following markers of trans experiences: gender dysphoria diagnosis, medical treatment, and legal sex change. Our analytical approach involves two regression-based methods: examining sociodemographic differences between the general population and transgender samples over time and performing an event history analysis. Our main findings suggest that when researchers examine transgender demographics or compare results across studies, they should consider three key factors. First, significant sociodemographic changes occur over two historical time points for the transgender population, but these do not depend on the measurement used. Second, in an event history study, the choice of measurement can influence the results. Last, sex assigned at birth influences the differences observed in measurements during an event history analysis.

SELECTED WORK IN PROGRESS
 

The evolution of labor market outcomes during gender-affirming care
(with Ian BurnEmma von Essen, and Ylva Moberg)
 
Legal gender recognition with or without mandated sterilization: Impacts on transgender health and earnings
(with Ylva Moberg, Rinni Norlinder, and Emma von Essen)

©2026 by Lucas Tilley

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