We examine the prevalence of gender transitions in Sweden over time and document the sociodemographic characteristics of people transitioning in different periods. Using administrative data covering the transgender population from 1973 through 2020, we analyze two common events in a gender transition: the earliest diagnosis of gender incongruence and the change of legal gender. Our research note presents three main findings. First, the measured prevalence rates of diagnoses and legal gender changes are relatively low in all periods, although they have increased substantially since the early 2010s. Second, the recent increase in transition prevalence is most pronounced among people in early adulthood; in particular, young transgender men drive an increase in overall transition rates through 2018, followed by moderate declines in 2019 and 2020. Third, transgender men and women have substantially lower socioeconomic outcomes than cisgender men and women, regardless of the age at which they transition or the historical period. They are also considerably less likely to be in a legal union or reside with children. These findings highlight the continued economic and social vulnerability of the transgender population.

Until 2013, transgender people in Sweden were required to undergo sterilization surgery and destroy stored reproductive cells before changing their legal gender marker, rendering them permanently infertile. Using population-wide administrative data, we document a threefold increase in yearly legal gender marker changes following the 2013 removal of these requirements. After the policy change, 30 percent of trans women and 56 percent of trans men opted out of sterilization surgery, leading to a one-week reduction in hospitalization days. Additionally, after fertility preservation legalization, 9.5 percent of trans women and 7 percent of men chose to store reproductive cells for future use.

We study whether the onset of the COVID-19 crisis affected the program choices of high school applicants in Sweden. Our analysis exploits the fact that the admission process consists of two stages: a preliminary round in which applicants initially rank programs in order of preference and a final round in which they can alter their preliminary rankings. In 2020, the timing of the two rounds happened to provide a unique pre-and post-crisis snapshot of applicants' field-of-study choices. Using school-level data on applicants' top-ranked programs for all admission rounds between 2016 and 2020, we implement a difference-in-differences method to identify the immediate effect of the crisis on demand for programs. We find no change in demand for academic programs, but a decline in top-ranked applications to some of the vocational programs. The declines are most pronounced and robust for programs related to the Accommodation and Food Services sector, which was the most adversely affected industry during the crisis. This finding suggests that labor market considerations influence the study choices made by relatively young students.

This paper studies a large-scale educational expansion to assess whether shocks to educational inputs affect the academic achievement of adult education students. I analyze the effects of a Swedish program that rapidly doubled enrollment in adult education, thus straining school resources. The program targeted low-educated, unemployed adults aged 25 and older. Therefore, my analysis focuses on students under age 25 to reduce the risk that changes in the characteristics of the study sample drive my findings. First, I show that students in regions subject to stronger enrollment expansions experienced stronger negative shocks to educational inputs, including teacher credentials, per-pupil expenditure, and peer quality. Second, I show that the stronger negative shocks to these inputs coincided with larger increases in course dropout. Taken together, the two sets of results suggest a causal link between educational inputs and students’ academic progress in adult education.

This paper studies a large-scale educational expansion to assess whether shocks to educational inputs affect the academic achievement of adult education students. I analyze the effects of a Swedish program that rapidly doubled enrollment in adult education, thus straining school resources. The program targeted low-educated, unemployed adults aged 25 and older. Therefore, my analysis focuses on students under age 25 to reduce the risk that changes in the characteristics of the study sample drive my findings. First, I show that students in regions subject to stronger enrollment expansions experienced stronger negative shocks to educational inputs, including teacher credentials, per-pupil expenditure, and peer quality. Second, I show that the stronger negative shocks to these inputs coincided with larger in- creases in course dropout. Taken together, the two sets of results suggest a causal link between educational inputs and students’ academic progress in adult educa- tion. 

Our study examines the prevalence of gender transitions in Sweden over time and documents the sociodemographic characteristics of people transitioning in different periods. We use national administrative data covering the transgender population from 1973–2020 and analyze two common events in a gender transition: the earliest diagnosis of gender incongruence and the change of legal gender. We have three main findings. First, the measured prevalence of both types of events is relatively low in all periods, although it has increased substantially since the early 2010s. Second, the recent increase in transition prevalence is most pronounced among people in early adulthood; in particular, young transgender men drive an increase in overall transition rates through 2018, followed by moderate declines in 2019 and 2020. Third, transgender men and women have substantially lower socioeconomic outcomes than cisgender men and women, regardless of the age at which they transition or the historical period. They are also considerably less likely to be in a legal union or reside with children. These findings highlight the continued economic and social vulnerability of the transgender population.