WASHINGTON, Oct. 12 – Transgender and gender non-conforming people face rampant discrimination in health care settings, are regularly denied needed care, and experience a range of health risks because they are transgender or gender non-conforming, according to a report of over 6,450 transgender and gender non-conforming people. The National Transgender Discrimination Survey: Report on Health and Health Care was released nationally today by the National Gay and Lesbian Task Force and the National Center for Transgender Equality.
Key findings include:
- Nearly 1 in 5, 19%, reported being refused care outright, because they were transgender or gender non-conforming;
- Survey participants reported very high levels of postponing medical care when sick or injured due to discrimination and disrespect (28%);
- Harassment: 28% of respondents were subjected to harassment in medical settings;
- Significant lack of provider knowledge: 50% of the sample reported having to teach their medical providers about transgender care;
- Despite barriers, the majority have accessed some form of transition-related medical care; but only a minority has had any surgery, despite the fact that a strong majority stated wanting to have it someday;
- Respondents reported over four times the national average of HIV infection, 2.64% in our sample compared to 0.6% in the general population, with rates for transgender women at 3.76%, and with those who are unemployed (4.67%) or who have engaged in sex work (15.32%) even higher;
- Over a quarter of the respondents misused drugs or alcohol specifically to cope with the discriminationthey faced due to their gender identity or expression;
- A staggering 41% of respondents reported attempting suicide compared to 1.6% of the general population.
The report also includes critical public policy recommendations, including the urgent need to train medical professionals about how to effectively and respectfully treat transgender and gender-nonconforming patients; an end to the discriminatory practice of transgender exclusion from health care coverage; the development transgender specific programs to address suicide, the spread of HIV, and other health risks; and increased research that focuses specifically on health needs of the transgender population.
“It is outrageous that basic health care is being denied to transgender and gender non-conforming people and that so much additional trauma is being caused by doctors instead of being resolved by doctors. The medical profession must take these data seriously and ensure that everyone in the medical care system knows how to provide transgender-sensitive medical care,” said Rea Carey, executive director of the National Gay and Lesbian Task Force.
“Health care is a fundamental human right. This study clearly documents that it is regularly being denied to transgender and gender non-conforming people,” said Mara Keisling, executive director of the National Center for Transgender Equality. “The study also provides information about the serious health impact of the discrimination that transgender people face. The health risks are many times higher for people of color, for those who have lost a job due to bias, and those who were bullied in school.”
The National Transgender Discrimination Survey, a joint partnership of the National Center for Transgender Equality and the National Gay and Lesbian Task Force, is the most extensive survey of transgender discrimination ever undertaken. The survey included 6,450 respondents from all 50 states and several territories, with a geograph ic and racial distribution approximating that of the general U.S. population.
Preliminary Findings on Employment and Economic Insecurity, which provides an overview of statistics from the National Transgender Discrimination Survey on the pervasive employment discrimination transgender and gender non-conforming people face, unemployment rates, poverty levels, and housing instability, is also available.
Statistics relted to suicide, and the relationship to bullying and harassment in school, were released last week, and are available here.
The National Transgender Discrimination Survey is the most extensive survey of transgender discrimination ever done. It includes responses from more than 6,400 people from all 50 states, the District of Columbia, Puerto Rico, Guam and the U.S. Virgin Islands.