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Hello!It's #TransAwarenessWeek2020
Q. What's been the impact of #COVID19 on gender-affirming care, mental health, + economic stability for #Transgender + #NonBinary folks globally?
A. We wrote a paper on that!
#TransHealth #MentalHealth @ESO_at_JHSPH @JohnsHopkinsEPI
Participants in this Internet survey hailed from 76 countries (27% from Turkey and 20% from Thailand)
29% were transfeminine and 5% were transmasculine, but majority (66%) were non-binary 
Three quarters lived in a country that had issued a stay-at-home order2/12
We asked about access to gender-affirming resources:
Hormone therapy
Aftercare for gender-affirming surgery
Cosmetic supplies and services (e.g., makeup, wigs, and hair removal)
Therapy and counseling
Body modifiers (e.g., binders and packers)
3/12
Hormone therapy Aftercare for gender-affirming surgeryCosmetic supplies and services (e.g., makeup, wigs, and hair removal) Therapy and counseling Body modifiers (e.g., binders and packers)3/12
More than HALF (55%) of the sample said the COVID19 pandemic had limited their access to at least one of those gender-affirming resources!
38% reported that the pandemic had reduced or completely eliminated their ability to live according to their gender.
4/12
38% reported that the pandemic had reduced or completely eliminated their ability to live according to their gender.
4/12
Depressive symptoms were ~60% higher among individuals with reduced access to gender-affirming resources
Anxiety symptoms + increases in suicidal ideation were also more common for people who had lost ≥1 gender-affirming resource (vs no losses / stable ideation)5/12
Economically, like many others in the world right now, the transgender and nonbinary communities are suffering:
– 53% needed financial aid and hadn't received any
– 17% expected to lose their health insurance
– 40% had cut or reduced meals since the pandemic
6/12
– 53% needed financial aid and hadn't received any
– 17% expected to lose their health insurance
– 40% had cut or reduced meals since the pandemic
6/12
It's not all doom and gloom though: #Transgender and #NonBinary participants also reported RESILIENCE!
63% had sources of hope, strength, + peace
54% were intent on finding emotional support
61% said they'd still live a happy life despite the #COVID19 pandemic
7/12
63% had sources of hope, strength, + peace 54% were intent on finding emotional support 61% said they'd still live a happy life despite the #COVID19 pandemic7/12
But these results point to dire needs for uplifting our #Transgender and #NonBinary communities: Policies to increase access to gender-affirming care (it's essential!), economic security, and digital interventions (e.g., telehealth) that can support #TransHealth.
8/12
8/12
For this #TransAwarenessWeek 
Be an ally to trans folx: https://www.glaad.org/amp/beginners-guide-being-ally-to-trans-people
Send love to your trans colleagues
Become a friend of @GLMA_LGBTHealth to help health professionals gain #LGBThealth skills
Donate to @TrevorProject https://www.thetrevorproject.org/
9/12
Be an ally to trans folx: https://www.glaad.org/amp/beginners-guide-being-ally-to-trans-peopleSend love to your trans colleagues Become a friend of @GLMA_LGBTHealth to help health professionals gain #LGBThealth skillsDonate to @TrevorProject https://www.thetrevorproject.org/ 9/12
And if you're a researcher, make a commitment to:
Use language that is more inclusive
https://www.morgan-klaus.com/gender-guidelines.html
And to write surveys that honor gender diversity:
https://twitter.com/theoriginalbrk/status/1179962487753629696?s=20
10/12
Use language that is more inclusive
https://www.morgan-klaus.com/gender-guidelines.html
And to write surveys that honor gender diversity:
https://twitter.com/theoriginalbrk/status/1179962487753629696?s=20
10/12
So grateful to our Trans and Non-Binary working group. I love analyzing the LGBT COVID Health Disparities data that we've collected in collaboration with @HornetappBrasil + more.
@howell4change @sdbaral @SarahPeitzmeier @WillBeckham7 @Dr_ArjeeRestar @BrotherAdamson
11/12
@howell4change @sdbaral @SarahPeitzmeier @WillBeckham7 @Dr_ArjeeRestar @BrotherAdamson
11/12
Taggin #LGBThealth #LGBTQ researchers/docs to amplify
@sbrinton @jessicahalem @CindyBVeldhuis @cjstreed @ConcorsErica @JHU_LGBTQ @ccmaymay22 @jo_wanna21 @slbergquist @neuronalnerd @backerman150 @BennettGosiker @hjbarton @campkels @gaytascience
And also @jvn — why not
FIN
@sbrinton @jessicahalem @CindyBVeldhuis @cjstreed @ConcorsErica @JHU_LGBTQ @ccmaymay22 @jo_wanna21 @slbergquist @neuronalnerd @backerman150 @BennettGosiker @hjbarton @campkels @gaytascience
And also @jvn — why not
FIN
