Health and Wellness

Reports: Transgender Americans face staggering rates of poverty, violence

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The second report, Understanding Issues Facing Transgender Americans provides a high-level introduction of the issues facing transgender Americans, including:

  • Violence: According to the 2013 Hate Violence Report from the National Coalition of Anti-Violence Programs, transgender people were much more likely to experience threats, intimidation, harassment, discrimination, and sexual violence than non-transgender people. The report found that transgender women and transgender people of color are much more vulnerable to violence, especially at the hands of law enforcement. In 2013, more than half of all LGBT homicide victims were transgender women of color.
  • Suicide Risk: 41% of respondents to the National Transgender Discrimination Survey reported having attempting suicide at some point in their lives. This compares to 1.6% of all Americans who have reported attempting suicide. Respondents who were bullied, harassed, assaulted, or expelled because they were transgender or gender non-conforming in school reported elevated levels of suicide attempts (51%).
  • Homelessness and Discrimination in Housing: One in five transgender people has experienced homelessness at some time in their lives because of discrimination or family rejection. Transgender people facing homelessness also face discrimination from agencies that should be helping them, with nearly one in three (29%) reporting being turned away from a shelter. One in five transgender people (19%) in the United States has been refused a home or apartment, and more than one in ten (11%) have been evicted, because of their gender identity.
  • Health: Unequal access to healthcare and discriminatory healthcare exclusions deny transgender people coverage for medically necessary care, including hormone therapy, counselling, and other transition-related care. Even when transgender people have full health insurance coverage, however, they often face discrimination by health care providers.
  • HIV/AIDS: Transgender people, specifically transgender women of color, are at heightened risk for HIV. Estimates are that one in four black transgender people in the United States is living with HIV/AIDS. Discrimination, stigma, social isolation, bias among health and social service providers, and a lack of targeted prevention efforts have all contributed to these high levels of infection.
  • Discrimination in Public Accommodations: In a 2014 study conducted in Massachusetts, 65% of transgender people reported experiencing discrimination in a place of public accommodation in the past 12 months. The study revealed that bathrooms in restaurants, libraries, cinemas, shopping malls, airports, and other places open to the public were locations of frequent, sometimes serious harassment and abuse of transgender people. Only 17 states and the District of Columbia prohibit discrimination in public accommodations on the basis of gender identity, covering 36% of Americans.
  • Identity Documents: Official identity documents, particularly drivers’ licenses, birth certificates, social security numbers, and passports, that do not match with a transgender person’s gender presentation can obstruct employment and travel, as well as ex­pose transgender people to harassment, violence, refusal of ser­vice, job loss, and more.

“Transgender people, especially transgender people of color, experience life-threatening situations, including violence, higher rates of HIV and AIDS, homelessness, and extreme poverty,” said Mara Keisling, executive director of the National Center for Transgender Equality. “There is an urgent need for protections so transgender people can live safe, healthy, and thriving lives.”

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