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Gender-affirming care, mental health, and economic stability in the time of COVID-19: a global cross-sectional study of transgender and non-binary people by Brooke A. Jarrett; Sarah M. Peitzmeier; Arjee Restar; Tyler Adamson; Sean Howell; Stefan Baral; S. Wilson Beckham is a scholarly article available to read on EtoBox.

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## Background Transgender and non-binary people are disproportionately burdened by barriers to quality healthcare, mental health challenges, and economic hardship. This study examined the impact of the novel coronavirus disease (COVID-19) pandemic and subsequent control measures on gender-affirming care, mental health, and economic stability among transgender and non-binary people globally. ## Methods We collected global cross-sectional data from 964 transgender and non-binary adult users of the Hornet and Her apps from April to August 2020 to characterize changes in gender-affirming care, mental health, and economic stability as a result of the COVID-19 pandemic. We conducted Poisson regression models to assess if access to gender-affirming care and ability to live according to one’s gender were related to depressive symptoms, anxiety, and changes in suicidal ideation. ## Results Individuals resided in 76 countries, including Turkey (27.4%,n=264/964) and Thailand (20.6%,n=205). A majority were non-binary (66.8%,n=644) or transfeminine (29.4%,n=283). Due to the COVID-19 pandemic, 55.0% (n=320/582) reported reduced access to gender-affirming resources, and 38.0% (n=327/860) reported

Author

Brooke A. Jarrett; Sarah M. Peitzmeier; Arjee Restar; Tyler Adamson; Sean Howell; Stefan Baral; S. Wilson Beckham

Publisher

Cold Spring Harbor Laboratory

Published

2020

Language

EN