Alliance for Pandemic Preparedness

December 28, 2020

How the COVID-19 pandemic affects transgender health care in upper-middle-income and high-income countries – A worldwide, cross-sectional survey

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[pre-print; not peer-reviewed] In a cross-sectional survey administered to 5,267 transgender people in 63 higher-middle income and high-income countries, over 50% of the participants had risk factors for severe COVID-19 infection and were at a high risk of avoiding testing or treatment for a COVID-19 infection due to the fear of mistreatment or discrimination. Nearly 50% of participants reported decreased access to transgender health care services due to the COVID-19 pandemic. Male sex assigned at birth and a lower monthly income were significant predictors for the experience of restrictions to health care. 35% of participants reported at least one mental health condition, 35% had had suicidal thoughts during the COVID-19 pandemic, and 3% had attempted suicide since the pandemic began.

Koehler et al. (Dec 24, 2020). How the COVID-19 pandemic affects transgender health care in upper-middle-income and high-income countries – A worldwide, cross-sectional survey. Pre-print downloaded Dec 28 from https://doi.org/10.1101/2020.12.23.20248794