Prevalence and associations of COVID-19 testing in an online sample of transgender and non-binary individuals

© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ..

BACKGROUND: Testing for COVID-19 and linkage to services is fundamental to successful containment and control of transmission. Yet, knowledge on COVID-19 testing among transgender and non-binary communities remains limited.

METHODS: Between October 2020 and November 2020, we examined the prevalence and associations of COVID-19 testing in an online sample of transgender and non-binary people (n=536). Multivariable hierarchical logistic regression analyses examined associations between COVID-19 testing and participants' sociodemographic, mental health, substance use, gender affirmation, economic changes and healthcare experiences.

RESULTS: Prevalence of COVID-19 testing in this sample was 35.5% (n=190/536). In the final model, transgender and non-binary participants from upper socioeconomic income background and Europe, who reported having active alcohol use disorder, limited access to gender-affirming surgery, had more than 20% reduction in income, and experienced mistreatment in a health facility due to gender identity had significantly increased odds of COVID-19 testing (all p<0.05); those who reported recent tobacco use had significantly lower odds of COVID-19 testing (p=0.007).

CONCLUSIONS: These findings highlight structural disparities in COVID-19 testing and reinforce the importance of increasing testing strategies for transgender and non-binary populations.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:6

Enthalten in:

BMJ global health - 6(2021), 9 vom: 13. Sept.

Sprache:

Englisch

Beteiligte Personen:

Restar, Arjee [VerfasserIn]
Garrison-Desany, Henri M [VerfasserIn]
Baker, Kellan E [VerfasserIn]
Adamson, Tyler [VerfasserIn]
Howell, Sean [VerfasserIn]
Baral, Stefan David [VerfasserIn]
Operario, Don [VerfasserIn]
Beckham, S Wilson [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
Cross-sectional survey
Journal Article
Public health
Research Support, N.I.H., Extramural

Anmerkungen:

Date Completed 17.09.2021

Date Revised 08.11.2023

published: Print

Citation Status MEDLINE

doi:

10.1136/bmjgh-2021-006808

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM330603485