A recent study conducted in Maryland revealed that over three-quarters of transgender individuals expressed concerns about facing negative judgment when seeking healthcare, leading to nearly a third delaying necessary treatment. The study, the most extensive of its kind in the state, delved into various social, economic, legal, and discriminatory experiences among 750 transgender participants from all counties and Baltimore. It was a collaborative effort between the community organization Trans Maryland and the Queer/Trans Collective for Research on Equity and Wellness, aimed at ensuring the representation of queer and transgender communities in scientific literature. The findings were released ahead of the international observance of the Transgender Day of Visibility.
The survey, carried out online between May and December 2023, highlighted the distressing prevalence of violence and victimization experienced by transgender individuals in Maryland. Shockingly, 78.2% reported instances of verbal abuse, while 46.1% disclosed incidents of physical or sexual assault in their lifetime. Furthermore, the study uncovered concerning trends in income and employment, with 22.7% of respondents facing significant financial crises in the past year. Insights into identity documents also surfaced, revealing that slightly more than half of the participants lacked identification documents reflecting their gender.
M Pease ‘22, a doctoral student in counseling psychology at the University of Maryland and the lead author of the preliminary findings report, emphasized the importance of shedding light on these experiences to identify areas where the state excels and where improvements are needed. The research team, including project lead Son Taylor from Towson University, Trans Maryland Executive Director Lee Blinder, Principal Investigator and Professor Paz Galupo, and postdoctoral researcher Zakary Clements from Washington University in St. Louis, collaborated to compile these insights.
Regarding wellness-related outcomes, the study found that while 94.4% of respondents had some form of health insurance, 20.1% lacked access to health advice, and 32.5% did not have a primary care provider. Moreover, a significant barrier to access was reported by 85.2% of individuals seeking transgender-related surgery.
Pease underscored the policy implications of these findings, particularly as individuals seek refuge in states like Maryland perceived as safer havens amidst anti-trans legislation nationwide. Addressing the gaps in accessible affirming care and competent providers for transgender patients is crucial for ensuring the well-being of individuals seeking care in these communities.
The study also highlighted the diverse transgender community in Maryland, spanning ages from 18 to 80 years and representing various races, genders, sexual orientations, and abilities. Pease commended the richness and vibrancy of the community, countering stereotypical narratives and emphasizing the importance of inclusive policies and practices.
The results of the study can serve as a valuable resource for policymakers and advocates striving to enhance transgender experiences and foster inclusivity within and beyond the state. Pease emphasized that true visibility entails actively addressing gender diversity oppression through policies and practices that prioritize care, love, and joy for the community while proactively tackling the disparities outlined in the report.