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Prevalence and associations of COVID-19 testing in an online sample of transgender and non-binary individuals.
Restar, Arjee; Garrison-Desany, Henri M; Baker, Kellan E; Adamson, Tyler; Howell, Sean; Baral, Stefan David; Operario, Don; Beckham, S Wilson.
  • Restar A; Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA arestar1@jhmi.edu.
  • Garrison-Desany HM; Department of Behavioral and Social Science, Brown University School of Public Health, Providence, Rhode Island, USA.
  • Baker KE; Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.
  • Adamson T; Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.
  • Howell S; Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.
  • Baral SD; Hornet, San Francisco, California, USA.
  • Operario D; Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.
  • Beckham SW; Department of Behavioral and Social Science, Brown University School of Public Health, Providence, Rhode Island, USA.
BMJ Glob Health ; 6(9)2021 09.
Article in English | MEDLINE | ID: covidwho-1406653
ABSTRACT

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.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Transgender Persons / COVID-19 Type of study: Diagnostic study / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Female / Humans / Male Language: English Year: 2021 Document Type: Article Affiliation country: Bmjgh-2021-006808

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Transgender Persons / COVID-19 Type of study: Diagnostic study / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Female / Humans / Male Language: English Year: 2021 Document Type: Article Affiliation country: Bmjgh-2021-006808