2022 US Trans Survey Early Insights

The following is from an email sent out by the National Center for Transgender Equity on Feb. 7, 2024:

We know you’ve been waiting, and now the day is finally here! The National Center for Transgender Equality is proud to announce the release of the first report from the 2022 U.S. Trans Survey – the Early Insights report!

A record number of transgender people took the 2022 survey – 92,329 to be exact. That’s over three times the number of respondents of the last survey in 2015. We appreciate every one of you who took or shared the survey, and now we’re finally able to share the first of many reports to be released.

The lessons from the report are clear: trans people in the survey said that living as their authentic selves made them more satisfied with their lives and that they have sources of support, yet still face many challenges in areas like accessing health care and accurate IDs.

Here are a just a few highlights from the Early Insights report:

Trans people in the survey reported greater life satisfaction after transitioning. Nearly all respondents (94%) who lived at least some of the time in a different gender than the one they were assigned at birth (“gender transition”) reported that they were either “a lot more satisfied” (79%) or “a little more satisfied” (15%) with their life.

Discriminatory policies cause real harm. Nearly half (47%) of respondents had thought about moving to another state because their state government considered or passed laws that target transgender people for unequal treatment (such as banning access to bathrooms, health care, or sports), and 5% of respondents had actually moved out of state because of such state action.

Without question, misinformation and a lack of understanding is underpinning the escalating legislative attacks on our community. But with the 2022 USTS, the largest survey ever conducted on the experiences of transgender and nonbinary people in the country, we are once again combatting that misinformation with hard data about trans lives.

Check out the Early Insights report at ustranssurvey.org. We made major changes to the site to make it easier to share the data with PDF and web versions of the report, including interactive charts. You can also view the full website en español.

Special thanks to our partners, the National Black Trans Advocacy Coalition, the TransLatin@ Coalition, and the National Queer Asian Pacific Islander Alliance, for making this survey possible. And to you, for being part of the NCTE community – we couldn’t have done this without you.

With gratitude,
Rodrigo Heng-Lehtinen
(he/him)
Executive Director

Testosterone, Sexual Health, and Pain During Sex among Transgender Men, Nonbinary, and Gender Diverse People | photo of a nonbinary person injection testosterone into their thigh (from gender spectrum)

Testosterone, Sexual Health, and Pain During Sex among Transgender Men, Nonbinary, and Gender Diverse People

The following is research that came out earlier this month (September, 2023) from the Pride Study:

What Did We Do?

We looked at sexual health experiences data from The PRIDE Study’s Annual Questionnaires from 2019-2021 provided by transgender men, nonbinary, and gender diverse people who were assigned female sex at birth (AFAB). We also looked at how these sexual health experiences were different or similar among people who were currently using testosterone and those who were not.

What Was New, Innovative, or Notable? 

Our study is one of the largest to look at the relationship between testosterone use, sexual health, and experiences of genital pain during sex among transgender men, nonbinary, and gender expansive people AFAB.

What Did We Learn? 

There were 1,219 participants in this study. 49% of participants were using testosterone and 42% had never used testosterone. Many (65%) reported having any genital pain during sex in the past 30 days (from when they completed the survey). Compared to people who never used testosterone, individuals who were using testosterone had a higher interest in sexual activity and a higher ability to orgasm. People who were using testosterone were also more likely to report genital pain during sex. We did not see a relationship between current testosterone use and satisfaction with sex life, ability for genitals to produce their own lubrication, or orgasm pleasure.

What Does This Mean for Our Communities? 

Testosterone usage for the purpose of affirming one’s gender can be associated with both positive and negative sexual health experiences. Testosterone likely impacts sexual health experiences in complex ways. For example, testosterone may play a role in genital pain during sex for some individuals. At the same time, testosterone may play a role in increased gender affirmation and improved mental health that may be related to more positive sexual experiences.

It is important that a high percentage of participants reported experiencing genital pain during sex because it can have an impact on their well-being and quality of life. However, there are not any treatments for genital pain during sex that have been evaluated specifically for transgender men or nonbinary and gender diverse people AFAB.

What’s Next? 

Our long-term goal is to identify effective and acceptable ways to treat or prevent genital pain during sex among transgender, nonbinary, and gender diverse people and to make treatments accessible. Future studies will focus on: learning more about people’s preferences for potential treatments, the ways that people using testosterone address genital pain symptoms, and what they find to be most effective. Lastly, we plan to look at how genital pain during sex impacts the overall quality of life, well-being, and relationships for transgender men, nonbinary, and gender diverse people AFAB.

Action Steps: 

See http://www.pridestudy.org/study for more information and to share this study with your friends and family.

If you are interested in conducting research related to LGBTQIA+ health, please learn more about collaborating with The PRIDE Study at http://pridestudy.org/collaborate.

Citation:

Tordoff DM, Lunn MR, Chen B, Flentje A, Dastur Z, Lubensky ME, Capriotti M, Obedin-Maliver J. Testosterone Use and Sexual Function among Transgender Men and Gender Diverse People Assigned Female at Birth. American Journal of Obstetrics & Gynecology. 2023 September 9; doi: https://doi.org/10.1016/j.ajog.2023.08.035 (article will be live in the near future)

View the full PDF at: https://escholarship.org/uc/item/6bz2x0j6

"The 2023 Gender Census is Open" next to illustrations of happy and thriving transgender and nonbinary people

Gender Census 2023 Now Open!

The 10th annual international gender census, collecting information about the language we use to refer to ourselves and each other, is now open until 9th May 2023. This is a short and easy survey.

What is the Gender Census?

The Gender Census is an annual survey that collects information about the language used by people whose genders are not adequately described, expressed or encompassed by the restrictive gender binary. It has taken place every year since 2015.

The language we ask about includes identity words, honorific titles, and pronouns.

Who can take this survey?

The gender binary is a societal model that classifies all humans into one of two categories:

  • Woman/girl – always, solely and completely
  • Man/boy – always, solely and completely

If you feel like that doesn’t fit your experience of yourself and your own gender in some way, you are invited to participate. This includes, but is definitely not limited to:

  • people whose genders change over time.
  • people whose genders fluctuate in intensity.
  • people who experience more than one gender at a time.
  • people who don’t experience gender at all.
  • people whose gender is neither male/man nor female/woman.

We also welcome anyone who:

  • rejects gender altogether.
  • feels like they’re outside of gender.
  • feels like they transcend or move beyond gender or the gender binary.
  • doesn’t really understand gender as it applies to them.
  • is questioning whether their flavour of trans might be binary or nonbinary.

It’s completely up to you whether you feel you fit any of these. This survey leans on the side of inclusive.

You can find data from previous years’ here. This is research from within our community and responses are anonymous.

How do I participate?

Click here to take the survey. It will close on or around May 9th.

Note: language in this post is taken from the Gender Census site.

"no body criminalized" against flowers with the logos of both the transgender law center and the repro legal defense fund

Announcing the Trans Health Legal Fund

The following press release was issued on Monday, March 7, 2023:

In the face of widespread attacks on transgender people’s bodily autonomy, Transgender Law Center and If/When/How’s Repro Legal Defense Fund are coming together to launch the Trans Health Legal Fund.

This fund provides economic resources and support for people facing investigation, arrest, or prosecution for seeking gender-affirming healthcare. This fund is a vital tool to protect our communities from pervasive attacks on their access to healthcare from extremist policymakers, police, and prosecutors.

“Trans and nonbinary people deserve the right to access the medical care and resources that align with their needs,” said Shelby Chestnut, Executive Director of Transgender Law Center. “The increasing threats of legislators attempting to ban and criminalize gender affirming care and abortion have highlighted even more the need for a collective response. We’re proud to partner with If/When/How’s Repro Legal Defense Fund to create a pathway to liberation and bodily autonomy for all people.”

“Our fights for reproductive justice and trans liberation are deeply intertwined. As our movements face continuous waves of attacks on our bodily autonomy, it’s essential that we show up together to support the needs of our communities,” said Rafa Kidvai, Director of If/When/How’s Repro Legal Defense Fund. “Criminalization creates a harmful, life-long domino effect on someone’s life, whether they face jail, arrest, or surveillance. Together with the Transgender Law Center, we will work to minimize the harms of the criminal legal system and fight to ensure our communities can live safely and authentically.”

The Trans Health Legal Fund will curtail the deep and lasting harm of facing criminalization by providing financial support that’s for the whole human – from bail to commissary to therapy. Transgender people who are facing criminalization for seeking healthcare can apply to the fund at www.transgenderlawcenter.org.

Transgender Law Center (TLC) is the largest national trans-led organization advocating for a world in which all people are free to define themselves and their futures. Grounded in legal expertise and committed to racial justice, TLC employs a variety of community-driven strategies to keep transgender and gender nonconforming people alive, thriving, and fighting for liberation.

The Repro Legal Defense Fund (RLDF) is a program of If/When/How: Lawyering for Reproductive Justice that works to prevent, defend against, and put a permanent stop to the criminalization of people’s bodies. The RLDF provides bail and strong defenses for anyone criminalized for something that happens during pregnancy, and the folks who directly support them.

Calling nonbinary folks with nonbinary partners!! Have you heard of the LNLH study? This study seeks to gain insight into how nonbinary partners who live together share household labor (tasks such as cooking, cleaning, taking out the trash, etc.). To be eligible to participate, you must have a nonbinary identity, and currently living with one romantic partner, or multiple romantic partners, who has/have a nonbinary identity. Zoom interviews typically last around one hour. Interviewees will receive $50 Etsy e-gift cards as compensation for their time. If interested, please scan the QR code or visit https://bit.ly/LNLHstudy

Calling nonbinary folks with nonbinary partners!

Have you heard of the LNLH study? This study seeks to gain insight into how nonbinary partners who live together share household labor (tasks such as cooking, cleaning, taking out the trash, etc.).

To be eligible to participate, you must have a nonbinary identity, and currently living with one romantic partner, or multiple romantic partners, who has/have a nonbinary identity.

Zoom interviews typically last around one hour. Interviewees will receive $50 Etsy e-gift cards as compensation for their time.

This is not limited to U.S. partipants only, either. If you’re interested and international, please check it out!

If interested, please scan the QR code in the photo or visit https://bit.ly/LNLHstudy

The U.S. Trans Survey is now open! [closed]

The following is from an email sent out by the U.S. Trans Survey Team @ National Center for Transgender Equality yesterday (10-19):

take the us trans survey

We’re proud to announce that the U.S. Trans Survey is now open and ready for you to take! Whether you pledged to take the survey or not, you can take the survey today!!

As trans people, we know that we’ve accomplished incredible things together as a community. Join thousands of other people folks around the country in sharing your experience to create a clear picture of what it’s like to be trans in the United States.

If you are trans and plan to take the survey, here’s what you need to know:

  • The survey is open to people of all trans identities (binary and nonbinary), ages 16 and older, living in the United States and U.S. territories, regardless of citizenship status.
  • If you pledged to take the survey, you are not obligated to take the survey. Participation is voluntary. When you click on the link to start the survey, you will be asked to consent to take the survey.
  • The U.S. Trans Survey is an anonymous survey. Your response will be kept confidential and will not be used to identify you.
  • The time required to take the survey may vary, but make sure to set aside at least 60 minutes to take the survey.
  • The survey will be available in both English and Spanish.
  • Please let your trans friends and siblings know about the survey too!

The U.S. Trans Survey is being conducted by the National Center for Transgender Equality in partnership with the National Black Trans Advocacy Coalition, TransLatin@ Coalition, and National Queer Asian Pacific Islander Alliance.

If you have any questions, please reach out at ustranssurvey@transequality.org.

Again, thank you so much for being part of this important survey. We’re excited to see the results!

Click here to take the survey now!

With love and solidarity,

The U.S. Trans Survey Team

Pledge to Take the 2022 US Trans Survey

a graphic featuring black, brown, white, pink, and blue hands - pledge to take the us trans survey

The U.S. Trans Survey (USTS) is the largest survey of trans people in the United States. The USTS documents the lives and experiences of trans people in the U.S. and U.S. territories. The last time data was collected was back in 2015. That year, nearly 28,000 people took the survey!

The USTS is the main source of data about trans people for the media, educators, policymakers, and the general public, covering health, employment, income, the criminal justice system, etc.  USTS reports have been a vital resource, including the reports on the experiences of people of color and reports by state.

It is vital that we ensure that this survey includes data about historically and continually forcibly marginalized groups, including Black and Brown folks, those in rural areas, disabled folks, and more.

So, if you are ages 16+ and are transgender, nonbinary, etc., please consider pledging to take the survey when it’s out later this year.

Pledge here

Note: By submitting this pledge form, you’ll receive email updates from the National Center for Transgender Equality (NCTE) about the survey. Pledging to take the survey does not obligate you to take the survey. Participation is voluntary. You will be asked to consent to take the survey later when the survey enrollment begins. 

IG Live Wed. 1/19 on Trans, Non-Binary & Gender Non-Conforming Health, Advocacy & Allyship

You’re invited to a HealtheVoices Instagram Live on Trans, Non-Binary & Gender Non-Conforming Health, Advocacy & Allyship this Wednesday, January 19 at 4 p.m. ET/ 1 p.m. PT!

Tune in for a vial conversation with host Mychelle Williams, LPC, NCC (she/they) and expert activists La’Mia Aiken-Medina (she/her), Gia Love (she/her), and Julian Gavino (he/him) on the experiences and challenges transgender, nonbinary and gender non-conforming individuals face in pursuit of health and wellness, including: medical bias and discrimination; accessing quality and comprehensive healthcare; and mental health and wellbeing. The discussion will also cover key tenants of advocacy and allyship in support of these communities.

This HealtheVoices Chat is presented by the DEAI Task Force. Learn more here

Tap this post to receive a reminder when the event starts. You can also add this to your Google Calendar by clicking here.

In Celebration of bell hooks

in celebration of bell hooks - “Love empowers us to live fully and die well. Death becomes, then, not an end to life but a part of living.”

bell hooks died this week. She was a noted author, professor, activist, and mind changer.

Born in Kentucky in 1952, Gloria Jean Watkins attended Stanford, the University of Wisconsin-Madison, and the University of California-Santa Cruz. She took on her pen name after her grandmother Bell Blair Hooks.

Many people wonder why hooks is always spelled in the lowercase. When asked about this, she said:

“When the feminist movement was at its zenith in the late ‘60s and early ’70s, there was a lot of moving away from the idea of the person. It was: let’s talk about the ideas behind the work, and the people matter less… It was kind of a gimmicky thing, but lots of feminist women were doing it.”

So, if you see people capitalizing her pen name, remind them that isn’t what she wanted.

 

Who bell Was to Me

I hate to say that I only recently began to dig more into bell’s work. This week, while working, I’ve been listening to conversations and her work, though.

Through listening to bell, I’ve found so many of my own viewpoints validated and affirmed. Before, I often felt like I was alone and without as much community in the way I view love, justice, and how we throw off oppression. One of the videos that I share below is her and Cornel West talking. I wouldn’t have ever said that my politics aligned with hooks and West on my own accord, especially as a white person. That said, I found my people in that video, in their work.

I wish that I had been in a space to dig into this work sooner. That said, I’m so glad that I’m finally here.

 

Articles About bell

 

Read bell’s Works

Since so many of these links are PDFs, I’ve marked those that are not with an asterisk (*).

 

My Favorite bell hooks Quotes

On Love
  • “A generous heart is always open, always ready to receive our going and coming. In the midst of such love we need never fear abandonment. This is the most precious gift true love offers – the experience of knowing we always belong.”
  • “Love is an action, never simply a feeling.”
  • “To think of actions shaping feelings is one way we rid ourselves of conventionally accepted assumptions… If we were constantly remembering that love is as love does, we would not use the word in a manner that devalues and degrades its meaning.”
  • “But many of us seek community solely to escape the fear of being alone. Knowing how to be solitary is central to the art of loving. When we can be alone, we can be with others without using them as a means of escape.”
  • “Since loving is about knowing, we have more meaningful love relationships when we know each other and it takes time to know each other.”
  • “Everywhere we learn that love is important, and yet we are bombarded by its failure….We still believe in love’s promise.”
  • “The moment we choose to love we begin to move against domination, against oppression. The moment we choose to love we begin to move towards freedom, to act in ways that liberate ourselves and others.”
  • “To be loving is to be open to grief. to be touched by sorrow, even sorrow that is unending. we need not contain grief when we use it as a means to intensify our love for the dead and dying, for those who remain alive.”
  • “Love empowers us to live fully and die well. Death becomes, then, not an end to life but a part of living.”
  • “To love well is the task in all meaningful relationships, not just romantic bonds.”
  • “Love is a combination of care, commitment, knowledge, responsibility, respect and trust.”
  • “The wounded heart learns self-love by first overcoming low self-esteem.”
  • “Choosing to be honest is the first step in the process of love. There is no practitioner of love who deceives. Once the choice has been made to be honest, then the next step on love’s path is communication.”
  • “Genuine love is rarely an emotional space where needs are instantly gratified. To know love we have to invest time and commitment…’dreaming that love will save us, solve all our problems or provide a steady state of bliss or security only keeps us stuck in wishful fantasy, undermining the real power of the love — which is to transform us.’ Many people want love to function like a drug, giving them an immediate and sustained high. They want to do nothing, just passively receive the good feeling.”
  • “Schools for love do not exist. Everyone assumes that we will know how to love instinctively. Despite overwhelming evidence to the contrary, we still accept that the family is the primary school for love. Those of us who do not learn how to love among family are expected to experience love in romantic relationships. However, this love often eludes us.”
  • “The practice of love offers no place of safety. We risk loss, hurt, pain. We risk being acted upon by forces outside our control.”
  • “If only one party in the relationship is working to create love, to create the space of emotional connection, the dominator model remains in place and the relationship just becomes a site for continuous power struggle.”
  • “The practice of love is the most powerful antidote to the politics of domination.”
  • “One of the best guides to how to be self-loving is to give ourselves the love we are often dreaming about receiving from others. There was a time when I felt lousy about my over-forty body, saw myself as too fat, too this, or too that. Yet I fantasized about finding a lover who would give me the gift of being loved as I am. It is silly, isn’t it, that I would dream of someone else offering to me the acceptance and affirmation I was withholding from myself. This was a moment when the maxim ‘You can never love anybody if you are unable to love yourself’ made clear sense. And I add, ‘Do not expect to receive the love from someone else you do not give yourself.’ “
  • “In an ideal world we would all learn in childhood to love ourselves. We would grow, being secure in our worth and value, spreading love wherever we went, letting our light shine. If we did not learn self-love in our youth, there is still hope. The light of love is always in us, no matter how cold the flame. It is always present, waiting for the spark to ignite, waiting for the heart to awaken and call us back to the first memory of being the life force inside a dark place waiting to be born – waiting to see the light.”
  • “When we face pain in relationships our first response is often to sever bonds rather than to maintain commitment.”
  • “Fundamentally, to begin the practice of love we must slow down and be still enough to bear witness in the present moment. If we accept that love is a combination of care, commitment, knowledge, responsibility, respect, and trust, we can then be guided by this understanding. We can use these skillful means as a map in our daily life to determine right action.”
  • “When we commit to love in our daily life, habits are shattered. We are necessarily working to end domination. Because we no longer are playing by the safe rules of the status quo, rules that if we obey guarantee us a specific outcome, love moves us to a new ground of being. This movement is what most people fear.”
  • “Before I die in this world I want to have a sense of what it is to love and be loved… many of us coming out of abusive settings have not had that. We don’t know what that looks like – and that’s the other thing. Sometimes you have to find out what something looks like and then you have to grieve that you don’t have it. And you may be getting old and you don’t have it. So you have to figure out, what is enough within that?”
  • “What does it mean to value a friend as you would value a partner? And that is again I think totally counter hegemonic because everything in our culture is constantly telling us that the partner is everything – finding the partner. And so not finding love but finding a partner. And, especially Black women, that’s when we get hooked up with so many people who treat us cruelly, abusively – because we’re trying to find a partner. We’re trying to validate that I’m worth something because I have found somebody and not that I am hoping to love. And then having to grieve when that love doesn’t come…”
  • “To me, all the work I do is built on a foundation of loving-kindness. Love illuminates matters.”
  • “Queer not as being about who you are having sex with, that can be a dimension of it, but queer as being about the self that is at odds with everything around it and has to invent and create and find a place to speak and to thrive and to live.”

 

On Justice
  • “There are times when we have to stand for justice. And there are times when, in standing for justice, we have to turn away from people that we would ordinarily maybe want to be with. And that is a difficult part of struggle.”
  • “Rarely, if ever, are any of us healed in isolation. Healing is an act of communion.”
  • “To build community requires vigilant awareness of the work we must continually do to undermine all the socialization that leads us to behave in ways that perpetuate domination.”
  • “When we drop fear, we can draw nearer to people, we can draw nearer to the earth, we can draw nearer to all the heavenly creatures that surround us.”
  • “Sometimes people try to destroy you, precisely because they recognize your power — not because they don’t see it, but because they see it and they don’t want it to exist.”
  • “Only grown-ups think that the things children say come out of nowhere. We know they come from the deepest parts of ourselves.”
  • “What we do is more important than what we say or what we say we believe.”
  • “True resistance begins with people confronting pain…and wanting to do something to change it.”
  • “For me, forgiveness and compassion are always linked: how do we hold people accountable for wrongdoing and yet at the same time remain in touch with their humanity enough to believe in their capacity to be transformed?”
  • “Definitions are vital starting points for the imagination. What we cannot imagine cannot come into being. A good definition marks our starting point and lets us know where we want to end up.”
  • “Dominator culture has tried to keep us all afraid, to make us choose safety instead of risk, sameness instead of diversity. Moving through that fear, finding out what connects us, reveling in our differences; this is the process that brings us closer, that gives us a world of shared values, of meaningful community.”
  • “All our silences in the face of racist assault are acts of complicity.”
  • “We can’t combat white supremacy unless we can teach people to love justice. You have to love justice more than your allegiance to your race, sexuality and gender. It is about justice.”
  • “The first act of violence that patriarchy demands of males is not violence toward women. Instead patriarchy demands of all males that they engage in acts of psychic self-mutilation, that they kill off the emotional parts of themselves. If an individual is not successful in emotionally crippling himself, he can count on patriarchal men to enact rituals of power that will assault his self-esteem.”
  • “If I do not speak in a language that can be understood there is little chance for a dialogue.”
  • “Most folks don’t seem to want to believe that one can be struggling for justice and into nuanced cultural perspectives, aesthetics, and the vernacular at the same time.”
  • “It takes courage and critical vigilance not to conform. It takes knowing the rules of the game, how to play and win, as well as finding strategies to win without compromising in ways that violate or destroy the integrity of your being.”

 

On Writing and Her Work

  • “When I sit down to write I do not imagine my pen will be guided by anything other than the strength of my will, imagination and intellect. When the spirit moves into that writing, shaping its direction, that is for me a moment of pure mystery. It is a visitation of the sacred that I cannot call forth at will. I can only hope that it will come. This hope is grounded in my own experience that those moments when I feel my imagination and the words I put together to be touched by the presence of divine spirit, my writing is transformed.”
  • “Words have the power to heal wounds. Out of the mysterious place where words first come to be ‘made flesh’—that place which is all holiness—I am given the grace to work with words in a spirit of right livelihood which calls me to peace, reflection, and connectedness with communities of readers whom I may never know or see. Writing becomes then a way to embrace the mysterious, to walk with spirits, and an entry into the realm of the sacred.”
  • “Writing has been for me one of the ways to encounter the divine. As a discipline of mind and heart, working with words has become a spiritual practice.”
  • “I write with intensity, discipline and constancy, because this is the work that calls me—the vocation of my heart. The writing I do is always meant to serve as critical intervention, as resistance. Balancing the desire to have work meaningfully touch relevant issues without, as well as always reflect artistic expression and integrity within, is not an easy task. While much of my cultural criticism challenges representations that reinforce existing structures of domination, it also offers new and different representations. The work then is always part of our struggle for liberation.”

 

Watch bell Speak