Study Results

Access the full journal article Abstract Background: Transgender and nonbinary populations are disproportionately affected by HIV and face barriers to accessing HIV-related services. Pre-exposure prophylaxis (PrEP) may benefit those at risk of HIV acquisition. However, PrEP awareness and uptake, along with potential barriers and facilitators, have not been investigated among transgender and nonbinary individuals living… read more »

Access the full journal article Abstract Purpose: Transgender and non-binary people (TGNB) have a higher rate of heavy episodic drinking than cisgender people; however, extant knowledge about predictors of hazardous alcohol drinking (HAD) among different TGNB groups is limited. This study examined predictors of HAD in a national sample of TGNB people in Canada. Methods:… read more »

Access the full journal article Abstract Objective: Trans and non-binary (TNB) immigrants, refugees, and newcomers (IRN) face intersecting challenges and barriers, including stigma and persecution in countries of origin, and others unique to the Canadian resettlement process. The present study aimed to investigate factors that are associated with having a primary healthcare provider among TNB IRN. Design:… read more »

Access the full journal article Abstract Background: The existence and health care needs of individuals who are both autistic and transgender and nonbinary (TNB) are increasingly discussed publicly. While research demonstrating a greater prevalence of autism among TNB individuals continues to grow, little captures their experiences with primary, mental health, and gender-affirming care (GAC), particularly between… read more »

Cite this Report: A. Scheim, C. Lopez, G. Bauer, J. Brasseur, J. Baptiste, J. Navarro, M. Smith, N. Blodgett, S. Churchill, T. Coleman. 2024-04-15. Health and Well-Being Among Rural and Small Town Trans and Non-Binary People. https://transpulsecanada.ca/results/report-health-and-well-being-among-rural-and-small-town-trans-and-non-binary-people/ This work is licensed under a Creative Commons Attribution 4.0 International License. Document Accessibility by AbleDocs.

Access the full journal article Abstract Background: Misgendering–using the wrong name, pronoun, or gendered language to refer to someone–is known to have negative impacts on the mental health and well-being of trans individuals generally. However, little is known about the effects of misgendering on nonbinary people specifically. Aims: As such, our research asked: 1) Among nonbinary people,… read more »

Cite this Report: J. Navarro, J. Hallarn, B. Liang, N. Adams, J. Zaitzow, K. Brooks, E. Legare-Tremblay, T. Johnson, J. Pyne, M. Mahendran, M. Smith, S. Churchill, C. Lopez, A. Scheim, G. Bauer. 2024-1-5. Health and Well-Being Among Disabled Trans and Non-Binary People. Available from: https://transpulsecanada.ca/results/report-health-and-well-being-among-disabled-trans-and-non-binary-people/ This work is licensed under a Creative Commons Attribution… read more »

Cite this report: A. Devor, R. Forrester, A. Grigo- rovich, H. Kia, C. Lopez, J. Navarro, C. Tei, G. Tran Minh, A. Scheim, G. Bauer. Health and Well-Being Among Trans and Non-Binary Older Adults. 2023-09-18. Available from: https://transpulsecanada.ca/results/report-health-and-well-being-among-trans-and-non-binary-older-adults/ This work is licensed under a Creative Commons Attribution 4.0 International License. Document Accessibility by AbleDocs.  

Bar graph describing what proportion of trans and non-binary people in Canada are proud of their gender? This is a weighted percent of participants who responded ”Agree completely” or “Agree somewhat” out of 2347 participants. 54% responded that “being trans or non-binary is one of the cool things about me”. 80% responded “I feel a… read more »

A responsive report prepared at the request of the CHRC. This report provides requested information regarding trans and non-binary adults in Canada and their barriers to housing. Cite this Report: Trans PULSE Canada. Housing barriers among trans and non-binary adults in Canada. 2023-04-26. Available from: https://transpulsecanada.ca/results/responsive-report-housing-barriers-among-trans-and-non-binary-adults-in-canada This work is licensed under a Creative Commons Attribution… read more »

Cite this Report: Scheim, H. Santos, S. Ciavarella, J. Vermilion, F. S.E. Arps, N. Adams, K. Nation, G. Bauer. Police Experiences Among Trans and Non-Binary Sex Workers in Canada. 2023-03-03. Available from: https://transpulsecanada.ca/results/community-report-police-experiences-among-trans-and-non-binary-sex-workers-in-canada This work is licensed under a Creative Commons Attribution 4.0 International License.

Cite this Report: Scheim, H. Santos, S. Ciavarella, J. Vermilion, F. S.E. Arps, N. Adams, K. Nation, G. Bauer. Experiences of Violence Among Trans and Non-Binary Sex Workers in Canada. 2023-03-02. Available from: https://transpulsecanada.ca/results/community-report-experiences-of-violence-among-trans-and-non-binary-sex-workers-in-canada This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract Introduction In the context of renewed debate about Canada’s “end demand” sex work laws, we took an intersectional approach to characterize experiences with the criminal legal system and perceived access to justice among transgender (trans) and nonbinary sex workers in Canada. Methods The Trans PULSE Canada community-based study collected multimode survey data in fall… read more »

Abstract Background: Virtual health care use has dramatically increased in response to the COVID-19 pandemic, raising the question of its potential role after the pandemic. For transgender (trans) and nonbinary (TNB) people, virtual care is promising because it may expand access to appropriate health care providers. However, emerging research indicates potential disparities in virtual care… read more »

Presentation by Kai Jacobsen on behalf of the Trans PULSE Canada team for the World Professional Association for Transgender Health (WPATH) 2022 Conference. Presentation Abstract Introduction: Misgendering is known to have negative impacts on the health and well-being of transgender individuals, such as body dissatisfaction, disordered eating, and negative mental health outcomes. Conversely, gender affirmation… read more »

Abstract Background Emerging international evidence indicates the COVID-19 pandemic has exacerbated socioeconomic and health challenges faced by transgender (trans) and non-binary populations globally. This qualitative study is among the first to characterize impacts of the pandemic on these groups in Canada. Methods Drawing on data from the Trans PULSE Canada survey (N = 820), we used thematic… read more »

Pie graph describing how trans and non-binary participants would be counted in a Statistics Canada survey. 82% would be counted as trans or non-binary, 0.04% would provide only sex, 5.5% would not provide a response to StatCan, 4% would be counted as cisgender, 0.5% would provide only gender, and 8.7% declined to answer the question… read more »

Highlights Transgender and non-binary populations experience barriers to healthcare. Poor mental health may contribute to healthcare avoidance. Existing disparities may have been worsened due to the COVID-19 pandemic. Trans PULSE Canada surveyed trans and non-binary individuals amidst COVID-19. Participants with worse mental health were more likely to avoid primary care during the pandemic. Abstract Transgender… read more »

Abstract Background: Previous Canadian studies have identified problems regarding health care access for transgender (trans) and nonbinary people, but all-ages national data have been lacking. This study describes access to care among trans and nonbinary people in Canada, and compares health care access across provinces or regions. Methods: We conducted a bilingual, multimode cross-sectional survey… read more »

Cite this Report: J. Navarro, N. Lachowsky, R. Hammond, D. Burchell, F.S.E. Arps, C. Davis, J. Brasseur, S. Islam, B. Fosbrook, K. Jacobsen, M. Walker, C. Lopez, A. Scheim, G. Bauer on behalf of the Trans PULSE Canada Team. Health and well-being among non-binary people. 2021-07-06. Available from: https://transpulsecanada.ca/research-type/reports This work is licensed under a… read more »

Cite this Report: J. Navarro, F. Johnstone, J. Temple Newhook, M. Smith, j Wallace Skelton, K. Prempeh, L. S., C. Lopez, A. Scheim, G. Bauer, on behalf of the Trans PULSE Canada Team. Health and well-being among trans and non-binary youth. 2021-06-25. Available from: https://transpulsecanada.ca/research-type/reports   This work is licensed under a Creative Commons Attribution… read more »

Cite this Report: F.S.E. Arps, S. Ciavarella, J. Vermilion, R. Hammond, K. Nation, S. Churchill, M. Smith, J. Navarro, P. Thaker, G. Bauer, A. Scheim on behalf of the Trans PULSE Canada Team. Health and well-being among trans and non-binary people doing sex work. 2021-03-30. Available from: https://transpulsecanada.ca/research-type/reports   This work is licensed under a… read more »

Cite this Report: J. Navarro, T. Ferguson, C. Chih, A. Jibril, M. Khatoon, S. Inkingi, D. Beaulieu-Prévost, P. Thaker on behalf of the Trans PULSE Canada Team. Health and well-being among trans and non-binary immigrants & newcomers. 2021-03-23. Available from: https://transpulsecanada.ca/research-type/reports   This work is licensed under a Creative Commons Attribution 4.0 International License. Document… read more »

Presentation by Sharp Dopler and Carol Lopez on behalf of the Indigenous Leadership Group for the Moving Trans History Forward Conference 2021. This presentation provided findings on a scoping review drafted by the Indigenous Leadership Group that explores the health experiences of Indigenous trans, two-spirit, and gender diverse communities. Download PDF. 

What proportion of trans and non-binary participants worry about being harassed or stopped by police or security? Bar graph from the Trans PULSE Canada study describing the proportion of transgender and non-binary participants who worry about being harassed or stopped by police or security. The X-axis shows the total number of trans and non-binary participants… read more »

Cite this Report: C. Merasty, F. Gareau, R. Jackson, R. Masching, S. Dopler on behalf of the Trans PULSE Canada Team. Health and well-being among Indigenous trans, two-spirit and non-binary people. 2021-02-11. Available from: https://transpulsecanada.ca/research-type/reports   This work is licensed under a Creative Commons Attribution 4.0 International License. Document Accessibility by AbleDocs.

A responsive report prepared in English at the request of the Saskatchewan Human Rights Commission. This report provides requested information regarding non-binary people in Canada and their identity documents.   Cite this Report: Trans PULSE Canada. Non-Binary People and Identity Documents: A report prepared for the Saskatchewan Human Rights Commission. 2020-12-07. Available from: https://transpulsecanada.ca/research-type/reports  … read more »

Cite this Report: Trans PULSE Canada COVID Cohort Working Group on behalf of the Trans PULSE Canada Team. Social and economic impacts of COVID-19 on transgender and non-binary people in Canada. 2020-12-08. Available from: https://transpulsecanada.ca/research-type/reports   This work is licensed under a Creative Commons Attribution 4.0 International License. Document Accessibility by AbleDocs.

Cite this Report: Trans PULSE Canada COVID Cohort Working Group on behalf of the Trans PULSE Canada Team.COVID-19 testing and diagnosis among transgender and non-binary people in Canada. 2020-12-08. Available from: https://transpulsecanada.ca/research-type/reports   This work is licensed under a Creative Commons Attribution 4.0 International License. Document Accessibility by AbleDocs.

Cite this Report: Trans PULSE Canada COVID Cohort Working Group on behalf of the Trans PULSE Canada Team. Impact of COVID-19 on health care access for transgender and non-binary people in Canada. 2020-12-08. Available from: https://transpulsecanada.ca/research-type/reports   This work is licensed under a Creative Commons Attribution 4.0 International License. Document Accessibility by AbleDocs.

Presentation by Dr. Greta Bauer on behalf of the Trans PULSE Canada team for the World Professional Association for Transgender Health (WPATH) 2020 Conference. This presentation focused on the first results from Trans PULSE Canada on the health and well-being among trans and non-binary Canadians. Download PDF

Presentation by Tatiana Ferguson on behalf of the Immigrant, Refugee, and Newcomer Priority Population Consultation Team (PPCT) for the World Professional Association for Transgender Health (WPATH) 2020 Conference. This presentation focused on immigrant and newcomer trans and non-binary populations in Canada. Download PDF

Cite this Report: C. Chih, J. Q. Wilson-Yang, K. Dhaliwal, M. Khatoon, N. Redman, R. Malone, S. Islam, & Y. Persad on behalf of the Trans PULSE Canada Team. Health and well-being among racialized trans and non-binary people in Canada. 2020-11-02. Available from: https://transpulsecanada.ca/research-type/reports   This work is licensed under a Creative Commons Attribution 4.0… read more »

Presentation by Tatiana Ferguson and Meghan Smith on behalf of the Trans PULSE Canada team for the LEAF Gender Justice Now Symposium 2020. This presentation is focused on social and systemic barriers for trans and non-binary people in Canada. Download PDF

Presentation by Dr. Randy Jackson and Carol Lopez on behalf of the Indigenous Leadership Group for the International Indigenous Pre-Conference on HIV & AIDS 2020. This presentation provided preliminary findings on a scoping review drafted by the Indigenous Leadership Group that explores the health experiences of Indigenous trans, two-spirit, and gender diverse communities. Download PDF

What proportion of trans and non-binary people doing sex work had unmet health care need(s) in the past year, compared to those not doing sex work? Bar graph from the Trans PULSE Canada study describing the proportion of transgender and non-binary respondents who had one or more past-year unmet health care needs. The graph compares… read more »

Cite this Report: The Trans PULSE Canada Team. Health and health care access for trans and non-binary people in Canada. 2020-03-10. Available from: https://transpulsecanada.ca/research-type/reports   This work is licensed under a Creative Commons Attribution 4.0 International License. Document Accessibility by AbleDocs.

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How does health care access for trans and non-binary people in Canada compare to the general population? Bar graph from the Trans PULSE Canada study describing the proportion of transgender and non-binary people (n=2873) who have a primary health care provider, and the proportion who had a past-year unmet health care need. The graph compares… read more »

What proportion of transgender and non-binary people in Canada have undergone “conversion therapy” in an attempt to make them cisgender? Bar graph from the Trans PULSE Canada study describing the proportion of transgender and non-binary people who have ever experienced “conversion therapy” in an attempt to make them cisgender. The X-axis shows three age groups… read more »

Presentation by Yasmeen Persad on behalf of Trans PULSE Canada for the Trans Women HIV Research Initiative: Research and Practice Conference 2019 on the Trans PULSE Canada project. Download PDF

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