A geospatial analysis of services that support transgender and gender diverse (“trans”) people in New York City (NYC) was conducted to investigate associations with neighborhood-level sociodemographic characteristics. In June 2019, there were 5.3 services for every 100,000 of the general NYC population; controlling for other covariates, they were more commonly located in neighborhoods with larger populations of non-Hispanic Black (rate ratio [RR]=1.02, 95% confidence interval [CI]: 1.00–1.04), Hispanic/Latino (RR=1.03, 95% CI: 1.00–1.06), and gay/lesbian people (RR=1.53, 95% CI: 1.03–2.34). These findings suggest that the distribution of trans-focused services in NYC is proximal to communities that are most in need, but research should examine proximity to trans people specifically and distribution in nonurban areas.
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References
1.
ReisnerSL, PoteatT, KeatleyJ, et al.Global health burden and needs of transgender populations: a review. Lancet. 2016; 388:412–436.
2.
LernerJE, RoblesG. Perceived barriers and facilitators to health care utilization in the United States for transgender people: a review of recent literature. J Health Care Poor Underserved. 2017; 28:127–152.
3.
DuncanDT, KawachiI. Neighborhoods and Health, 2nd ed. New York, NY: Oxford University Press, 2018.
4.
SinnardMT, RainesCR, BudgeSL. The association between geographic location and anxiety and depression in transgender individuals: an exploratory study of an online sample. Transgend Health. 2016; 1:181–186.
5.
White HughtoJM, MurchisonGR, ClarkK, et al.Geographic and individual differences in healthcare access for U.S. transgender adults: a multilevel Analysis. LGBT Health. 2016; 3:424–433.
6.
SaferJD, ChanKJ. Review of medical, socioeconomic, and systemic barriers to transgender care. In: Transgender Medicine. (Poretsky L, Hembree, WC; eds). Berlin, Germany: Springer Publishing; 2019, pp. 25–38.
7.
LuongSD.Gender Minority Experiences of Healthcare Discrimination, State Policy Protections, and Care Avoidance. [Dissertation] San Fransisco, CA: University of California Sanfransisco, 2020.
8.
RosentelK, VandeVusseA, HillB. Racial and socioeconomic inequity in the spatial distribution of LGBTQ human services: an exploratory analysis of LGBTQ Services in Chicago. Sexual Res Soc Policy. 2020; 17:87–103.
9.
United States Census Burea. Quick Facts: New York City, New York, United States. Washington, DC: United States Census Burea, 2019. Available at https://www.census.gov/quickfacts/newyorkcitynewyork Accessed September20, 2020.
10.
StrykerS.Transgender History: The Roots of Today's Revolution. New York, NY: Seal Press, 2017.
11.
DomingoM.Transgender resource map. Presentation at AIDS 2018, Amersterdam, Netherlands: Interational HIV/AIDS Society, 2018.
12.
GreelandS, MansourniaMA, AltmanDG. Sparse data bias: a problem hiding in plain sight. BMJ. 2016; 353:i1981.
13.
United States Census Burea. American Community Survey. Washington, DC: United States Census Burea, 2018. Available at https://www.census.gov/programs-surveys/acs Accessed September20, 2020.
14.
MorrisM, Wheeler-MartinK, SimpsonD, et al.Bayesian hierarchical spatial models: implementing the Besag York Mollié model in stan. Spat Spatiotemporal Epidemiol. 2019; 31:100301.
15.
DensonDJ, PadgetPM, PittsN, et al.Health care use and HIV-related behaviors of black and Latina transgender women in 3 US metropolitan areas: results from the transgender HIV behavioral survey. J Acquir Immune Defic Syndr. 2017; 75(S3):S268.
16.
ClarkK, FletcherJB, HollowayIW, RebackCJ. Structural inequities and social networks impact hormone use and misuse among transgender women in Los Angeles County. Arch Sex Behav. 2018; 47:953–962.
17.
GoldenbergT, Jadwin-CakmakL, PopoffE, et al.Stigma, gender affirmation, and primary healthcare use among Black transgender youth. J Adolesc Health. 2019; 65: 483–490.
18.
PoteatT, WirtzA, MalikM, et al.A gap between willingness and uptake: findings from mixed methods research on HIV prevention among Black and Latina transgender women. J Acquir Immune Defic Syndr. 2019; 82:131–140.
19.
CallanderD, Mooney-SomersJ, KeenP, et al.Australian ‘gayborhoods’ and ‘lesborhoods’: a new method for estimating the number of adult gay men and lesbian women living in each Australian postcode. Int J Geogr Infor Sci. 2020; 34:2160–2176.
20.
GhazianiA.There goes the gayborhood?. Contexts. 2010; 9:64–66.
21.
LampeT, ReisnerSL, SchrimshawEW, et al.Navigating stigma in neighborhoods and public spaces among transgender and nonbinary adults in New York City. Stigma Health. 2020; 5:477–487.
22.
CurranW.Gender and gentrification. Abingdon, United Kingdom: Routledge, 2017.
23.
GlynnTR, GamarelKE, KahlerCW, et al.The role of gender affirmation in psychological well-being among transgender women. Psychol Sex Orientat Gend Divers. 2016; 3:336–344.
24.
CallanderD, SchneiderJA, RadixA, et al.A longitudinal cohort of HIV-negative transgender women of color in New York City: the TURNNT (‘Trying to Understand Relationships, Networks and Neighborhoods among Transgender women of color’) Study. BMJ Open. 2020; 10:e032876.
25.
RosenkrantzDE, BlackWW, AbreuRL, et al.Health and health care of rural sexual and gender minorities: a systematic review. Stigma Health. 2017; 2:229–243.
