We’re currently analyzing the data from PATH. This is what we found thus far.
Gender Affirming Care
There is a high awareness of PrEP and willingness to use it.
97.5% were PrEP aware. 65.6% were willing to use long-acting injectables.
Higher willingness were among younger populations and those who engage in sex work.
Gender-affirming care can promote STI prevention.
Access to gender-affirming care was significantly associated wih increased STI and HIV testing.
Regardless of hormone source, trans adults are taking clinically recommended dosages.
Most received gender-affirming hormones from either licensed or both licensed ad unlicensed sources, and always took the clinically recommended dosages. Those only using licensed providers were less likely to have private insurance and experienced less provider refusal of treatment.
Preventing healthcare avoidance requires attention to affordability and stigma.
Among those who avoided healthcare, 48.9% cited cost, 33.6% cited stigma, and 7.5% cited both stigma and cost.
Trans and General Policy
The health of trans Washingtonians is negatively impacted by national anti-trans legislation.
Despite awareness of Washington’s robust trans policy protections, the nationwide political assault on trans rights is significantly linked to higher depression and anxiety mental health outcomes of trans Washingtonians.
The rise in national policy impacts personal safety.
76% endorse that the increase in anti-transgender bills nationally makes them more vulnerable to mistreatment or discrimination.
Accessible social services benefit our communities.
1/4 of respondents (25%) have either applied or thought about applying for SNAP benefits (food stamps).
Greater awareness of national anti-trans policies is linked to higher rates of harmful drug use, while greater awareness of protective state laws is associated with lower levels of harmful alcohol use.
70% have their gender and name recognized on driver’s licenses.
Family Planning
59% of surveyed trans adults want to become parents.
While 3% of respondents are parents, 14% are currently in the process of becoming parents, and 25% hope to become parents in the next 5 years.
Providers can help facilitate discussions on reproductive health needs.
40% have not discussed fertility preservation with providers but would like to.
Mental Health
32% needed treatment for mental health but did not receive it.
Among people who needed treatment, only 26% received treatment for mental health in the past year.
There are varying preferences for mental health needs.
Medication-based treatment (57%) and individual therapy (81%) were the most common treatments for mental health or substance abuse.