Today’s report release coincides with a Congressional briefing on the unique experiences of LGBT people in rural America, cosponsored by the National Center for Lesbian Rights and in cooperation with the Congressional LGBT Equality Caucus and Representative Angie Craig of Minnesota. The briefing will also discuss how Congress can ensure that all people in rural America, including LGBT people, can have an equal opportunity to support their families and contribute to their communities and the country.
“Despite a lack of visibility, transgender people have always been a part of the social fabric of rural America,” said Ineke Mushovic, executive director of the Movement Advancement Project. “But because there are fewer employment and healthcare options for rural transgender people, discrimination can effectively prevent them from getting a job or medical care at all. And these challenges are even starker for transgender people of color in rural communities. This is why it is vital for states and the federal government to update nondiscrimination laws to include and protect transgender people, to modernize processes for updating identity documents, and to overturn HIV criminalization and religious exemption laws that further harm and limit transgender people’s access to health care and other needed services."
This report, which includes original analysis of the 2015 U.S. Transgender Survey (USTS), offers extensive new findings on transgender people in rural communities. Although experiences of discrimination are typically as common in rural areas as in urban areas, structural challenges in rural areas, such as fewer employment or healthcare options, means the impact of discrimination on the lives of rural transgender people may be particularly profound.
As discussed in the report findings:
• Roughly one in six (16%) transgender people live in rural areas—the same percentage of the non-transgender population which lives in rural areas—according to a recent analysis by the Williams Institute of nationally representative federally-funded data.
• Rural transgender people are more than two times more likely—and rural transgender people of color are nearly four times more likely—as the general rural population to be unemployed and living in poverty, despite being more likely than their rural neighbors to have a college degree.
• Rural transgender people are two times more likely (18%)—and rural transgender people of color are over three times more likely (30%)—to be uninsured than the rural U.S. population (9%).
• For rural transgender adults who had insurance and sought coverage for transition-related surgery, 69% were denied coverage, compared to 55% of all insured transgender adults.
• Rural transgender people travel remarkable distances to see their healthcare providers. Nine percent (9%) of all transgender people travel 75 miles or more to see their transgender-related healthcare provider, but in rural areas, 27% of transgender people and 33% of transgender people of color travel 75 miles or more.
• Rural transgender people are six times more likely (1.7%) and rural transgender people of color are 20 times more likely (6%) than the general U.S. population (0.3%) to be HIV+.
Click here to view this as an infographic.
“Black transgender and gender non-conforming people face some of the highest levels of discrimination of all transgender people,” said David Johns, executive director of the National Black Justice Coalition. "We know, based on the Where We Call Home: LGBT People of Color in Rural America report, that these experiences are compounded by the unique challenges of rural communities—especially because rural states are home to some of the worst LGBTQ policy climates and some of the highest populations of people of color, making it easy to maintain racial discrimination in rural communities. Too often people forget that Black transgender and gender non-conforming people call rural America home, too, and this erasure can result in gaps in services and supports. There's no reason why rural transgender people of color should be nearly four times more likely as the rural population to be unemployed and living in poverty, despite being more likely than their rural neighbors to have a college degree. The National Black Justice Coalition is proud to contribute to a report highlighting these important intersectional realities.”
Where We Call Home: Transgender People in Rural America concludes with critical recommendations:
• Because transgender people in rural communities face significant obstacles to accessing and receiving care, improving access to transgender-inclusive health care that is both affordable and culturally competent is vital to adequately serving transgender patients.
• States and the federal government should rescind and block harmful religious exemption laws that may allow service providers and employers to legally discriminate against transgender people.
• State officials and lawmakers should adopt laws to ensure transgender and non-binary people can update their identity documents, including driver’s licenses and birth certificates, to match their name and gender identity.
• Passing and enforcing transgender-inclusive nondiscrimination laws, as well as repealing discriminatory laws that disproportionately harm transgender people (e.g., HIV criminalization laws), will help to improve the quality of life for transgender people in rural America.
“Transgender people in rural areas face some of the most severe isolation and discrimination in our country, and yet their voices have for too long gone almost entirely unheard,” said Shannon Minter, legal director of the National Center for Lesbian Rights. “This breakthrough report shines a much-needed light on both their resilience and their struggles—and provides a roadmap for a policy agenda to build long-term change.”
“Our members in rural areas are fighting for access to transgender-inclusive healthcare, affordable updated identity documents, nondiscrimination protections, and relief from HIV criminalization laws and religious exemptions,” said Rebecca Isaacs, executive director of Equality Federation. “The current policy landscape is failing our transgender neighbors in rural communities and we need more research and data collected to know the full scope of the harm done. What we do know is that transgender people have a harder time getting documents to match their gender identity leading to increased discrimination. Finding quality medical care nearby is another major challenge transgender individuals face. This important report is a blueprint for reversing the harm done to transgender people living in rural areas.”
