LGBT+ Native American young people are more likely to be at risk of suicide, new data has warned.
New research from the Trevor Project shows that LGBT+ youth from American Indian and Alaskan Native backgrounds are 2.5 times more likely to report a suicide attempt in the past year, compared to their LGBT+ peers.
American Indian and Alaskan Native youth who reported facing discrimination were also at greater risk of suicide, but supportive families and LGBT-affirming schools can reduced the suicide risk by nearly 60 per cent.
LGBT+ American Indian and Alaskan Native youth are also significantly more likely to experience housing instability, food insecurity and foster care.
Nearly half of the American Indian and Alaskan Native LGBT+ youth identified as transgender, non-binary, or questioning their gender, while 20 per cent identified as Two-Spirit.
Amy Green, director of research at The Trevor Project, said: “It is apparent that exposure to both LGBTQ-based stigma and racism has compounding effects and places American Indian/Alaskan Native youth who are Two-Spirit/LGBTQ at greater risk for suicide.
“Further, the disproportionality in reports of foster care, housing instability, and food insecurity highlights the devastating impact of historical oppression and trauma on American Indian/Alaskan Native youth.
“There is an urgent need to de-colonise systems that perpetuate the oppression of American Indian/Alaskan Native people.
“The Trevor Project will continue to advocate for intersectional programs and practices and increased investment in suicide prevention initiatives and research that specifically consider the unique needs of American Indian/Alaskan Native youth.”
The Trevor Project added: “To reduce suicidality, there is not only a need to make existing programs and practices more affirming of AI/AN and Two-Spirit/LGBTQ identities, but also to include key individuals in the lives of these youth such as community leaders, family members, and youth themselves in the development of suicide prevention initiatives.
“Our research team is committed to the ongoing dissemination of data that allows Trevor and others to better understand and address the needs of these youth.
“Further, our crisis services team works 24/7 to provide culturally-informed and affirming support to youth in crisis over the phone, online, and through text.”
Donald Trump-appointed judges reverved a vital ban on therapists offering conversion therapy – a denounced and debunked pseudosicenfitic practise – Friday (November 20), branding the ban “unconstititional”.
Also called reparative therapy, medical organisations across the world have widely rejected the treatment as traumatising and psychologically scarring, especially to minors.
In fact, the American Academy of Paediatrics warned against it as early as 1993. They said it reinforced anxiety and shame.
But in a tightly divided court in Florida, the 11th US Circuit Court of Appeals sided with two therapists who sought to argue that bans in the city of Boca Raton and Palm Beach County violated their free speech rights.
As NBC Newsreported, judges voted 2-1 against the conversion therapy ban. Both judges are appointed by Trump and are members of the conservative Federalist Society.
While Obama-appointed circuit Judge Barbara Martin dissented from the conservative majority, instead stressed the importance of protecting LGBT+ youth from a “harmful theraputic pratcise.”
In contrast, circuit Judge Britt Grant said that as much as enjoining the laws would allow “speech that many find concerning, even dangerous”, the First Amendment “does not allow communities to determine how their neighbors may be counseled about matters of sexual orientation or gender.”
As a result, the courts favoured conversion therapists Robert Otto and Julie Hamilton in a ruling that effectively dissolves the some 21 bans on the practice across cities and counties in Florida. Both said their clients often had “sincerely held religious beliefs conflicting with homosexuality.”
Also called reparative therapy, medical organisations across the world have widely debunked and rejected the treatment as traumatising and psychologically scarring, especially to minors.
In fact, the American Academy of Paediatrics warned against it as early as 1993. They said it reinforced anxiety and shame.
The practise, which has been around more than a century, has many techniques. Most commonly, talking therapy.
However, some physicians who practise the therapy are known to use shock treatments and induce associative nausea in patients, according to a 2018 study by the Williams Institute of the School of Law at the University of California, Los Angeles.
Despite such denouncement and discrediting, the ‘therapy’ has remained common in patches of the US.
Though, the impact of the practise is immeasurable, an estimated 698,000 LGBTI+ adults in the US have received conversion therapy, according to research.
Pride Media’s Out magazine is thrilled to release the 2020 Out100 presented by Lexus. The list remains the largest annual portfolio recognizing members of the LGBTQ+ for their ground-breaking, ripple-inducing, and culture-shifting impact nationwide. The coveted and anticipated Out100 issue features four covers including trailblazing actor Wilson Cruz, activist and BLM organizer Janaya Khan, actor and director Joe Mantello, and artist and icon Janelle Monáe.This year’s honorees make up one of the most diverse lists in Out magazine’s history, spanning several generations and a multitude of intersections from 18-year-old rap sensation Kidd Kenn and 99-year old trans WWII U.S. Navy fighter pilot Robina Asti to MSNBC journalist Rachel Maddow, who in a year of political tension was a voice of reason for the LGBTQ+ community. From fashion legend André Leon Talley, headlining musician Lizzo, comedian Wanda Sykes, actors Jeremy Pope and Cheyenne Jacksonto modeling industry heavyweight Ivan Bart, the creators of Queer Eye, and Joe Biden and Kamala Harris’s very queer team Jamal Brown, Reggie Greer, and Karine Jean-Pierre, inclusivity and progress are the driving force behind this year’s list. Each honoree represents not just the past but also the future. Leading into 2021, the LGBTQ+ community as a whole will undoubtedly reap the benefits of their accomplishments. This year might have brought an onslaught of challenges, but it also welcomed new opportunities to reflect about what matters to the LGBTQ+ community and what lies ahead in the fight for equality and justice. Now more than ever, it’s vital to recognize the powerful voices leading the charge and sounding off the new vanguard of queer leaders. In a year of Pride celebrated at home instead of in the streets, community support from company partners like Lexus, Citi, Gilead, McDonald’s USA, Truly Hard Seltzer, and Stoli® Group USA, LLC has never been more importantor helpful in amplifying these powerful Out100 voices moving the LGBTQ+ community forward. “Community building has been the bedrock of the LGBTQ+ rights movement, and part of that is understanding the fact that we are not and have never been monolithic. All of us have a story and role to play in this fight. All of our experiences and lived realities are different, special, and integral in building a better world — together. The Out100 list is a representation of this journey. For 26 years, it has stood the test of time and continues to empower the next generation of LGBTQ+ thought leaders, artists, and professionals to create a more inclusive future for all of us.” — David Artavia, Editor in Chief, Out
This year, Out’s nationally recognized and respected Out100 issue extends beyond the brand’s print and online properties with two exciting virtual events. On Friday, November 20, the cofounder of Black Lives Matter Canada, Janaya Khan, will moderate a dynamic “How Do We Come Back From This?” symposium on what moving out of the last four years looks like for culture, politics, the movement, and ourselves, including Emmy-winning creator of Transparent Joey Soloway, trans activist Ashlee Marie Preston, and PR strategist Kelly Bush Novak. On Saturday, November 21, the Out100 culminates in the first-ever 2020 Out100 Virtual Honoree Induction Ceremony, live at 5 p.m. Pacific (8 p.m. Eastern) at Out.com/Out100Live, and available on all Revry live channels and on-demand at 6 p.m. Pacific (9 p.m. Eastern) at watch.revry.tv.
The 2020 Out100 Virtual Honoree Induction Ceremony will feature appearances by 2020 Out100 Honorees: Cover stars Wilson Cruz and Joe Mantello. In the “Television” category: Theo Germaine, David Collins, Michael Williams & Bob Eric (Scout Productions), Brandon KyleGoodman, Cheyenne Jackson, Jamal Sims, Jeremy Pope, Shakina, and Jo Ellen Pellman. In the “Fashion and Beauty” category: Patrick Church, Patrick Starrr, and Ivan Bart. In the “The Firsts” category: Shevrin Jones, Paris Barclay, Sharon-Franklin Brown, and Kierra Johnson. In the “Advocacy” category: Mark S. King, Rashad Robinson, Queen Jean, Cody Renard Richard, Scott Wiener, Mary Trump, Rachel Levine, Malcolm Kenyatta, Tiffany Caban, and Ritchie Torres. In the “Biden’s Team” category: Jamal Brown and Reggie Greer. In the “Thinkers” category: Andrew Gelwicks. In the “All Stars” category: Thomas Beattie. In the “Film” category: Brigette Lundy-Paine, and Gerard Bush & Christopher Rens. In the “Innovators” category: Richard Gray.*And Special Guest – Mel C
Tune in and follow the conversation on social media: #Out100 “Now more than ever, it’s important to highlight the monumental achievements the LGBTQ+ community has made against the backdrop of a giant cultural shift and an evolving landscape of entertainment, politics, social justice, industry, and so much more. This list is critical. Before I was in charge of Out, I long dreamed of making it on the list myself. I never did, but it still pushed me to do better.” — Diane Anderson-Minshall, CEO & Editorial Director, Pride Media Diane Anderson-Minshall, David Artavia, and the entire family at Out express their deepest gratitude to those involved in making the Out100 issue and the Out100 Virtual Honoree Induction Ceremony an experience to never forget, with a special thank-you to the presenting sponsor Lexus for all their contributions. Find out who made this year’s Out100 list exclusively at Out.com/Out100. The full list drops Thursday, November 19tht. The Out100 print issue will be available on newsstands December 1st, 2020. Subscribe today. For More Information, Assets, and Interview Avails, please contact: JB@PotentPR.com
About Pride Media Pride Media is the largest publisher of LGBTQ+ content in the U.S., including Out, The Advocate, PRIDE.com, Out Traveler, and Plus. With over 53 years of award-winning editorial spanning digital, print, social and experiential, our content shapes the LGBTQ+ landscape—serving as the go-to destination for our audience across entertainment, news & politics, LGBTQ+ rights, travel, wellness, finance, food & spirits, and fashion. By covering every aspect of the LGBTQ+ experience, Pride Media’s brands use the power of words to inspire the full spectrum of lesbian, gay, bisexual, transgender, and queer people to live life with pride.
GLAAD, the world’s largest lesbian, gay, bisexual, transgender, and queer (LGBTQ) media advocacy organization, released the findings of its 2020 Post-election Poll of LGBTQ registered voters, including a phenomenol turnout of the LGBTQ vote, a surge of first-time LGBTQ voters, an overwhelming vote for President-elect Joe Biden, with votes motivated by three top issues urgently demanding a more robust response from our nation’s leaders: COVID-19, healthcare and racial justice.
The poll, conducted November 9-14 with 800 LGBTQ respondents by Pathfinder Opinion Research, found that 93% of respondents who reported being LGBTQ registered voters said they voted in the 2020 general election. 25% voted for the first time. Among all LGBTQ voters, 81% voted for President-elect Biden and 14% for President Trump. Among first-time LGBTQ voters, 86% voted for President-elect Biden, 10% for President Trump.
Among LGBTQ adults, 78% rated President-elect Biden “excellent or good” in addressing LGBTQ issues during the campaign. 80% rated President Trump “not so good or poor” in addressing LGBTQ issues during the campaign. 59% of LGBTQ voters said they didn’t see election-related news coverage of LGBTQ issues during the Presidential campaign, an absence GLAAD repeatedly raised before and after debates and town halls and addressed in multiple stories across the media.
As for the election result itself, two-thirds said Biden’s win made them feel optimistic for the future. But a majority of respondents expressed concern that a conservative Supreme Court could severely impact progress on issues such as marriage equality, abortion rights and employment protections.
“With this Supreme Court being packed with conservative judges, it is concerning to say the least,” says Sarah Kate Ellis, CEO of GLAAD, whose Trump Accountability Project indicates the president “attacked the LGBTQ community 181 times since he took office, or about once a week.”
Ellis is concerned religious rights will be used by the Supreme Court as a way to rule against LGBTQ Americans’ civil rights. She pointed to Fulton v. City of Philadelphia, a case currently before the Supreme Court involving a city agency that denied LGBTQ couples the ability to serve as foster parents on the grounds of religious beliefs.
Karine Jean-Pierre could become the first out lesbian and first Black woman to be named White House press secretary.
The political heavyweight served as Kamala Harris’ chief of staff during the Biden-Harris campaign, and has now been tipped for a permanent role in the new administration.
NBC’s White House correspondent Geoff Bennett tweeted Wednesday (18 November) that Jean-Pierre has “emerged as a top candidate” for press secretary, citing multiple sources.
Symone Sanders, TV pundit and a senior advisor to the campaign “has also been discussed” for the role, he added.
“No final decisions have been made, officials stress, as the emerging West Wing leadership also considers how to structure the communications office in a rapidly-changing media environment,” Bennett added.https://platform.twitter.com/embed/index.html?creatorScreenName=PinkNews&dnt=true&embedId=twitter-widget-0&frame=false&hideCard=false&hideThread=false&id=1329069612911239171&lang=en-gb&origin=https%3A%2F%2Fwww.pinknews.co.uk%2F2020%2F11%2F19%2Fpolitical-trailblazer-karine-jean-pierre-tipped-to-be-first-ever-black-and-lgbt-white-house-press-secretary%2F&siteScreenName=PinkNews&theme=light&widgetsVersion=ed20a2b%3A1601588405575&width=500px
Were Karine Jean-Pierre to clinch the role, she would be the first Black woman in the role as well as the first out LGBT+ press secretary.
Many will recognise her from a viral video in which she jumped to protect Harris after an animal rights activist attempted to grab her microphone during a campaign event in 2019.
A seasoned campaigner, activist and strategist, she has previously worked on presidential campaigns for John Edwards, Martin O’Malley and Barack Obama.
She also served on Obama’s White House staff as a regional political director, and was hired to Harris’ team in August, becoming the first Black person to serve as a presidential candidate’s chief of staff.
She is well-known as a political pundit thanks to numerous appearances on NBC News and MSNBC, and has long been a vocal advocate for LGBT+ rights and equality.
Karine Jean-Pierre fought Trump for the sake of her daughter.
In 2011 she spoke about her experiences working in politics as an openly gay woman.
Shortly after she left her position in the Obama administration, she told The Advocate: “What’s been wonderful is that I was not the only; I was one of many.
LGBTQ candidates once again made history in terms of the overall number elected to Congress and state legislatures across the country. However, many of them had to contend with homophobic and transphobic attack ads this election cycle.
“There is little doubt that millions of dollars in homophobic and transphobic attacks ads devastated our candidates in key swing districts during the final weeks of their campaigns,” said Annise Parker, president of the LGBTQ Victory Fund, which trains and advocates for queer candidates at all levels of government. “Bigoted politicians and operatives who thrive in the politics of hate were able to peel away support from voters who don’t yet know our community.”
Bigoted ads did not spell defeat for all LGBTQ candidates they targeted, but even the candidates who overcame the attacks did have to invest resources to respond to them.
Impacts ‘hard to quantify’
When it comes to homophobic and transphobic political attacks, “it is hard to quantify the effects,” according to Gabriele Magni, an assistant professor of political science at Loyola Marymount University in Los Angeles.
“When you have an incumbent president who is such a polarizing figure, it becomes harder to disentangle what is the effect the homophobic attack ad and what is the effect of having Donald Trump on the ballot,” he said.
He also explained that “voter suppression efforts that target constituents that are generally most supportive of Democratic candidates,” also hurt LGBTQ candidates, as the lion’s share of them run as Democrats (at least 90 percent, according to LGBTQ Victory Fund’s estimate).
Whether a candidate won or lost may not be indicative of the impact of the bigoted attacks either, as Magni said the bar tends to be higher for LGBTQ candidates who make it to the general election, so “the exceptional quality of some of these candidates allowed them to overcome the negative effects of some of these attacks.”
Nonincumbents and purple districts
Homophobic and transphobic attacks produced mixed impacts on congressional races, with nonincumbents and those in purple districts most likely to suffer defeat.
In New Hampshire, Democrat Chris Pappas — who in 2018 became the first openly gay man to represent the state in Congress — was able to stave off what supporters called homophobic challenges to his integrity to win re-election against Republican challenger Matt Mowers.
During a debate Oct, 21, Mowers brought up Pappas’ alleged relationship with a lobbyist and accused the candidate of impropriety. Pappas denied the claim, and in a statement after the debate, he said Mowers’ behavior was “despicable” and that he had “crossed a line.”
Rep. Chris Pappas, D-N.H., speaks during a news conference on Sept. 27, 2019.Bill Clark / CQ Roll Call via AP
Mowers’ campaign manager, John Corbett, called the homophobia claims “untruthful accusations” designed to divert public attention from policy issues and obscure Pappas’ relationship with the lobbyist.
“Matt Mowers learned the hard way that his desperate homophobic dog whistle attacks cost him votes amongst Republicans and independent voters in the closing days of the campaign,” Lucas Meyer, campaign manager for Pappas, said in an email to NBC News after his election victory. “Granite Staters saw right through his baseless attacks and rejected his blatant bigotry that he made the focus of his closing message.”
While Pappas was in a purple district, which President Donald Trump carried in 2016, he had the advantage of incumbency this year. “Homophobic attacks are less effective against well-known candidates, because voters already know them,” Magni said.
Nonincumbent congressional hopefuls in purple districts had a tougher time trying to flip red to blue districts.
Two races for which LGBTQ advocates and Democrats had high hopes — Gina Ortiz Jones and John Hoadley — did not pan out.
Hoadley lost against incumbent Republican Rep. Fred Upton, who voted against the Equality Act last year and for a constitutional amendment banning same-sex marriage in 2004 and 2006.
Texas Democrat Gina Ortiz Jones, who ran for a House seat in 2018 and 2020, in San Antonio, Texas, on Aug. 10, 2018.Eric Gay / AP file
Former U.S. Air Force Capt. Jones lost to Republican Tony Gonzales, a Navy veteran, failing to flip Texas’ 23rd Congressional District for Democrats.
The National Republican Congressional Committee (NRCC) spent millions of dollars on attack ads against both of these candidates.
“If you are running for congress as a nonincumbent,” Magni said, “not so many people know who they are.” This means that voters may “rely more heavily on stereotypes or homophobic tropes,” especially in the context of Covid-19 in which personal contact is even more limited.
By contrast, derogatory comments directed at Rep.-elect Ritchie Torres did not harm his chances of becoming the first Afro-Latinx LGBTQ person elected to Congress. He easily won the general election for his congressional seat against his Republican opponent in one of the most progressive districts in the country. Magni said the attacks are “less consequential” in heavily Democratic districts like New York’s 15th.
Hateful messages
Magni explained that the diverse candidate pool, with many women, people of color and transgender candidates are “especially vulnerable targets” for anti-LGBTQ messaging.
Jenna Wadsworth, an outspoken progressive, lost her bid for North Carolina’s agriculture commissioner. In October, Wadsworth became the target of online vitriol after she posted a video asking viewers if Donald Trump’s diagnosis with Covid-19 was their “favorite or most favorite October surprise.”
Wadsworth, who described animosity toward her prior to the video as “minimal,” quickly became inundated with thousands of messages on social media.
Many of the hateful messages, however, were not about Wadsworth’s controversial remarks about Trump’s health — they were about her being unfit for office because of her sexual orientation, gender identity and sex.
“That does a lot to you emotionally, psychologically. It’s very draining,” she said.
Some of the messages made Wadsworth fear for her physical safety. “I received gang rape threats after that video,” Wadsworth said. “Until election night, I was not able to stay in my own home for three weeks.”
Magni described North Carolina as a “deeply divided state when it comes to LGBTQ attitudes” and added that part of the electorate “is receptive to these kinds of attacks.”
Wadsworth, who at 31 would have been the youngest LGBTQ statewide elected official in the country’s history, lost the race and said she believes her campaign suffered due to the bigoted attacks. She said she has not decided what is next for her politically.
Unexpected boost?
Several candidates experienced an unexpected boost in support and financing as a result of homophobic and transphobic attacks.
Shevrin Jones easily won his race for Florida Legislature last Tuesday to become Florida’s first LGBTQ state senator.
In August, a blood bank rejected Jones when he sought to donate plasma after recovering from Covid-19 because he is in a same-sex relationship. A robotext, whose sponsor remains unknown, was sent to voters saying Jones was “discriminated against for recent homosexual contact,” and linked to ShevJones.com, which is not Jones’ website and does not appear to ever have had any information on it. Jones was also the subject of a homophobic flyer with a photo of himself and his partner on vacation and asked, “Is this who you want for your next state senator?”
Shevrin Jones.Greg Reed Photography
The attacks did not stop Jones, and paradoxically may have helped in terms of support and funding.
“We raised over $1 million,” Jones said. “When those attacks were coming people just gave more.”
Brianna Titone, who won her bid for re-election to the Colorado Statehouse, experienced several transphobic attack ads.
The group Take Back Colorado released a Facebook ad this month that misgendered Titone and referred to her by her “deadname,” the name she used before her transition. The ad also claimed Titone has “always supported violence” and sexualizes children. Then Republican state Rep. Stephen Humphrey voiced a robocall paid for by the Colorado Family Values Victory Fund attacking Titone’s gender identity.
Magni said transgender candidates may be more likely to become the target of attacks because “public support for trans rights is still lower” than for lesbian and gay rights.
Titone triumphed over the attacks, which led to increases in volunteer support and campaign contributions. “The attacks I had to endure didn’t create any obstacles for me that I didn’t already have,” she told NBC News. “If anything, it helped me with raising money and it convinced some people to support me based on the ads.”
She also feels that her attackers were emboldened by the Trump administration that has “given permission to be rude.”
“I’m curious to see how my new colleagues will treat me. Will they be towing the line of those messages, or will they realize that that is not productive and move away?,” she said.
Omar Leos, who won his race for North East School District board in San Antonio, had a similar experience.
“I think it helped energize the campaign. It mobilized more people to come out to volunteer and it definitely helped me financially too,” Leos told NBC News.
“In my personal opinion, it backfired on them,” Leos said.
Texas Family Action, a political action committee affiliated with the conservative San Antonio Family Association, sent a mailer to voters in Leos’ district describing him as being “‘married’ to same-sex man” and noting he has “no children” in the school district. In contrast, the mailer described Leos’ opponent, Ione McGinty, as a “wife and mother of 6.”
While Leos still won, Magni said that such attacks can “force the campaign to redirect the resources and shift media focus,” he said. “The campaign has to respond.”
Leos did say the homophobic attacks prompted him to shift his campaign message to highlight the unwillingness of his opponent to be an advocate for LGBTQ students.
“Before on my signs was ‘Keep Omar Leos,’” he said. After the homophobic attacks he shifted his message to “A voice for all.”
“I’m a voice for all students, for all people,” Leos said.
‘Soldier on’
There is no reason to believe LGBTQ candidates have seen the last of homophobic and transphobic attacks, but Magni said a swift response by candidates and their allies is important to prevent their opponents from defining the narrative of the campaign.
LGBTQ candidates also need to remember that they are targets because they are strong candidates who have the potential to win, Magni added.
“That should encourage them to soldier on and to keep in mind the ultimate goal — that is, that they are running to serve their constituents.”
Bias attacks based on gender identity rose significantly in 2019, according to a new FBI report on hate crimes.
Released this week, the annual Uniform Crime Report indicates that, last year, 227 hate-crime incidents were motivated by gender-identity bias. That’s up 20 percent from 2018, when 189 such incidents were reported.
Drilling into the data, there were 175 victims of anti-transgender bias and 52 victims of anti-gender-nonconforming bias reported last year, compared to 160 victims of anti-trans bias and 29 victims of anti-gender-nonconforming bias the year prior.
Civil rights advocates have long criticized the report for failing to represent the full number of hate crimes in the United States, since reporting isn’t mandatory. Last year, only 2,172 law enforcement agencies out of about 15,000, or less than 15 percent, reported hate crime data, the FBI said.
Since 2018, the number of agencies submitting hate crime statistics actually decreased by 451.
More than 70 cities with populations over 100,000 either failed to report data or affirmatively reported zero hate crimes. The Human Rights Campaign, the country’s largest LGBTQ civil rights group, said cities of that size not having a single hate crime all year “is clearly not credible.”
“The lack of mandatory reporting means that the FBI data, while helpful, paints an incomplete picture of hate crimes against the LGBTQ and other communities,” the organization said in a statement.https://dataviz.nbcnews.com/projects/20200714-trans-homicide-annual-barchart/index.html?initialWidth=560&childId=embed-20200128-coronavirus-us-count&parentTitle=Anti-transgender%20hate%20crimes%20soared%2020%20percent%20in%202019&=
In 2019, at least 27 transgender or gender-nonconforming persons died by violence, according to the group. Again, the real number is likely higher, as not all deaths are accurately reported, nor are all victims accurately identified.
In 2020, that figure has risen to 36, the most since the group began tracking these deaths in 2013, with more than a month left in the year.
“This year, we saw a tragic new record of fatal violence against transgender and gender-nonconforming people in this country, particularly against Black and Brown transgender women,” HRC President Alphonso David said in a statement. “These alarming statistics represent real trauma for individuals and families across this country who have to bear the brunt of these hate crimes.”
In a statement released prior to the election, Biden vowed to “put forward comprehensive solutions to help empower the transgender and gender-nonconforming community and prioritize the prosecution of anti-transgender violence.”
The FBI’s annual report defines hate crimes as those motivated by bias based on a person’s race, religion, gender or sexual orientation, among other categories.
In all, the bureau received 7,314 reports of hate crimes in 2019, up from 7,120 in 2018 and approaching the record 7,783 in 2008.
Reported attacks based on sexual orientation dipped slightly, from 1,445 in 2018 to 1,429 in 2019. They represented 16.8 percent of all hate crimes, the third largest category after race and religion.
Crimes involving religion-based bias rose, with attacks targeting Jewish people and institutions increasing 14 percent and those targeting Muslims increasing 16 percent. For the fourth year in a row, there was also a significant uptick in hate crimes targeting the Latino community, increasing 9 percent from last year.
Hate crimes against Black Americans dropped slightly, from 1,943 to 1,930.
Nearly 1 in 10 transgender Americans are turning to nonprescription sources for gender-affirming hormones — including friends, relatives and internet pharmacies — according to a new study.
While the Affordable Care Act has extended health care to millions, many trans people are still uninsured or are denied coverage for transition-related care, including hormones and gender-affirming surgery.
According to the Transgender Legal Defense and Education Fund, only 24 states explicitly require private insurance companies to cover gender-affirming treatment. And nine states, according to the fund, have explicit exclusions for trans-related coverage under Medicaid.
On Thursday, two West Virginia men denied hormone replacement therapy filed suit in federal court, challenging the blanket ban on gender-affirming care in state-funded health insurance plans, including Medicaid.
“Every time I go to someone who’s not my doctor, I get misgendered, I get uncomfortable questions. So if I’m not dying, I’m not going to the doctor.”
CECILIA GENTILI
It’s uninsured and underinsured individuals who are more likely to turn to alternative avenues to get hormones, according to Dr. Daphna Stroumsa, an OB-GYN with Michigan Medicine, and the lead author of the new report in Annals of Family Medicine.
“The lack of coverage is a combination of insurance companies being discriminatory in rejecting claims, and in creating excessive layers of [red tape] for something that is very straightforward and actually cost-effective,” Stroumsa told NBC News. “We know gender-affirming hormones immensely improve mental health and lower the risk of depression.”
Among the 27,715 study respondents who said they were interested in gender-affirming hormones, Stroumsa’s team found 15 percent were uninsured, and 21 percent of those with insurance said their claims were denied.
In all, more than 9 percent of the people in the study — 992 individuals — said they were taking nonprescription hormones.
Denied access to treatment, some individuals seeking to transition will use estrogen or testosterone prescribed to a friend, according to Stroumsa. Others will take birth control pills or buy medication off legally questionable internet pharmacies.
While the trend cut across demographics, turning to illicit hormone sources was slightly more pronounced among transgender women, as well as among younger respondents and biracial or multiracial individuals. There was no difference, however, based on education or economic level.
“It actually surprises me that [the number] is so low,” said Latinx trans advocate Cecilia Gentili, principal at Transgender Equity Consulting. “I’d expect it to be much higher.”
Cecilia Gentli.Courtesy Leah James
At the gender-affirming treatment clinic Gentili launched at New York City’s Apicha Community Health Center, demand always outweighed supply. “I started with nine clients, and by the end we had 650,” she said.
Transgender Americans face systemic barriers to care, and increased rates of unemployment and homelessness. Prior to the Affordable Care Act, insurance companies could deny coverage for transition-related treatments by labeling transgender identity a pre-existing condition.
The Trump administration has tried to repeal the Affordable Care Act, and, in June, revoked health care discrimination protections for transgender Americans. In the wake of the Supreme Court’s ruling in Bostock v. Clayton County, Georgia, a court injunction currently keeps those protections intact.
“Despite the administration’s best efforts, the ACA hasn’t been undermined to date,” Stroumsa said. “And more people are covered under Medicaid.”
‘If I’m not dying, I’m not going to the doctor’
Insurance isn’t always the issue. Outside of large, urban areas such as New York, Miami and Los Angeles, the odds of finding a caregiver who is culturally competent about transgender health become exceedingly low.“That’s why many of us find other ways to procure HRT,” Gentili said. “If you’re going to be misgendered, insulted or mistreated by a doctor, and you can get your meds from India or Colombia, then f— the doctor. I understand it.”
These days, Gentili works with a “terrific” primary care provider, but if she needs treatment in off-hours, she said she thinks twice about going to urgent care.
“Every time I go to someone who’s not my doctor, I get misgendered, I get uncomfortable questions,” she said. “So if I’m not dying, I’m not going to the doctor.”
Taking hormones not prescribed by a medical professional comes with a variety of risks. Not only because they may not be checked for content, quality, formulation or dosing, but because treatment isn’t likely to be monitored.
Estrogen therapy has been linked to blood clots in the lungs and legs, increasing the risk of stroke and possible long-term risk of breast cancer.
A 2018 Kaiser Permanente study found transgender women on hormone therapy were twice as likely as cisgender men or women to have the blood clot condition venous thromboembolism, which can cause shortness of breath, chest pain, lightheadedness or even fainting.
Though the risks of testosterone have been less studied, it can cause the blood to thicken, increasing chances of stroke or heart attack if too high a dose is administered or the dosage increases too quickly.
“The risks are on several levels,” Stroumsa said. “Where are you getting this from? Are you using the best regimen for you? Are we guiding you? Everyone deserves to be able to talk to their physician about their treatment.”
Gentili knows firsthand what getting hormones through less-than-official-routes can be like.
“My mom used to send me hormones from Argentina,” she recalled. “One time they made a mistake and sent me testosterone by accident. And I shot testosterone twice — it was a horrible experience.”
Still, she understands why many go outside the system.
“We have to define risk. What risk means to a white, cis[gender] man is totally different than what it means to someone like me. As a trans woman of color, I’ve been navigating risk as long as I can remember. If I can take a pill without dealing with a doctor who’s going to make me miserable — who’s going to attack my mental health, who I am — it’s worth it.”
Overlooked cardiovascular risks
Even if patients have insurance and go to medical professionals for transition-related care, the risk factors may not be fully appreciated.
A separate report presented last week at the American Heart Association’s Scientific Sessions 2020 conference found many transgender patients already receiving gender-affirming hormone therapy had unaddressed risks for cardiovascular disease, including high blood pressure, hypertension and high cholesterol.
“We get hyper-focused on the specific care they come for … and maybe we should spend more time looking at the larger picture of cardiovascular health,” said lead author Dr. Cecile Ferrando, director of the Cleveland Clinic Transgender Surgery and Medicine Program in Ohio. “There’s a big assessment on mental health before transition, but we’re not looking at the higher [heart-disease] risk.”
Of the 427 adults who sought care at the clinic’s Center for LGBTQ+ Care, nearly 7 percent had undiagnosed high blood pressure and more than 11 percent had undiagnosed high cholesterol. Their risk for stroke or heart attack in the next 10 years was significantly higher than that of cisgender Americans in the same age group.
Among those who had been previously diagnosed with cardiovascular conditions, many were not receiving recommended treatment. Thirty to 40 percent were smokers, another serious risk factor for heart disease.
“If you’re going to start someone on this treatment, you need to know their risks,” Ferrando said. “In general, marginalized groups that have less access to health care or who are stigmatized fall into higher risk groups.”
Unanswered questions linger
There’s been a boom in transgender health in recent years, and yet there are still many unanswered questions.
“Before trans health care was politicized, it was invisible,” Stroumsa said. “We have one or two robust studies on cardiovascular disease on trans women, but we don’t know the long-term risks, because we don’t have the data from people [on hormone replacement therapy] for 20, 30 or 40 years.” When her patients ask which is better — estrogen pills, injections or patches — Stroumsa said she has to tell them she doesn’t know.
“I can extrapolate from hormone we give cisgender women, but I owe them better answers,” she said.
Still, she added, when people get their hormones from unsanctioned sources, they miss out on a chance to interact with knowledgeable medical providers. “Access to hormones can be a doorway to better care on a range of issues, from overall wellness to HIV/STDs,” Stroumsa said.
Gentili would like to see all trans people go to licensed health care providers for their transition care, too. But, she added, it’s up to the medical community to bridge the divide.
“It’s a cycle: If you’re treated like s— by [by your doctors], you don’t go see them, and you start to treat yourself like s—,” she said. “But if you’re affirmed by your providers, you’ll not just go to the doctor you’ll follow up on referrals and tests and everything. You’ll engage with the medical community.”
John Auten-Schneider and David Auten-Schneider came out about their finances about two years after they started dating.
The conversation started while they were looking to buy land in Winter Park, Colorado, to build a weekend home. As they planned, they realized they couldn’t afford to buy land, purchase an existing home or even rent there.
Together, they had more than $50,000 in debt, even though they had more than 15 years of combined experience in financial services at the time.
“It kicked off a conversation of, ‘Why do we know so much and are doing so little?’” John said.
John and David Auten-Schneider on their wedding day. The couple married after more than 13 years together.Studio Lemus
The couple realized that growing up gay in communities that didn’t accept them played a part.
“We were using money to make ourselves feel better from the past,” said John, adding that it was also a tool to fit in once they did find the gay community.
Once they addressed those issues and envisioned the future they wanted — a comfortable retirement, means to travel and the ability to give back — they were able to pay off their debt and work toward other goals. They also established protections for each other, such as creating a trust and having health care proxy forms, to solidify their family.
It also brought about a career change. In 2015, the couple started Debt Free Guys, a personal finance site. A year later, they also launched Queer Money, a podcast about financial issues in the LGBTQ community.
They got married in 2017, after more than 13 years together. While they’d already taken steps to be recognized legally as partners, marriage brought further benefits such as tax breaks by filing jointly, survivor rights and access to spousal Social Security benefits if one were to die.
Having a handle on finances is important for LGBTQ individuals, as many start off behind their non-LGBTQ peers. Some may not have had supportive families and incur more debt for education, can face discrimination in the workplace, may need to protect financial assets from family and may experience higher costs associated with family building.
“Putting money aside is going to give you freedoms that a lot of folks don’t have, especially LGBTQ folks,” said John. “The more money you have for your own self and security, the more money and time and energy you can give back to the community.”
Marriage brings benefits and responsibilities
LGBTQ people also face a shifting legal landscape that can add steps in financial and family planning. It was legal to fire someone for being gay or transgender in some states until this year, and LGBTQ couples were only granted the right to legally marry in 2015.
“When you’re married it’s a different set of structures for planning the major issues,” said certified planner Jennifer Hatch, president of Christopher Street Financial, which specializes in LGBTQ finance.
“By marrying someone you become their next of kin — that is very important if people have very little family or hostile family,” Hatch said.
Marriage also brings about certain responsibilities, because you’re bound to your partner legally said Hatch. If you’re not married there are things you should do to make sure you protect each other in the event of death, disability or divorce.
As unromantic as those things are, they’re important to plan for, Hatch said, especially for LGBTQ newlyweds that tend to be older than non-LGBTQ peers when they enter a marriage and bring in more assets and potentially children.
Hatch recommends couples have detailed plans for what should happen in the event of death or disability which include medical proxy forms and account access information. In the event of divorce, Hatch says that couples can draw up a pre- or post- nuptial agreement that spells out how assets should be divided and addresses spousal support.
Those documents basically say despite the law, this is how we’re going to manage the relationship, she said.
The price of parenthood is high
LGBTQ people also have a lot of planning to do around building families, which is on the rise in the community. Nearly 80 percent of LGBTQ people aged 18 to 35 are already parents or are thinking about having children, a 44 percent increase over older generations, according to a 2018 survey from Family Equality, a nonprofit organization that aims to advance the rights of LGBTQ families.
The path to parenthood can be costly and require careful planning as many LGBTQ families plan to expand through foster care, adoption and assisted reproduction technology, according to the survey.
Jess Venable-Novak and their partner, Dory, are in the middle of family planning. The couple married in a small wedding in November 2019 after starting the process of having a sibling for their 7-year-old daughter, Dottie.
“The few gifts we did get for getting married we put right into a savings account for a fertility journey,” said Venable-Novak, who is nonbinary and uses “they” pronouns. The couple has since put any extra money in the same account, such as their tax refund and Covid-19 stimulus checks. Their parents have also helped with expenses.
Jess Venable-Novak and their partner, Dory, have spent more than $15,000 so far in the process of getting pregnant with their second child – a sibling for daughter Dottie.Courtesy Jess Venable-Novak
So far, the Venable-Novaks have spent upwards of $15,000 out of pocket and are not yet pregnant.
“We weren’t anticipating spending this much money when we started,” said Venable-Novak, family engagement manager for Family Equality.
The original plan was for Dory, who will carry the baby, to get pregnant through a process called intrauterine insemination. But after five unsuccessful procedures that cost about $7,000, the family switched to in vitro fertilization, or IVF, which is more expensive.
There are other expenses that the family is saving for at the same time. The couple is working on putting away $6,000 so Dory can take 12 weeks off work after giving birth. Her job only guarantees five weeks of family medical leave with short-term disability pay and the couple is budgeting for legal fees and paperwork for second-parent adoption.
Even though the couple lives in Vermont, where they can both be listed on the baby’s birth certificate, Jess will have to legally adopt the baby to make sure they are recognized as a parent in other states.
They’re also balancing trying to get pregnant with other financial goals, including paying off credit card bills, student loan debt and looking to move.
Deciding to expand their family forced them to take a hard look at finances and talk about their goals, said Venable-Novak. “That was a moment of re-setting and reevaluating,” they said.
The benefits of being financially prepared
There are resources available to help LGBTQ people with financial planning and building a family. Many employers offer benefits for employees looking to create families, such as help with the adoption process, coverage for some fertility treatments or surrogacy fees and paid leave for both primary and secondary parents.
Others offer financial planning help, such as access to advisors or attorneys. John and David were able to see an attorney who helped them with legal documents before they were married by accessing a workplace benefit.
Same-sex couples can also forge their own path when it comes to money and family, as they generally don’t feel pressured to adhere to typical gender roles and are able to be on more equal footing when it comes to a relationship.
“You don’t have to imitate your parents and merge everything,” said Hatch, adding that she recommends a yours, mine and ours approach to finances. For many families, this means having a system that works for them and their unique needs.
Gay Rep. Ryan Fecteau is set to become speaker of the Maine House of Representatives.
Democrats nominated Fecteau as speaker Thursday, and because they hold a majority in the House, he is “all but assured” of election to the position when the House votes in December, the Portland Press Herald reports. He will be the first out member of the LGBTQ+ community to be Maine speaker and one of about two dozen to have held such leadership positions nationwide. Also, at age 28, he will be the youngest speaker of the House in Maine history.
“The speaker controls the flow of action on the floor, sets the agenda and can have sway over which bills are brought to a vote or not,” the Press Herald notes. The person in that role is often a prominent player in budget negotiations between the legislature and the governor, the paper adds.
Fecteau, who was just elected to a fourth term in the House, was the lead sponsor of Maine’s bill barring licensed professionals from subjecting minors to so-called conversion therapy, the discredited and harmful practice aimed at turning LGBTQ+ people straight or cisgender. The legislature passed it in 2019 and Gov. Janet Mills signed it into law.
The grandson of French-Canadian immigrants and the son of a single mother, Fecteau grew up in low-income housing and became the first member of his family to graduate from college. Public education was key in shaping his life, he told fellow lawmakers Thursday.
“I’m filled with hope and determination because when Democrats lead, people who are too often forgotten or left at the margins are seen, they are valued and given a fair shot,” he said, according to the Press Herald. “Policymakers like you saw value and gave families like mine a fair shot. I’m a Democrat because we believe in families like mine who come to Maine for a better life. We believe in people who may not look like us or speak the same language or practice the same religion.”
He is finishing a stint as assistant majority leader in the House, serving with Majority Leader Matt Moonen, also a gay man, making them “the first openly gay legislative leadership duo in U.S. history,” the Press Herald reports.
As speaker, he will succeed Sara Gideon, who ran for U.S. Senate against Republican incumbent Susan Collins but lost. “Working alongside him the past years allowed me to witness his natural leadership capabilities and his dedication to the people of Maine,” Gideon said regarding Fecteau. “I wish him every success as he takes on this new role.”
“Rep. Ryan Fecteau’s elevation to be Maine’s first out speaker of the House shatters a lavender ceiling in the Pine Tree State,” Elliot Imse, senior director of communications at the LGBTQ Victory Institute, told The Advocate via email. “During his past three terms, Rep. Fecteau has highlighted LGBTQ issues, leading the charge to ban conversion therapy in the state and providing a shining example of LGBTQ leadership for young people. We are excited to see what changes a qualified LGBTQ voice will make in this role and wish Speaker Fecteau the absolute best of luck during his term.”
