TY - JOUR T1 - Prevalence and associations of COVID-19 testing in an online sample of transgender and non-binary individuals JF - BMJ Global Health JO - BMJ Global Health DO - 10.1136/bmjgh-2021-006808 VL - 6 IS - 9 SP - e006808 AU - Arjee Restar AU - Henri M Garrison-Desany AU - Kellan E Baker AU - Tyler Adamson AU - Sean Howell AU - Stefan David Baral AU - Don Operario AU - S Wilson Beckham Y1 - 2021/09/01 UR - http://gh.bmj.com/content/6/9/e006808.abstract N2 - Background Testing for COVID-19 and linkage to services is fundamental to successful containment and control of transmission. Yet, knowledge on COVID-19 testing among transgender and non-binary communities remains limited.Methods Between October 2020 and November 2020, we examined the prevalence and associations of COVID-19 testing in an online sample of transgender and non-binary people (n=536). Multivariable hierarchical logistic regression analyses examined associations between COVID-19 testing and participants’ sociodemographic, mental health, substance use, gender affirmation, economic changes and healthcare experiences.Results Prevalence of COVID-19 testing in this sample was 35.5% (n=190/536). In the final model, transgender and non-binary participants from upper socioeconomic income background and Europe, who reported having active alcohol use disorder, limited access to gender-affirming surgery, had more than 20% reduction in income, and experienced mistreatment in a health facility due to gender identity had significantly increased odds of COVID-19 testing (all p<0.05); those who reported recent tobacco use had significantly lower odds of COVID-19 testing (p=0.007).Conclusions These findings highlight structural disparities in COVID-19 testing and reinforce the importance of increasing testing strategies for transgender and non-binary populations.No data are available. ER -