Background
Methods
Data sets
Measures
Analysis
Trans PULSE prevalence estimates
CCHS prevalence estimates
Standardized prevalence differences
Results
All trans people (n = 433) | Trans mena [1] (n = 205) | Trans womenb
(n = 227) | ||||
---|---|---|---|---|---|---|
% | 95% CI | % | 95% CI | % | 95% CI | |
Gender spectrum | ||||||
Trans men | 52.8 | (44.8, 62.0) | -- | -- | ||
Trans women | 46.9 | (37.8, 55.0) | -- | -- | ||
Age | ||||||
16–24 | 33.2 | (25.2, 43.1) | 43.1 | (34.6, 63.5) | 23.9 | (12.8, 47.0) |
25–34 | 29.1 | (22.4, 37.0) | 34.1 | (21.1, 43.6) | 35.0 | (20.3, 49.5) |
35–44 | 16.4 | (10.9, 22.4) | 14.6 | (4.9, 22.0) | 16.9 | (6.6, 27.9) |
45–54 | 12.5 | (6.9, 18.5) | 8.1 | (1.6, 13.4) | 11.2 | (2.1, 17.1) |
55–64 | 6.3 | (2.3, 9.8) | 0 | (---) | 7.2 | (0.7, 12.6) |
65+ | 2.5 | (0.6, 5.0) | 0 | (---) | 5.6 | (1.4, 16.5) |
Ethno-racial identitiesc
| ||||||
White | 87.8 | (82.4, 92.6) | 79.6 | (69.2, 88.7) | 92.6 | (88.9, 99.2) |
Aboriginal | 6.0 | (2.9, 9.6) | 7.4 | (2.2, 15.9) | 6.1 | (1.0, 7.7) |
Asian | 7.0 | (3.5, 11.5) | 12.3 | (4.6, 25.7) | 4.2 | (0.9, 10.0) |
Latin American | 3.5 | (0.8, 7.0) | 7.2 | (1.9, 18.0) | 0.0 | (0.0, 0.0) |
Black | 2.9 | (0.8, 5.8) | 4.6 | (0.6, 7.5) | 1.0 | (0.0, 1.3) |
Middle Eastern | 3.7 | (1.1, 7.0) | 7.0 | (1.3, 13.1) | 0.6 | (0.0, 6.6) |
Other | 3.8 | (0.9, 7.1) | 5.9 | (0.6, 16.2) | 0.6 | (0.0, 5.0) |
Aboriginal identity | ||||||
Non-Aboriginal | 94.4 | (91.2, 97.3) | 95.4 | (88.4, 98.9) | 93.3 | (92.3, 98.6) |
First Nations, Métis or Inuit | 5.6 | (2.7, 8.8) | 4.6 | (1.1, 11.6) | 6.7 | (1.4, 7.7) |
Immigration history | ||||||
Immigrant | 15.6 | (9.9, 21.7) | 22.1 | (10.3, 34.5) | 12.0 | (4.9, 22.6) |
Non-immigrant | 81.8 | (75.5, 88.0) | 77.9 | (65.5, 89.7) | 82.2 | (70.0, 90.7) |
Other | 2.5 | (0.5, 5.4) | 0.0 | (---) | 5.8 | (0.7, 14.8) |
Marital status | ||||||
Never married | 61.0 | (52.5, 69.0) | 66.8 | (55.4, 80.9) | 62.0 | (47.5, 78.6) |
Separated | 7.8 | (4.1, 12.7) | 3.0 | (0.4, 11.1) | 11.1 | (3.7, 24.9) |
Divorced | 7.3 | (3.5, 12.2) | 3.9 | (0.4, 6.4) | 8.5 | (0.4, 16.4) |
Widowed | 0.2 | (0.0, 1.0) | 0.6 | (0.0, 3.2) | 0.0 | (0.0, 0.1) |
Living common-law | 9.3 | (5.3, 14.3) | 12.3 | (4.0, 18.3) | 3.6 | (0.8, 16.3) |
Married | 14.4 | (8.6, 19.9) | 13.4 | (4.9, 22.5) | 14.7 | (3.5, 17.5) |
Region of province | ||||||
Eastern Ontario | 14.9 | (7.4, 24.5) | 19.4 | (7.8, 40.9) | 11.8 | (0.5, 28.4) |
Central Ontario | 16.8 | (10.7, 25.0) | 7.1 | (1.0, 23.5) | 26.4 | (13.7, 41.6) |
Metropolitan Toronto | 32.7 | (21.5, 42.1) | 39.8 | (25.9, 64.5) | 24.7 | (11.4, 37.6) |
Southwestern Ontario | 27.3 | (16.7, 38.7) | 29.7 | (7.3, 32.5) | 23.3 | (7.3, 47.4) |
Northern Ontario | 8.4 | (3.0, 16.3) | 4.0 | (0.2, 6.8) | 13.8 | (1.4, 28.4) |
Education | ||||||
High school not completed | 12.5 | (8.1, 18.7) | 13.3 | (4.1, 15.7) | 12.4 | (4.6, 21.3) |
High school graduate | 16.2 | (10.8, 21.5) | 18.2 | (11.9, 30.6) | 13.2 | (4.4, 21.7) |
Some postsecondary | 28.2 | (22.3, 35.6) | 28.9 | (22.3, 45.1) | 31.3 | (20.2, 45.7) |
College or university degree | 35.6 | (27.8, 42.7) | 32.5 | (18.7, 40.7) | 37.7 | (27.0, 53.3) |
Graduate or prof degree | 7.6 | (3.6, 11.6) | 7.2 | (1.5, 15.2) | 5.5 | (0.8, 8.1) |
Current student | ||||||
Yes, full-time | 23.3 | (16.8, 31.0) | 26.9 | (19.2, 42.9) | 19.0 | (7.4, 32.0) |
Yes, Part-time | 5.7 | (3.6, 9.3) | 7.7 | (3.4, 14.6) | 2.1 | (0.2, 5.7) |
No | 71.1 | (62.4, 77.3) | 65.4 | (48.2, 73.2) | 78.9 | (65.6, 90.4) |
Household income | ||||||
Less than $15, 000 | 29.4 | (19.8, 37.4) | 24.8 | (14.7, 44.1) | 31.1 | (14.2, 44.4) |
$15, 000 to $29, 999 | 17.3 | (11.4, 24.6) | 16.7 | (6.8, 23.9) | 16.5 | (8.2, 32.4) |
$30, 000 to $49, 999 | 23.3 | (16.4, 31.9) | 34.7 | (21.1, 49.5) | 10.8 | (3.3, 21.3) |
$50, 000 to $79, 999 | 12.7 | (7.4, 19.1) | 10.4 | (4.1, 17.4) | 14.4 | (3.6, 21.7) |
$80, 000 + | 17.2 | (10.7, 25.1) | 13.4 | (4.1, 22.4) | 27.2 | (14.0, 48.5) |
Personal Income | ||||||
Less than $15, 000 | 48.2 | (40.2, 57.9) | 50.1 | (38.7, 66.0) | 49.4 | (35.4, 67.2) |
$15, 000 to $29, 999 | 21.0 | (14.8, 28.8) | 20.6 | (10.8, 31.5) | 18.3 | (6.4, 29.3) |
$30, 000 to $49, 999 | 17.1 | (10.3, 22.5) | 21.7 | (9.3, 29.7) | 8.5 | (3.5, 20.2) |
$50, 000 to $79, 999 | 7.1 | (3.0, 10.9) | 3.2 | (0.9, 8.0) | 13.0 | (3.3, 22.1) |
$80, 000 + | 6.6 | (2.7, 12.4) | 4.5 | (0.1, 12.7) | 11.0 | (1.4, 23.5) |
Employment status | ||||||
Full-time job | 42.5 | (32.9, 53.5) | 37.0 | (24.8, 53.2) | 45.8 | (28.9, 66.8) |
More than one part-time job | 12.8 | (7.6, 19.2) | 13.9 | (6.4, 27.8) | 13.2 | (6.6, 29.3) |
One part-time job | 24.1 | (16.5, 34.3) | 34.4 | (18.0, 44.9) | 11.7 | (2.2, 14.8) |
Retired | 1.7 | (0.0, 6.6) | 0.4 | (0.0, 2.6) | 5.8 | (0.0, 20.7) |
Student (not working) | 4.5 | (1.1, 9.9) | 5.6 | (0.2, 20.6) | 4.4 | (0.0, 2.8) |
Unemployed | 10.3 | (3.7, 15.0) | 6.4 | (0.0, 11.5) | 15.4 | (2.5, 29.9) |
Permanently unable to work | 4.1 | (0.3, 7.1) | 2.4 | (0.0, 3.3) | 3.6 | (0.0, 10.0) |
Standardization to the overall trans population
Trans people
N = 433 | Ontarians, age-standardized to trans population
N = 39,980 | Standardized Prevalence Difference | ||||
---|---|---|---|---|---|---|
% | 95% CI | % | 95% CI | % | 95% CI | |
Healthcare availability in Ontario | ||||||
Excellent | 13.0 | (8.1, 18.5) | 14.9 | (14.2, 15.7) | −1.9 | (−6.9, 3.6) |
Good | 48.4 | (40.8, 55.8) | 51.5 | (50.5, 52.6) | −3.1 | (−10.8, 4.4) |
Fair | 27.5 | (20.7, 34.5) | 25.1 | (24.1, 26.0) | 2.4 | (−4.5, 9.5) |
Poor | 11.1 | (6.4, 17.2) | 8.5 | (8.0, 9.0) | 2.6 | (−2.1, 8.7) |
Healthcare quality in Ontario | ||||||
Excellent | 12.7 | (7.6, 17.9) | 17.3 | (16.5, 18.1) | −4.6 | (−9.8, 0.7) |
Good | 50.7 | (42.1, 58.5) | 56.9 | (55.8, 57.9) | −6.2 | (−14.9, 1.7) |
Fair | 24.4 | (18.3, 32.2) | 20.9 | (20.1, 21.7) | 3.5 | (−2.7, 11.3) |
Poor | 12.1 | (6.9, 18.6) | 5.0 | (4.5, 5.4) | 7.1 | (1.9, 13.6)* [2] |
Community healthcare availability | ||||||
Excellent | 12.3 | (7.9, 17.4) | 15.7 | (14.9, 16.4) | −3.4 | (−7.9, 1.8) |
Good | 37.5 | (30.2, 44.8) | 49.1 | (48.1, 50.1) | −11.6 | (−19.0, −4.2)* |
Fair | 31.5 | (24.1, 38.9) | 24.0 | (23.1, 24.8) | 7.5 | (0.1, 15.0)* |
Poor | 18.7 | (12.7, 25.7) | 11.3 | (10.7, 11.9) | 7.4 | (1.4, 14.4)* |
Community healthcare quality | ||||||
Excellent | 11.7 | (7.0, 14.5) | 16.7 | (15.9, 17.5) | −5.0 | (−9.8, −2.1)* |
Good | 48.5 | (37.1, 52.0) | 57.1 | (56.1, 58.1) | −8.6 | (−20.0, −5.0)* |
Fair | 22.3 | (15.7, 27.8) | 20.3 | (19.2, 20.9) | 2.0 | (−4.6, 7.6) |
Poor | 17.5 | (11.3, 22.6) | 6.2 | (5.7, 6.6) | 11.3 | (5.1, 16.4)* |
Needed healthcare in the past year but did not receive it | ||||||
Yes | 43.9 | (37.2, 51.5) | 10.7 | (9.7, 11.6) | 33.2 | (26.4, 40.9)* |
No | 56.1 | (48.5, 62.8) | 89.2 | (88.3, 90.1) | −33.1 | (−40.8, −26.3)* |
Standardization to the trans male population
Trans men
N = 227 | Ontario men
N = 17,869 | Standardized Prevalence Difference | Ontario women
N = 22,111 | Standardized Prevalence Difference | ||||||
---|---|---|---|---|---|---|---|---|---|---|
% | (95% CI) | % | (95% CI) | % | (95% CI) | % | (95% CI) | % | (95% CI) | |
Healthcare availability in Ontario | ||||||||||
Excellent | 16.4 | (10.3, 27.8) | 16.1 | (14.7, 17.4) | 0.3 | (− 5.9, 11.8) | 14.2 | (13.0, 15.4) | 2.2 | (−4.0, 13.7) |
Good | 50.4 | (40.8, 65.7) | 51.7 | (49.8, 53.6) | −1.3 | (−11.1, 14.1) | 53.5 | (52.0, 55.1) | −3.1 | (−12.8, 12.3) |
Fair | 29.4 | (16.9, 36.9) | 25.1 | (23.4, 26.8) | 4.3 | (−8.3, 12.0) | 23.8 | (22.6, 25.1) | 5.6 | (−7.0, 13.2) |
Poor | 3.9 | (0.2, 4.5) | 7.0 | (6.2, 7.9) | −3.1 | (−6.9, −2.1)* | 8.3 | (7.5, 9.2) | −4.4 | (−8.2, −3.4)* [3] |
Healthcare quality in Ontario | ||||||||||
Excellent | 15.8 | (8.6, 26.7) | 19.1 | (17.7, 20.5) | −3.3 | (−10.6, 7.7) | 15.9 | (14.6, 17.2) | −0.1 | (−7.4, 10.9) |
Good | 47.9 | (35.7, 63.1) | 56.7 | (54.9, 58.6) | −8.8 | (−21.1, 6.5) | 57.6 | (56.0, 59.2) | −9.7 | (−22.0, 5.6) |
Fair | 25.3 | (14.0, 34.2) | 19.9 | (18.4, 21.4) | 5.4 | (−6.0, 14.4) | 21.3 | (20.1, 22.6) | 4.0 | (−7.4, 13.0) |
Poor | 11.0 | (2.9, 19.4) | 4.2 | (3.5, 4.9) | 6.8 | (−1.3, 15.2) | 5.1 | (4.3, 5.9) | 5.9 | (−2.2, 14.3) |
Community healthcare availability | ||||||||||
Excellent | 16.3 | (8.5, 25.6) | 16.6 | (15.2, 17.9) | −0.3 | (−8.2, 9.1) | 15.1 | (14.0, 16.2) | 1.2 | (−6.7, 10.6) |
Good | 37.6 | (26.3, 53.0) | 50.6 | (48.8, 52.4) | −13.0 | (−24.4, 2.5) | 48.5 | (46.8, 50.2) | −10.9 | (−22.3, 4.6) |
Fair | 27.8 | (15.9, 38.0) | 23.2 | (21.7, 24.7) | 4.6 | (−7.4, 14.9) | 24.5 | (23.1, 25.9) | 3.3 | (−8.7, 13.6) |
Poor | 18.3 | (8.5, 28.5) | 9.5 | (8.6, 10.5) | 8.8 | (−1.1, 19.0) | 11.8 | (10.8, 12.8) | 6.5 | (−3.4, 16.7) |
Community healthcare quality | ||||||||||
Excellent | 16.9 | (9.3, 26.6) | 18.0 | (16.5, 19.4) | −1.1 | (−8.8, 8.7) | 15.3 | (14.2, 16.5) | 1.6 | (−6.1, 11.4) |
Good | 41.7 | (33.8, 60.1) | 57.4 | (55.7, 59.1) | −15.7 | (−23.8, 2.8) | 57.2 | (55.6, 58.9) | −15.5 | (−23.6, 3.0) |
Fair | 18.8 | (8.3, 26.0) | 19.2 | (1.7, 20.6) | −0.4 | (−11.0, 18.5) | 21.2 | (20.9, 22.6) | −2.4 | (−13.0, 4.8) |
Poor | 22.6 | (10.1, 30.0) | 5.4 | (4.6, 6.2) | 17.2 | (4.7, 24.6)* | 6.1 | (5.5, 6.8) | 16.5 | (4.0, 23.9)* |
Needed healthcare in the past year but did not receive it | ||||||||||
Yes | 42.3 | (31.0, 53.9) | 7.9 | (6.7, 9.1) | 34.4 | (23.0, 46.1)* | 13.1 | (11.6, 14.6) | 29.2 | (17.8, 40.9)* |
No | 57.7 | (46.1, 69.0) | 91.8 | (90.5, 93.1) | −34.1 | (−45.8, −22.7)* | 86.8 | (85.3, 88.2) | −29.1 | (−40.8, −17.7)* |
Standardization to trans female population
Trans women
N = 205 | Ontario men
N = 17,869 | Standardized Prevalence Difference | Ontario women
N = 22,111 | Standardized Prevalence Difference | ||||||
---|---|---|---|---|---|---|---|---|---|---|
% | (95% CI) | % | (95% CI) | % | (95% CI) | % | (95% CI) | % | (95% CI) | |
Healthcare availability in Ontario | ||||||||||
Excellent | 14.2 | (7.0, 30.8) | 15.7 | (14.6, 16.8) | −1.5 | (−8.8, 15.1) | 14.0 | (13.0, 15.0) | 0.2 | (−7.1, 16.8) |
Good | 42.9 | (33.3, 56.9) | 50.2 | (48.7, 51.7) | −7.3 | (−17.0, 6.8) | 51.3 | (50.0, 52.5) | −8.4 | (−18.1, 5.7) |
Fair | 27.0 | (12.9, 34.3) | 25.5 | (24.1, 26.9) | 1.5 | (−12.7, 8.9) | 25.3 | (24.2, 26.4) | 1.7 | (−12.4, 9.1) |
Poor | 15.9 | (4.5, 26.1) | 8.4 | (7.6, 9.2) | 7.5 | (−3.9, 17.7) | 9.2 | (8.5, 10.0) | 6.7 | (−4.7, 16.9) |
Healthcare quality in Ontario | ||||||||||
Excellent | 12.4 | (3.9, 24.3) | 19.0 | (17.9, 20.1) | −6.6 | (−15.2, 5.4) | 15.5 | (14.5, 16.5) | −3.1 | (−11.7, 8.8) |
Good | 51.7 | (42.2, 68.5) | 56.2 | (54.7, 57.7) | −4.5 | (−14.1, 12.4) | 56.8 | (55.5, 58.1) | −5.1 | (−14.7, 11.8) |
Fair | 26.1 | (13.5, 38.5) | 19.8 | (18.6, 21.1) | 6.3 | (−6.4, 18.8) | 22.1 | (21.0, 23.2) | 4.0 | (−8.6, 16.4) |
Poor | 9.8 | (0.7, 15.5) | 4.8 | (4.1, 5.5) | 5.0 | (−4.1, 10.7) | 5.4 | (4.8, 6.0) | 4.4 | (−4.7, 10.1) |
Community healthcare availability | ||||||||||
Excellent | 9.4 | (3.2, 23.3) | 16.5 | (15.4, 17.6) | −7.1 | (−13.4, 6.8) | 14.7 | (13.7, 15.6) | −5.3 | (−11.6, 8.6) |
Good | 36.8 | (23.7, 47.4) | 49.2 | (47.7, 50.7) | −12.4 | (−25.6, −1.7)* | 47.9 | (46.5, 49.3) | −11.1 | (−36.5, −0.4)* [4] |
Fair | 34.9 | (25.2, 53.1) | 23.5 | (22.2, 24.8) | 11.4 | (1.6, 29.6)* | 24.8 | (23.6, 26.1) | 10.1 | (0.3, 28.3)* |
Poor | 18.9 | (6.3, 23.3) | 10.6 | (9.8, 11.4) | 8.3 | (−4.3, 12.8) | 12.4 | (11.6, 13.3) | 6.5 | (−6.1, 11.0) |
Community healthcare quality | ||||||||||
Excellent | 8.3 | (3.6, 20.5) | 18.0 | (16.8, 19.2) | −9.7 | (−14.6, 2.6) | 15.3 | (14.3, 16.3) | −7.0 | (−11.8, 5.2) |
Good | 54.5 | (39.3, 69.7) | 56.6 | (55.1, 58.1) | −2.1 | (−17.4, 13.2) | 56.7 | (55.4, 58.0) | −2.2 | (−17.5, 13.1) |
Fair | 26.1 | (13.6, 39.3) | 19.1 | (17.9, 20.3) | 7.0 | (−5.6, 20.3) | 21.2 | (20.1, 22.4) | 4.9 | (−7.7, 18.1) |
Poor | 11.0 | (3.1, 15.9) | 6.1 | (5.3, 6.9) | 4.9 | (−3.0, 9.9) | 6.6 | (6.0, 7.2) | 4.4 | (−3.5, 9.3) |
Needed healthcare in the past year but did not receive it | ||||||||||
Yes | 36.4 | (28.2, 56.7) | 8.3 | (7.2, 9.5) | 28.1 | (19.8, 48.4)* | 12.9 | (11.6, 14.2) | 23.5 | (15.2, 43.8)* |
No | 63.6 | (43.3, 71.8) | 91.3 | (90.1, 92.5) | −27.7 | (−48.0, −19.4)* | 86.8 | (85.5, 88.1) | −23.2 | (−43.5, −14.9)* |