Much has been said about the need for gender-affirming health care - but a Utah State University study says many health-care providers don't have the experience to meet those needs.

Researchers found nearly one in four transgender and nonbinary patients has had to teach a medical provider about their needs.

Assistant Professor of Sociology at Utah State University and study co-author Guadalupe Marquez-Velarde said she would like to see medical curriculum better equip health-care professionals to treat transgender and nonbinary individuals.

In her view, not having access to this type of care in today's world is "unthinkable."

"But unfortunately," said Marquez-Velarde, "many transgender individuals in a lot of states in the United States right now are finding themselves in this position, are finding themselves - not only their providers might not know how to treat them, but their providers might be legally prohibited from providing them care."

She said if someone perceives their doctor lacks proficiency and knowledge about how to properly treat them, it can lead to poor health consequences, both physical and mental.

This year, Utah became the first state to ban gender-affirming care for minors, as Gov. Spencer Cox has said more research needs to be done on what he termed "permanent and life-altering treatments."

Marquez-Velarde said sociologists have been aware of health disparities caused by social conditions for decades. And while the study calls for action, she said she recognizes that advancements will likely take time.

The research was published in the Journal of the American Medical Association's Network Open last month.

"Having this paper out there - and this is a paper with a wide readership, in terms of clinicians," said Marquez-Velarde, "for them to be a little more aware and to maybe self-educate themselves on some of the issues that the trans community needs, in terms of their patient care, I think that would be sort of a good starting point."

Marquez-Velarde said not having access to good health care isn't going to stop people from being transgender, but will only jeopardize their overall health.




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Today, Montanans will gather outside the Statehouse to observe International Transgender Day of Visibility, during a legislative session that has targeted that community.

More than 500 bills aimed at the LGBTQ+ community have been brought to legislatures across the U.S. this session. Montana lawmakers introduced more than 20 - the highest rate in the region.

Last week, Gov. Greg Gianforte signed two such bills - one prohibiting trans girls and women from playing school sports and another dictating access to public bathrooms, locker rooms, and changing rooms.

Julia Maxon, program director for Catalyst Montana, said the Day of Visibility is timely.

"While we should celebrate and uplift trans people every day," said Maxon, "it is especially important now because of all of the attempts to attack the trans community coming from our state Legislature."

In a video on X, Gianforte said the laws promote "fairness, privacy and security."

The American Civil Liberties Union, in support of a temporary restraining order and preliminary injunction against House Bill 121, argues that it violates the right to privacy guaranteed in the State Constitution.

Maxon said trans Montanans are "fellow Montanans" and that lawmakers' efforts to target that community come to the detriment of all residents.

"Like other Montanans," said Maxon, "we just want the Legislature to focus on issues facing all of us, including but not limited to affordable housing, access to health care, and child care."

The Day of Visibility observance will be at the Capitol's flag plaza at noon. Maxon said it will include speakers and activities meant to "build community and solidarity."



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Today is the International Trans Day of Visibility, to recognize the contributions of transgender people in society -- and raise awareness of the discrimination they face worldwide.

More than 800 pieces of legislation targeting trans rights have been introduced across the nation this year alone, including eight in Washington state.

Jade Lenore Le Duff is the chief of staff with the Black and trans-led Lavender Rights Project. She said it's alarming that some politicians feel they have the power to "erase" trans people, and that it's critical to have a day that affirms trans identities.

"Especially for youth to see that, regardless of what's happening in our current political landscape, that we're still here," said Le Duff, "we're still advocating, we're still fighting."

Nearly a third of anti-trans bills nationwide target educational settings, while two bills in Olympia aim to strengthen queer and trans students' rights to privacy.

One would require a student's consent before sharing confidential medical and counseling documents. Another would amend the "Parents Right Initiative," adding a statement of students' rights.

On his first day in office, President Donald Trump signed an executive order eliminating the federal recognition and protection of transgender and nonbinary people.

Le Duff said if you're wondering how to support trans and other gender-nonconforming people -- today and every day -- start by checking in with trans people you know, and acknowledging their experience.

"I would hope they would not only join in the fight for liberation," said Le Duff, "but also in some way, shape, or form, be visible in the same ways that we are."

Le Duff said she is concerned that trans people, who represent just 0.6% of the population, are being used as political scapegoats. But, she added, she still has hope for the future.

"Regardless of the attack, regardless of the willful ignorance, we've always forged a way forward," said Le Duff, "and we will again."

The organization OutNebraska is holding an event not only to raise money for LGBTQ+ issues but to help people better understand the issues and their importance in the community.

The Classy-Tacky Ball is as much a "friendraiser" as a fundraiser. OutNebraska focuses on advocacy, education and celebration.

Abbi Swatsworth, executive director of OutNebraska, said the group sees the event as a chance to help community members be better allies for LGBTQ+ people and teach them how to be civically engaged.

"Whether that is through volunteering for boards or commissions, voting in elections, how to contact your policymakers, how to talk to your local school board," Swatsworth outlined. "Those sorts of things."

The event is scheduled for April 5 in Lincoln.

Swatsworth added efforts include speaking up where LGBTQ+ voices typically have not been heard and pointed out there are plenty of ways for people to get involved.

"That might look like phone banking or helping to recruit other volunteers, or helping community members connect with their elected officials," Swatsworth explained.

For those who may not be comfortable reaching out or being in public, Swatsworth noted OutNebraska also needs people to do data entry, tidy up the office and help staff the Pride events scheduled statewide this summer.