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.

中文翻译：

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跨性别者和非二元个体在线样本中 COVID-19 检测的流行率和关联

COVID-19 的背景测试以及与服务的联系是成功遏制和控制传播的基础。然而，跨性别和非二元群体中关于 COVID-19 检测的知识仍然有限。方法 2020 年 10 月至 2020 年 11 月期间，我们在跨性别者和非二元性别人群 (n=536) 的在线样本中检查了 COVID-19 检测的流行率和关联性。多变量层次逻辑回归分析检查了 COVID-19 测试与参与者的社会人口统计、心理健康、物质使用、性别肯定、经济变化和医疗保健经历之间的关联。结果 该样本中的 COVID-19 检测率为 35.5% (n=190/536)。在最终模型中，来自较高社会经济收入背景和欧洲的跨性别者和非二元性别参与者报告患有活跃的酒精使用障碍，接受性别确认手术的机会有限，收入减少了 20% 以上，并在健康方面经历了虐待。由于性别认同的原因，设施的 COVID-19 检测几率显着增加（所有 p<0.05）；那些报告最近吸烟的人接受 COVID-19 检测的几率明显较低 (p=0.007)。结论 这些发现凸显了 COVID-19 检测的结构性差异，并强调了增加跨性别和非二元人群检测策略的重要性。无可用数据。