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Abstract
The aim of this study was to compare the mental health, substance use, and sexual risk behaviors of rural and non-rural transgender persons. Online banner advertisements were used to recruit 1,229 self-identified rural and non-rural transgender adults (18+ years) residing in the United States. Primary findings include significant differences in mental health between rural and non-rural transmen; relatively low levels of binge drinking across groups, although high levels of marijuana use; and high levels of unprotected sex among transwomen. The results confirm that mental and physical health services for transgender persons residing in rural areas are urgently needed.
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FUNDING
The authors acknowledge the invaluable input and support from the national Transgender Community Advisory Board of the main study that provided the data on which this report is based. This study was funded by grants from the National Institute on Drug Abuse (Gender Identity and HIV Risk, 1R01DA015269; Walter Bockting, Principal Investigator) and the Eunice Kennedy Shriver National Institute on Child Health and Human Development (Gender Identity and HIV Risk II, 9R01HD057595; Walter Bockting, Principal Investigator).