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New report highlights serious health inequities impacting Transmasculine people in LA County

Health inequities are the result of deliberate power structures that impose a gender binary

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LOS ANGELES – A groundbreaking report that highlights the serious health inequities impacting Transmasculine people in Los Angeles County was released Wednesday by Gender Justice Los Angeles.

The report is part of a trans-led research and organizing initiative that was first convened in 2015 by the City of Los Angeles AIDS Coordinator’s Office and Gender Justice Los Angeles.

This by-and-for initiative by transmasculine Angelenos addresses what the TransMasculine Health Justice Los Angeles project organizers say is the fundamental erasure of Transmasculine people from local public health data, and therefore planning, policy and practice.

The report draws on community-generated data from a survey with 310 participants to develop a health equity agenda, which was conducted in 2017, and remains the single largest effort to understand and respond to inequities facing Transmasculine people in the County. 

The TransMasculine Health Justice Los Angeles project emphasized the need to lift up the voices of Transgender, Gender non-conforming, and Intersex (TGI) people, and especially Transmasculine Black, Indigenous, People of Color (BIPOC) in public conversation about health and health care inequities.

Speakers from Gender Justice LA and its related initiative, Transmasculine Health Justice- Los Angeles, held a joint virtual press conference on Wednesday, April 7, which was World Health Day, to announce the release of the participatory research report.

They addressed the need for more responsive public health systems not only in terms of inclusion in health equity data, but in taking leadership over efforts to address the serious health problems facing Transmasculine people, including high rates of victimization, depression and anxiety, and inequitable access to health care.

At a time when gender-affirming health care is under direct political attack, the report also emphasizes the inequities Transmasculine people who are pursuing this kind of care face.

For example, three-quarters of survey participants who had sought out a required medical authorization letter for gender-affirming care or hormone treatment had been required to meet with a mental health professional more than once. This, the group says, is a significant barrier to accessing care that disproportionately impacts people who are low income and BIPOC.

In a finding supportive of this claim, BIPOC participants were about half as likely as white participants to have had access to chest reconstruction surgery. 

Luckie Fuller, advisory board member, the TransMasculine Health Justice Los Angeles project
(Photo Credit: Paulo Riveros)

During the joint press conference, speakers from Gender Justice LA discussed the report’s findings and recounted their lived experiences as Transmasculine people facing barriers and challenges in seeking healthcare and having their needs met. Their poignant descriptions of navigating health and health care underscore how health care inequities facing Transmasculine people are ultimately preventable – a main conclusion of the report. 

“Health inequities are the result of deliberate power structures that impose a gender binary, restrict bodily autonomy, and create dangerous conditions in health care.” said Héctor Trinidad Plascenia from Gender Justice LA. “We are emphasizing health inequities in order to take action for change,” he added.

Speakers who sought care in LA spoke about being turned away and misinformed in services organized as “men’s health” and “women’s health.” Lucas Rojas, one of the project’s advisory members said that he was told by a provider that he did not need a IUD (interuterine device) for contraception because he was using testerone.

This kind of misinformation among providers is not unusual said project organizers. One of the group’s more surprising findings was the frequency of use of emergency contraception with 20% of the survey participants saying they had used Plan B at least once in their lifetime (this compared to about 11% of the general population nationally). 

Created by an entirely trans-led team, the report provides compelling evidence of health inequities alongside a framework for action. Among the group’s stated goals is a future that Transgender, Gender non-conforming, and Intersex (TGI) people can age, heal, evolve, thrive and create families and kinship with dignity.

The group formed in response to what they see as the current erasure of Transmasculine people in public health data. 

“This project isn’t just about data. It’s about strengthening the leadership of trans people and trans-led organizations to claim power to produce knowledge on our own terms,” said Sid Jordan, one of lead authors of the report and a PhD Candidate in the Department of Social Welfare at UCLA who partnered on the study. “We have created much more than a research study. We are creating ways to connect, resist, and heal together.”

Report Link: https://www.tmhealthstudyla.org/2021-report/

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California

California expands broadband infrastructure & internet access across state

The initial project locations based on unserved/underserved areas that don’t reliably have download speeds of at least 25 Megabits per second

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California Governor Gavin Newsom (Photo Credit: Office of the Governor of California)

SACRAMENTO – Advancing California’s commitment to bridge the digital divide, Governor Gavin Newsom announced that the state has identified 18 projects to begin work on an open-access middle-mile network that will provide missing infrastructure paths to bring broadband to all communities.

As part of the historic $6 billion broadband investment advanced in partnership with legislative leaders earlier this year, the initial project locations are based on known unserved and underserved areas across the state. The projects will connect to the core of the global internet and interconnect to last-mile infrastructure, which is the final leg that provides internet service to a customer.

“California is committed to taking on the challenges laid bare by the pandemic, including the digital divide holding back too many communities across the state,” said Newsom. “These projects are the first step to delivering on our historic investment that will ensure all Californians have access to high-quality broadband internet, while also creating new jobs to support our nation-leading economic recovery.”

The initial 18 projects represent a range of geographic locations and technical approaches. Projects are being initiated in the following tribal communities, counties and cities: Alpine County; Amador County; Calaveras County; Central Coast; Coachella Valley; Colusa Area; Inyo County; Kern County; Kern/San Luis Obispo Area; Lake County Area; Los Angeles and South Los Angeles; Oakland; Orange County; Plumas Area; Riverside/San Diego Area; San Bernardino County; Siskiyou Area; and West Fresno.

Evaluation of project areas included consideration of public comments, prioritization of unserved or underserved areas of the state, and inclusion of tribal communities, cities and counties. An unserved or underserved area has households that do not reliably have download speeds of at least 25 Megabits per second (Mbps) and upload of at least 3 Mbps.

“Core to our success will be the deep partnerships we’ve built with a diverse set of community organizations and last mile providers. Through many years of engagement with metropolitan planning organizations, CPUC-supported broadband consortia, Tribal organizations, community-based broadband advocacy groups, and organizations like the Rural County Representatives of California, the NAACP, and the California Emerging Technology Fund, we are now ready to take this historic step towards broadband equity for California,” said Louis Fox, Founder and Chair of GoldenStateNet, the state’s third-party administrator.

State partners implementing the middle-mile initiative include the California Department of Technology, California Public Utilities Commission (CPUC) and Caltrans. GoldenStateNet was selected as the Third-Party Administrator (TPA) to manage the development, acquisition, construction, maintenance and operation of the statewide open-access middle-mile broadband network. As the TPA, GoldenStateNet will partner with key stakeholder groups across the state to investigate the best technical, financial and operational models to meet the needs of the project sites.  

A map and additional information on the initial projects can be found here.

“A reliable broadband connection makes the difference between having access to full-service health care, education and employment or sometimes going without,” said State Chief Information Officer Amy Tong. “Through a historic partnership between our Governor, the Legislature, state agencies and a third-party administrator, we are taking immediate action to improve connectivity for Californians in the northern, central and southern parts of the state.”

“These initial routes have been identified to accelerate projects in areas of the state that are unserved because of the lack of open middle mile infrastructure to serve them. We are accelerating the selection of a diverse set of routes — those that are ready to build and those that are not ready to build.  This allows the state to partner with locals on these diverse projects and learn by doing, as we concurrently work to finalize all the needed routes in the State. There are many more communities like those in Phase I that will be included in the final map,” said Martha Guzman Aceves, Commissioner at the CPUC.

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Santa Monica

Sen. Alex Padilla & Santa Monica College- Thanksgiving grocery giveaway

“As we approach Thanksgiving, it is important to support each other and our communities, and give back when we can” 

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Santa Monica College volunteers & Senator Alex Padilla (Photo courtesy of Senator Alex Padilla)

SANTA MONICA — Ahead of Thanksgiving, U.S. Senator Alex Padilla (D-Calif.) on Tuesday volunteered with Santa Monica College (SMC) for their 2nd Annual GIVING THANKS(giving) Holiday Grocery Drive-Thru Giveaway.

Padilla joined dedicated SMC volunteers, along with state and local officials to provide fresh holiday groceries to 1,500 food insecure students.

“As we approach Thanksgiving, it is important to support each other and our communities, and give back when we can,” said Senator Padilla. “I was proud to join Santa Monica College and regional partners for their annual holiday food drive to make sure students have access to fresh food and groceries this holiday season. But this is also a stark reminder that there is more work to be done to address student food insecurity, an issue that existed since before the pandemic. I’ve introduced the BASIC Act to give students the resources they need to stay focused on their education. No student should have to worry about meeting their basic needs while pursuing their education.”

“Having Senator Padilla attend today’s event is so powerful because it raises the importance of giving back to our community,” said Lizzy Moore, president of the Santa Monica College Foundation and Santa Monica College’s dean of institutional advancement. “The Santa Monica College community is grateful for his leadership in the Senate to push for the BASIC Act and other legislative proposals to address the dramatic rates of food insecurity that exists on all college campuses including Santa Monica College.”

Even before the pandemic, 50 percent of California Community College students were food insecure.

Senator Padilla has been a strong advocate for addressing food insecurity and ensuring students can meet their basic needs while pursuing a higher education. This year, Padilla introduced the Basic Assistance for Students in College (BASIC) Act, bicameral legislation to ensure college students are able to meet their basic needs while pursuing their education. Specifically, the legislation provides $1 billion for grants to ensure institutions of higher learning have the resources they need to support their students’ most fundamental needs, and directs the federal government to streamline data sharing across agencies to help students qualify for aid – particularly Pell Grant recipients and attendees of community colleges and minority-serving institutions.

Senator Padilla also joined his colleagues in introducing the Student Food Security Act of 2021. This bicameral legislation helps address food insecurity on college campuses by enabling more low-income college students to access the Supplemental Nutrition Assistance Program (SNAP), improve data collection and sharing, and create a new grant program to help colleges and universities support their students.

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Arts & Entertainment

2022 Best of LGBTQ LA Readers’ Choice Award Nominations

Nominate your favorites in our 2022 Best of LGBTQ LA categories through December 5th.

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It is Decision 2022! Nominate your favorites in our 2022 Best of LGBTQ LA categories through December 5th. The top 5 nominees from each category will become a finalist with voting starting December 15th. Our 2022 Best of LGBTQ LA will be announced at the Best of LGBTQ LA Awards Party and special issue on January 28th, 2022.

Nominate below or click HERE.

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