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LGBTQ+ teens, 20-somethings share pandemic mental health struggles, post-pandemic plans

Wendy Nichols, a 22-year-old trans woman, is shown outside LGBTQ+ friendly shelter Casa Ruby, where she lived for two months early this year.

WASHINGTON, D.C. – People around the world have struggled for more than a year while stuck at home for school and work. But this physical and social isolation has taken a particularly tough toll on LGBTQ+ youth, data and interviews show. 

That’s because the pandemic cut many gay and transgender youth off from the places and spaces where they feel free to be themselves and forced them to spend a lot more time with family members who may not accept them.

“A lot of my friends are in the closet…and being stuck at home, they can’t really get out into the world,” said K.C. Elowitch, a 14-year-old transgender student in Rockville, Md. “At school, they were able to do whatever they wanted and be whoever they wanted. Now being stuck at home with [their families] is a lot more stressful.”

Elowitch was one of 11 young people, ages 14 to 22, who participated in a recent LGBTQ+ youth mental health focus group hosted by the Urban Health Media Project, a Washington-area nonprofit that trains diverse high school students from under-resourced communities to do multimedia health and social issue journalism. 

Elowitch’s experience was echoed by others in the focus group. 

“I was in a bad place when I was closeted,” said Wendy Nichols, a 22-year-old trans woman who began transitioning last summer. “Not just mentally, but literally and physically.” 

Living with transphobic parents made it “hard to be comfortable with myself,” said Nichols. 

Wendy (left) is shown with her twin brother (right)

Focus group members honed in on topics that make it hard to be LGBTQ+, including: 

  • A lack of positive and realistic representation of LGBTQ+ youth in media;
  • Being misdiagnosed in doctor’s offices and being treated unfairly due to sexuality, along with other health inequities; and
  • The impact of strict religious beliefs about sexual orientation and gender identity.

Participants were encouraged to share openly, and were led through the 90-minute discussion by professionals, and fellow members of the LGBTQ+ community. The focus group was co-moderated by Heidi Ellis and Josh Rivera. Ellis, who identifies as lesbian, was a senior adviser at the U.S. Environmental Protection Agency in the Obama administration and now runs her own advocacy and consulting company. Rivera, Money & Consumer Editor at USA TODAY, is gay and chairs the newspaper’s diversity committee.  

The focus group participants talked about what they would like addressed by the media and what they would like to see change. They emphasized topics such as safety, gender identity, and safely coming out to others.

 

Roman Sardo-Longo, a 16-year-old trans male who joined the virtual focus group from Cleveland, said having more LGBTQ+ representation in the media could help other young people more easily accept peers like him.

“It took me a while to come out [as trans] because I was terrified that my friends would not understand, that they weren’t gonna get it, that they would think it was a weird thing they would have to accommodate for,” he said.

Others shared their experiences with religious beliefs that oppose  LGBTQ+ identity and sexuality. 

Tris Buchanan, a DC high school senior, is shown in a recent selfie.

Tris Buchanan, 17, lives in Washington, D.C., and identifies as gender-fluid. Buchanan’s parents’ Christian religion played a big role in their struggle to come out.  

“Some die-hard Christians…say God does not like gays, God doesn’t like anyone who’s part of the LGBTQ community,” said Buchanan. “Homophobes use the Bible and use God as excuses.”

Nichols, who also grew up in a conservative Christian household in Texas, said the concept of “toxic masculinity” also greatly affected her as she was growing up. 

“I was told, ‘Men don’t cry,’ ” said Nichols. “I grew up with that and it skewed my views.” 

When Nichols was 16, she finally decided to tell her family she identified as a woman. Her late mother, who had struggled with mental illness since a serious brain injury in a car crash, took Nichols for a drive and threatened to drive them both into the river if her daughter didn’t retract the statement. So Nichols did. 

But last June at 21, Nichols began transitioning to a female by taking hormones she got off the Internet. She didn’t have health insurance and lived nearly five hours from the nearest health care provider who would treat her.  After her father died of cancer last August, she moved to the Washington, D.C., area to live with a friend she met online. 

When that didn’t work out, Nichols became homeless and called the LGBTQ+ youth shelter Casa Ruby. There, she found comfort with others like her and within two months, was connected to the transitional housing where she can now live for the next 18 months, if needed. She begins a new job as a receptionist in early May. 

Nichols, who struggles with substance use and what she believes is depression, said she’s feeling more hopeful than ever that “one day I can overcome it all.” 

“The future seems so bright now,” she said. “I’m not stuck in a place where I couldn’t be myself or dreading the next bad thing as I did for most of 2020 when I was preparing for my father to pass away.” 

 

UHMP also just completed a workshop on the relationship between housing and health, including LGBTQ+ youth homelessness in D.C. and Baltimore. That story will run soon in the Blade. Another reporting workshop this summer will explore youth mental health, with a special focus on the LGBTQ+ and Black, Indigenous and People of Color (BIPOC) communities. UHMP is seeking applications for 20 high school students to attend.

UHMP is also pursuing reporting on topics proposed by the young people who attended the focus group. Two participants are working on a story about the additional challenges faced by LGBTQ+ youth with learning disabilities. 

Jojo Brew, 18, is a DC high school senior and photographer.

Jojo Brew, an 18-year-old trans male in Washington, D.C., who participated in the focus group, believes the LGBTQ+ community should produce positive content on social media sites such as Instagram in order to raise awareness and promote understanding of gender and sexuality issues.

To that end, he’s begun interviewing and photographing other LGBTQ+ teens in the D.C. area for visual articles and social media posts and told a little of his own story for Instagram. Brew is also helping plan a June 18 LGBTQ+ event co-hosted by UHMP in Washington, where he hopes young people who may not be out can be “one with the community” even if they don’t speak publicly.  

Having that exposure to other LGBTQ+ people, they’d realize they aren’t the only ones going through a tough time,” said Brew. “They want to be heard and feel some type of love.” 

Brew was recently awarded a Children’s Defense Fund fellowship grant to chronicle the sense of community in Southeast Washington and is working with UHMP to capture and share the stories of LGBTQ+ youth in the D.C. area. 

 

UHMP is looking for LGBTQ+ people of all ages who are willing to be interviewed about youth mental health. We’d like to hear from youth and adults on all topics, including the impact of the reactions of community, government, parents, religious organizations and peers to youth gender and identity. What helped you weather challenges that could help the next generation?  Let us know at [email protected] 

Vanessa Falcon is a UHMP intern and senior at Miami Lakes Educational Center in Florida. Jayne O’Donnell, former health policy reporter at USA TODAY, is UHMP’s founder.

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Health

MISTR announces it’s now prescribing DoxyPE

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MISTR, the telemedicine provider that offers free online PrEP and long-term HIV care in all 50 states, D.C., and Puerto Rico, announced it is now prescribing Doxycycline Post-Exposure Prophylaxis (DoxyPEP), an antibiotic that reduces bacterial STIs, including gonorrhea, chlamydia, and syphilis. Patients can now use MISTR’s telehealth platform to receive DoxyPEP online for free, according to a release from the company.

With this launch, MISTR plans to offer patients access to post-exposure care, in addition to its existing preventive and long-term HIV treatment options, which include PrEP and antiretroviral therapy (ART). This comes at a time when the rate of STIs continue to rise. In 2022, more than 2.5 million cases of syphilis, gonorrhea, and chlamydia were reported in the U.S; of that population, gay and bisexual men are disproportionately affected, the company reported.

“Despite an ongoing STI epidemic affecting the LGBTQ+ community, there are few resources available for this underserved, vulnerable community to get the preventative medication they need,” said Tristan Schukraft, CEO and founder of MISTR. “I’m proud that MISTR is democratizing access to PrEP, HIV care, and now DoxyPEP.”

An NIH-funded study published by the New England Journal of Medicine in April 2023 found that doxycycline as post-exposure prophylaxis, now known as DoxyPEP, reduced syphilis by 87%, chlamydia by 88%, and gonorrhea by 55% in individuals taking HIV PrEP, and reduced syphilis by 77%, chlamydia by 74% and gonorrhea by 57% in people living with HIV. 

MISTR is a telemedicine platform offering free online access to pre-exposure prophylaxis (PrEP) and long-term HIV care Visit mistr.com for more information.

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Health

UNAIDS to commemorate Zero Discrimination Day’s 10th anniversary

UN agency urges global action to protect human rights

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A UNAIDS anti-discrimination exhibit at Tocumen International Airport in Panama in 2018. (Washington Blade photo by Michael K. Lavers)

As the world marks the 10th anniversary of Zero Discrimination Day; UNAIDS is sounding the alarm on the increasing threats to human rights, calling for renewed efforts to protect the rights of all individuals as a fundamental step towards ensuring health for everyone.

Established by UNAIDS a decade ago, Zero Discrimination Day aims to promote equality and fairness regardless of gender, age, sexuality, ethnicity or HIV status. The progress achieved over the past years is now in jeopardy, however, due to rising attacks on the rights of women, LGBTQ people and other marginalized communities.

UNAIDS Executive Director Winnie Byanyima emphasized the critical link between protecting human rights and safeguarding public health. 

“The attacks on rights are a threat to freedom and democracy and are harmful to health,” she said in a press release. “Stigma and discrimination obstruct HIV prevention, testing, treatment and care and hold back progress towards ending AIDS by 2030. It is only by protecting everyone’s rights that we can protect everyone’s health.”

Despite challenges, there has been notable progress. 

At the onset of the AIDS pandemic more than 40 years ago, two-thirds of countries criminalized consensual same-sex sexual relations. They are now decriminalized in two-thirds of countries. An additional 38 countries around the world have pledged to end HIV-related stigma and discrimination, contributing to positive changes that include 50 million more girls attending school compared to 2015.

To sustain and enhance these advancements; UNAIDS urges global support for women’s rights movements, LGBTQ rights, racial justice, economic justice, climate justice and peace initiatives. By standing with communities advocating for their rights, the U.N. aims to reinforce the collective effort towards a more inclusive and equitable world.

Zero Discrimination Day is observed on March 1.

Events and activities that will take place around the world throughout the month will serve as reminders of the essential lesson and call to action: Protecting everyone’s health is synonymous with protecting everyone’s rights.

“Through upholding rights for all, we will be able to achieve the Sustainable Development Goals and secure a safer, fairer, kinder and happier world — for everyone,” said Byanyima.

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Health

New CDC report finds transgender women at higher risk for HIV

More than 1,600 people in seven cities surveyed

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The Centers for Disease Control and Prevention in Atlanta (Photo courtesy of the CDC)

The Centers for Disease Control and Prevention issued a new study report this week that revealed that restricted by employment and housing discrimination and lack of access to needed gender-affirming healthcare for transgender women increasing the risk of contracting HIV. 

Researchers reviewed data from a 2019-2020 survey, the National HIV Behavioral Surveillance Among Transgender Women, which found that the demographics of HIV/AIDS have been disproportionally high, especially among Black and Latina trans women, who had experienced employment and housing discrimination coupled with lack of access to gender-affirming healthcare.

The Jan. 25 Morbidity and Mortality Weekly Report was based on data studies of more than 1,600 trans women in seven major urban locales. Participants from Atlanta, Los Angeles, New Orleans, New York, Philadelphia, San Francisco and Seattle were chosen by referrals from people and community-based organizations who knew or were part of the local population of trans women.

The study’s researchers noted: “Employment discrimination occurs at the overlapping nexus of poverty, homelessness, incarceration, health insurance, disability, food insecurity and survival sex work. These issues are interconnected.”

The study stated that trans women’s inability to access quality healthcare, including gender-affirming treatment or access to PrEP, and can expose them to potential incarceration as many turn to “survival sex work” and violence, which increases the risk of contracting HIV. 

The study’s author’s pointed out: “When economically marginalized transgender women are refused employment, this refusal cyclically contributes to economic hardships. This analysis …demonstrates the importance of transgender women working and living with dignity and without fear of unfair treatment.”

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