2SLGBTQI+ Action Plan Survey Results: Health and Wellbeing

This visual product displays the survey results for questions related to physical and mental health in a disaggregated manner, by showing results for related questions broken down by the respondent’s gender, age, sexual orientation, population group, Indigenous identity, disability status, province of residence and more.

Do you have a primary health care provider (e.g., family doctor/nurse practitioner)?

Survey respondents overall

81% of survey respondents said that they had a primary health care provider, such as a family doctor or nurse practitioner.

Survey Respondents Overall Percentage

Yes

81%

Do you have a primary health care provider (e.g., family doctor/nurse practitioner)?

Response by population group and Indigenous identity

White respondents (82%) and respondents from Racialized: Other Groups (80%) were most likely to have a primary health care provider compared to respondents from other groups, while Latin American respondents (71%) were least likely.

Population Group and Indigenous identity Percentage who said Yes

South Asian

77%

East Asian

77%

South East Asian

77%

Middle Eastern / North AfricanFootnote 1

75%

Black Caribbean

78%

Black African

74%

Latin American

71%

Racialized: Other GroupsFootnote 2

80%

White and RacializedFootnote 3

79%

White

82%

Indigenous

79%

Do you have a primary health care provider (e.g., family doctor/nurse practitioner)?

Response by province or territory of residence

Respondents in Newfoundland and Labrador (88%) were most likely to have a primary health care provider, while respondents in the Territories (69%) were least likely to have a primary health care provider.

Province or Territory of Residence Percentage who said Yes

BC

77%

ON

86%

NS

83%

AB

81%

QC

74%

MB

86%

SK

80%

NL

88%

NB

79%

PE

74%

Territories

69%

Do you have a primary health care provider (e.g., family doctor/nurse practitioner)?

Response by disability status

Respondents with a disability were slightly more likely to have a primary health care provider than respondents without a disability.

Disability Status Percentage who said Yes

Disability

84%

No Disability

80%

Do you have a primary health care provider (e.g., family doctor/nurse practitioner)?

Intersex respondents

74% of Intersex respondents had a primary health care provider, compared to 81% of survey respondents overall.

Percentage who said Yes

Intersex respondentsFootnote 4

74%

6. Do you have access to mental health services (whether or not you need it)?

Survey respondents overall

Only 15% of survey respondents had access to 2SLGBTQI+-specific mental health services whether or not they needed it. 17% of respondents reported having no access to mental health services at all.

Do you have access to mental health services (whether or not you need it)? Percentage

Yes, I have access to LGBTQ2-specific mental health services

15%

Yes, I have access to general mental health services

56%

No, I do not have access to mental health services

17%

Don’t know

12%

7. Do you have access to mental health services (whether or not you need it)?

Response by gender identity

Transgender men and transgender women respondents were the most likely gender identity groups to have access to 2SLGBTQI+-specific mental health services whether or not they needed it, while cisgender women and cisgender men were least likely.

Gender identity Yes, I have access to LGBTQ2-specific mental health services Yes, I have access to general mental health services No, I do not have access to mental health services Don’t know

Woman (transgender)

33%

38%

22%

8%

Woman (cisgender)

9%

65%

15%

11%

Man (transgender)

26%

45%

19%

9%

Man (cisgender)

16%

54%

15%

15%

Gender Diverse

16%

52%

21%

10%

Non-Binary / Agender

17%

52%

21%

11%

Two-Spirit

16%

57%

19%

8%

8. Do you have access to mental health services (whether or not you need it)?

Intersex respondents

26% of intersex respondents said that they don’t have access to mental health services, whether or not they needed it.

Yes, I have access to LGBTQ2-specific mental health services Yes, I have access to general mental health services No, I don’t have access to mental health services Don’t know

Intersex respondentsFootnote 4

25%

36%

26%

13%

9. Do you have access to mental health services (whether or not you need it)?  

Response by population group and Indigenous identity

Compared to other groups, Latin American (26%), Middle Eastern & North African respondents (26%), and Black African respondents (25%) were most likely to report that they did not have access to mental health services whether or not they needed it.

Population Group and Indigenous Identity Yes, I have access to LGBTQ2-specific mental health services Yes, I have access to general mental health services No, I do not have access to mental health services Don’t know

South Asian

13%

48%

23%

15%

East Asian

15%

56%

15%

14%

South East Asian

14%

49%

21%

15%

Middle Eastern / North African

13%

48%

26%

14%

Black Caribbean

15%

54%

15%

16%

Black African

18%

44%

25%

13%

Latin American

12%

45%

26%

18%

Racialized: Other Groups

17%

49%

22%

12%

White and Racialized

16%

55%

17%

11%

White

15%

58%

15%

12%

Indigenous

14%

57%

18%

11%

10. Do you have access to mental health services (whether or not you need it)? 

Response by province or territory of residence

Respondents from Manitoba (18%) and Ontario (17%) were most likely to have access to 2SLGBTQI+-specific mental health services whether or not they needed it, while those in PEI (8%) and the Territories (9%) were least likely.

Province or Territory of Residence Yes, I have access to LGBTQ2-specific mental health services Yes, I have access to general mental health services No, I do not have access to mental health services Don’t know

BC

16%

55%

16%

13%

ON

17%

56%

16%

12%

NS

10%

61%

16%

13%

AB

15%

61%

14%

10%

QC

11%

54%

21%

14%

MB

18%

61%

10%

10%

SK

16%

63%

11%

11%

NL

11%

67%

16%

6%

NB

11%

61%

17%

11%

PE

8%

59%

16%

17%

Territories

9%

67%

14%

10%

11. Whether or not you need it, do you have access to gender-affirming health services and related products? (For example, hormone therapy, gender-affirming surgeries, mental health supports, and/or other health products such as chest binders)

Note: This question was asked only of respondents who identified as transgender, gender diverse, non-binary/ agender, Two-Spirit or intersex.  

Less than half of respondents who answered this question (44%) had access to gender affirming health services and related products whether or not they needed it.

Whether or not you need it, do you have access to gender-affirming health services and related products? Percentage

Yes

44%

Some, but not all

15%

No

22%

Don’t know

20%

12. Whether or not you need it, do you have access to gender-affirming health services and related products? (For example, hormone therapy, gender-affirming surgeries, mental health supports, and/or other health products such as chest binders)

Response by gender identity

Transgender men (64%) and transgender women (62%) respondents were more likely than respondents from other gender identity groups to say they had access to gender affirming health services whether or not they need it, while gender diverse (27%), Two-Spirit (32%) and non-binary / agender (25%) respondents were least likely. They were also more likely to indicate that they didn’t know whether they had access to these services or not.

Gender Identity Yes Some, but not all No Don’t know

Woman (transgender)

62%

23%

10%

5%

Man (transgender)

64%

22%

10%

4%

Gender Diverse

31%

10%

27%

32%

Non-Binary / Agender

36%

14%

25%

25%

Two-Spirit

33%

11%

32%

25%

13. Whether or not you need it, do you have access to gender-affirming health services and related products? (For example, hormone therapy, gender-affirming surgeries, mental health supports, and/or other health products such as chest binders)

Intersex respondentsFootnote 4

Over half of all intersex respondents (56%) indicated that they had access to gender affirming health care services whether or not they needed it.

Yes Some, but not all No Don’t Know

Intersex respondents

56%

11%

20%

13%

14. Whether or not you need it, do you have access to gender-affirming health services and related products? (For example, hormone therapy, gender-affirming surgeries, mental health supports, and/or other health products such as chest binders)

Response by disability status among those who identified as transgender, gender diverse, non-binary / agender, two-spirit or intersex

Respondents with a disability were less likely to have access to gender affirming health services and related products whether or not they needed it compared to those without a disability.

Disability Status Yes Some, but not all No Don’t know

Disability

39%

19%

24%

19%

No Disability

48%

12%

19%

21%

15. Over the past five years, have you discussed any of the following with health care professionals? Your sexual orientation.

Response by sexual orientation

Gay (60%), queer (55%), and Two-Spirit (55%) respondents were more likely than respondents from other sexual orientation groups to have discussed their sexual orientation with a health care professional over the past five years.

Sexual Orientation Percentage who said Yes

Lesbian

51%

Gay

60%

Bisexual

36%

Pansexual

43%

Queer

55%

Asexual

35%

Unsure / Questioning

26%

Demisexual

43%

Heterosexual

48%

Two-Spirit

55%

16. Over the past five years, have you discussed any of the following with health care professionals? Your sexual orientation.

Intersex respondentsFootnote 4

70% of intersex respondents reported having discussed their sexual orientation with a health care professional over the past five years.

Percentage who said Yes

Intersex respondents (Interpret with caution. Fewer than 80 respondents.)

70%

17. Over the past five years, have you discussed any of the following with health care professionals? Your gender identity.

Response by gender identity

Transgender women (90%) and transgender men (87%) respondents were more likely than respondents from other gender identity groups to have discussed their gender identity with a health care professional over the past five years.

Gender Identity Percentage who said Yes

Woman (transgender)

90%

Woman (cisgender)

10%

Man (transgender)

87%

Man (cisgender)

12%

Gender Diverse

37%

Non-Binary / Agender

46%

Two-Spirit

45%

18. Over the past five years, have you discussed any of the following with health care professionals? Your gender identity.

Intersex respondentsFootnote 4

73% of intersex respondents reported having discussed their gender identity with a health care professional in the past five years.

Percentage who said Yes

Intersex respondents

73%

19. Thinking only of your experiences with health care professionals over the past five years, how would you rate their understanding of the following topics and their impact on your health needs? Your sexual orientation.

Response by sexual orientation

Asexual (42%) and demisexual (47%) respondents were most likely to report than respondents from other sexual orientation groups that health care professionals were either not very knowledgeable or not knowledgeable at all about their sexual orientation.

Sexual Orientation Very knowledgeable / Somewhat knowledgeable Not very knowledgeable / Not knowledgeable at all

Lesbian

71%

29%

Gay

84%

16%

Bisexual

75%

25%

Pansexual

70%

30%

Queer

67%

33%

Asexual

58%

42%

Unsure /QuestioningFootnote 4

83%

17%

DemisexualFootnote 4

53%

47%

Heterosexual

80%

20%

Two-Spirit

77%

23%

20. Thinking only of your experiences with health care professionals over the past five years, how would you rate their understanding of the following topics and their impact on your health needs? Your gender identity.

Response by gender identity

With the exception of cisgender men respondents, at least 30% of respondents from all gender identity groups reported that health care professionals were either not very knowledgeable or not knowledgeable at all about their gender identity.

Non-binary/agender (52%) and gender diverse (50%) respondents were particularly likely to report this.

Gender Identity Very knowledgeable / Somewhat knowledgeable Not very knowledgeable / Not knowledgeable at all

Woman (transgender)

68%

32%

Woman (cisgender)

70%

30%

Man (transgender)

60%

40%

Man (cisgender)

82%

18%

Gender Diverse

50%

50%

Non-Binary / Agender

48%

52%

Two-Spirit

60%

40%

21. During the last five years, do you feel that you have experienced discrimination or been treated unfairly within the health care system based on your intersex characteristics (naturally occurring non-binary variation in chromosomes, gonads, sex hormones or genitals)?

Intersex respondents

Almost half of intersex respondents (44%) who accessed the health care system during the past five years reported experiencing discrimination or being treated unfairly based on their intersex characteristics.

Yes No Don’t know

Intersex respondentsFootnote 4 (Interpret with caution. Fewer than 80 respondents.)

44%

38%

18%

22. During the last five years, do you feel that you have experienced discrimination or been treated unfairly within the health care system based on your sexual orientation?

Response by sexual orientation

Two-Spirit respondents were more likely than respondents from other sexual orientation groups to report that they experienced discrimination or were treated unfairly based on their sexual orientation within the health care system during the last five years.

Sexual Orientation Percentage who said Yes

Lesbian

20%

Gay

20%

Bisexual

14%

Pansexual

19%

Queer

25%

Asexual

16%

Unsure /Questioning

10%

Demisexual

20%

Heterosexual

16%

Two-Spirit

31%

23. During the last five years, do you feel that you have experienced discrimination or been treated unfairly within the health care system based on your sexual orientation?

Response by disability status

Respondents with a disability (25%) were more likely than those without a disability (16%) to report that they experienced discrimination or were treated unfairly within the health care system based on their sexual orientation during the last five years.

Disability Status Percentage who said Yes

Disability

25%

No Disability

16%

24. During the last five years, do you feel that you have experienced discrimination or been treated unfairly within the health care system based on your sexual orientation?

Response by population group and Indigenous identity  

Indigenous respondents (26%) and respondents from the “Racialized: Other Groups” population group (29%) were more likely than respondents from other groups to report they had experienced discrimination or were treated unfairly based on their sexual orientation within the health care system during the last five years.

Population Group and Indigenous Identity Percentage who said Yes

South Asian

23%

East Asian

16%

South East Asian

18%

Middle Eastern / North African

23%

Black Caribbean

20%

Black African

23%

Latin American

23%

Racialized: Other Groups

29%

White and Racialized

21%

White

18%

Indigenous

26%

25. During the last five years, do you feel that you have experienced discrimination or been treated unfairly within the health care system based on your gender identity?

Response by gender identity

Transgender women (44%) and transgender men (48%) respondents were more likely than respondents from other gender identity groups to report that they experienced discrimination or were treated unfairly based on their gender identity within the health care system during the last five years.

In comparison, cisgender respondents were the least likely to report experiencing discrimination within the health care system based on their gender identity.

Gender Identity Percentage who said Yes

Woman (transgender)

44%

Woman (cisgender)

13%

Man (transgender)

48%

Man (cisgender)

4%

Gender Diverse

31%

Non-Binary / Agender

34%

Two-Spirit

38%

26. During the last five years, do you feel that you have experienced discrimination or been treated unfairly within the health care system based on your gender identity?

Response by disability status

Respondents with a disability (33%) were more than twice as likely than those without a disability (14%) to report that they experienced discrimination or were treated unfairly within the health care system based on their gender identity during the past five years.

Disability Status Percentage who said Yes

Disability

33%

No Disability

14%

27. During the last five years, do you feel that you have experienced discrimination or been treated unfairly within the health care system based on your gender identity?

Response by population group and Indigenous identity

Indigenous respondents (30%), respondents from the “Racialized: Other Groups” (30%), and respondents who are White and Racialized (29%) were more likely than respondents from other population groups to report that they had experienced discrimination or were treated unfairly within the health care system based on their gender identity during the last five years.

Population Group and Indigenous Identity Percentage who said Yes

South Asian

20%

East Asian

15%

South East Asian

20%

Middle Eastern / North African

23%

Black Caribbean

25%

Black African

22%

Latin American

18%

Racialized: Other Groups

30%

White and Racialized

29%

White

20%

Indigenous

30%

28. How has COVID-19 impacted your ability to receive adequate health care?

Respondents who Accessed Health Care since March 11, 2020Footnote 5

48% of respondents thatwho accessed the health care system since the COVID-19 pandemic began reported that the pandemic has had either a great impact or some impact on their ability to receive adequate health care.

Great impact / Some impact

48%

29. How has COVID-19 impacted your ability to receive adequate health care?

Response by gender identity 

Among respondents who accessed the health care system since the COVID-19 pandemic began non-cisgender respondents were more likely than cisgender respondents to report that the COVID-19 pandemic has had either a great impact or some impact on their ability to receive adequate health care.

Two-Spirit (22%) respondents who accessed the health care system since the COVID-19 pandemic began were more likely than respondents from other gender identity groups to report that the COVID-19 pandemic has had a great impact on their ability to receive adequate health care.

Gender Identity Great impact Some impact

Woman (transgender)

17%

40%

Woman (cisgender)

9%

39%

Man (transgender)

16%

42%

Man (cisgender)

8%

32%

Gender Diverse

14%

43%

Non-Binary / Agender

15%

45%

Two-Spirit

22%

41%

30. How has COVID-19 impacted your ability to receive adequate health care?

Response by sexual orientation

Two-Spirit (22%) respondents who accessed the health care system since the COVID-19 pandemic began were more likely than respondents from other sexual orientation groups to report that the COVID-19 pandemic has had a great impact on their ability to receive adequate health care.

Sexual Orientation Great impact Some impact

Lesbian

10%

38%

Gay

8%

32%

Bisexual

11%

40%

Pansexual

14%

42%

Queer

12%

44%

Asexual

11%

41%

Unsure /Questioning

12%

36%

Demisexual

16%

37%

Heterosexual

17%

33%

Two-Spirit

22%

41%

How has COVID-19 impacted your ability to receive adequate health care?

Response by population group and Indigenous identity

Among respondents who accessed the health care system since the COVID-19 pandemic began Indigenous respondents (19%) and respondents from the “Racialized: other groups” population group (18%) were more likely than respondents from other groups to report that the COVID-19 pandemic has had a great impact on their ability to receive adequate health care.

Population Group and Indigenous Identity Great impact Some impact

South Asian

12%

40%

East Asian

6%

37%

South East Asian

10%

40%

Middle Eastern / North African

17%

39%

Black Caribbean

12%

40%

Black African

13%

40%

Latin American

13%

38%

Racialized: Other Groups

18%

40%

White and Racialized

14%

43%

White

10%

37%

Indigenous

19%

39%

How has COVID-19 impacted your ability to receive adequate health care?

Response by province or territory of residence

Among respondents who accessed the health care system since the COVID-19 pandemic began respondents in PEI (24%), the Territories (17%), and New Brunswick (16%) were more likely than respondents in other areas of the country to report that the COVID-19 pandemic has had a great impact on their ability to receive adequate health care.

Province or Territory of Residence Great impact Some impact

BC

9%

36%

ON

10%

39%

NS

9%

44%

AB

11%

36%

QC

12%

32%

MB

8%

41%

SK

10%

38%

NL

9%

39%

NB

16%

33%

PEFootnote 4

24%

23%

TerritoriesFootnote 4

17%

40%

33. How has COVID-19 impacted your ability to receive adequate health care?

Response by disability status

Respondents with a disability who accessed the health care system since the COVID-19 pandemic began were more likely to report that the COVID-19 pandemic has had either a great impact (17%) or some impact (46%) on their ability to receive adequate health care compared to those without a disability (7% and 33% respectively).

Disability Status

Great impact

Some impact

Disability

17%

46%

No Disability

7%

33%

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