Disabled and Deaf Trans People’s Survey Fact Sheet

Barriers to Gender Expression

The findings below demonstrate how trans disabled and Deaf people are denied agency around our gender identity and prevented from accessing gender related care. As disabled and Deaf people, we are often infantilized and afforded little to no bodily autonomy, based on the assumption that disabled and Deaf people cannot possibly know or understand what is best for us and our lives. The results below show how this impacts disabled and Deaf trans people and our access to resources, care and community that is supportive, affirming and critical to leading full, dignified lives.

  • More than 1 in 2 participants said that they did not have the resources and opportunities they needed to explore their gender identity.

  • 1 in 3 participants reported that people thought they could not understand their gender identity because they are disabled or Deaf.

  • 1 in 5 said that someone stopped them from expressing their gender identity specifically because of them being disabled or Deaf.

Institutional Barriers to Gender-Affirming Care

Participants were asked about their experiences with agencies or organizations, like courts, schools, work places, healthcare systems or government offices, denying or preventing them from accessing gender affirming care.

3 out of 4 trans Deaf and disabled participants experienced barriers to gender affirming care by an agency or organization.

Percentage of participants who reported being denied or prevented from accessing gender-affirming care by agencies or organizations

  • Using name/pronouns matching gender identity
  • Accessing needed bathroom or changing room
  • Dressing according to gender identity
  • Legally changing name, ID, or birth certificate
  • Accessing gender-affirming care (hormones)
  • Talking to therapist/provider about gender
  • Learning about being trans and trans community
  • Using gender-affirming items (binders, packers, etc.)
  • Spending time with other trans people

Interpersonal Barriers to Gender Affirmation

We also asked participants about their experiences with people in their personal life, like family members, partners, guardians, or personal assistants, stopping them from accessing gender affirming care.

4 out of 5 trans Deaf and disabled participants experienced barriers to gender affirming care from someone in their personal life.

Percentage of participants who reported being denied or prevented from accessing gender-affirming care from someone in their personal life

  • Using name and/or pronouns matching gender identity
  • Dressing according to gender identity
  • Accessing gender-affirming care, such as hormones
  • Learning about being trans and the trans community
  • Accessing or using gender-affirming items (binders, packers, gaffs, breast forms)
  • Legally changing name, ID documents, or birth certificate
  • Spending time with other trans people
  • Using needed bathroom or changing room
  • Talking to a therapist or healthcare provider about gender

The above results make clear how ableism, alongside misogyny and anti-Black racism, creates conditions for disabled people to be denied bodily autonomy and our freedom of expression by those closest to us and the institutions we interact with. It is particularly illuminating that the vast majority of participants reported that people thought that they could not understand their gender identity or were stopped from expressing their gender identity because they are disabled or Deaf. This further supports the Disability Project’s conclusion that so many of our trans and queer disabled kin are unknown due to the extreme isolation that disabled trans people experience and the lack of access to trans language, community and culture that would allow them to identify their own transness for themselves.

As disabled people, we often are not afforded credibility when it comes to having an understanding and deep knowing about our own gender and sexuality. For the reported 1.3 million disabled people living under guardianship, this lack of credibility is even more severe—guardianship (sometimes called conservatorship) grants a guardian control over nearly every aspect of a disabled person’s life, including their attire, finances, social life, and access to gender-affirming care. As our findings demonstrate, there are many ways that disabled people don’t have autonomy to make decisions related to their gender identity, and guardianship can represent an extreme manifestation of this broader pattern of denying disabled and Deaf trans people the freedom to know and express ourselves.

As disabled and Deaf trans people, we deserve access to gender affirming care, language, clothing, culture and community, just like our able-bodied trans peers. In our current socio-political climate, the rights and dignity of trans people are under attack, with the attempted decimation of nondiscrimination protections and restrictions on access to gender-affirming healthcare. What this data shows is that we, as disabled trans people, must not be left behind in the fight for trans justice. Indeed, centering disabled and Deaf trans people’s specific challenges in this fight will lead to broader access to gender affirming care, dignity, bodily autonomy, and respect for all of us.

Open to all trans and nonbinary disabled and Deaf adults in the U.S., the survey was accessible in ASL, Spanish, and English in both spoken and written forms. To keep the survey short and accessible, the DTPS was broken into five different topics and participants were able to choose which sections they wanted to engage with. The information represented in this factsheet is from the “Expressing Your Gender as. a Deaf or Disabled Person” portion of the survey (n=1,142). This survey was possible due to the innumerable trans, disabled, Deaf, and ill community members who generously gave advice, direction, and reflection.

We worked in close collaboration with disabled community based strategic advisors Ma’ayan Anafi, and Akemi Nishida and the research team of Ash Stephens and Emily Maurin-Waters.