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The U.S. Trans Survey is the largest survey of trans people, by trans people, in the United States.

Download 2022 Health and Wellbeing Report See all reports

2022 U.S. Trans Survey

Health and Wellbeing: Findings from the 2022 US Trans Survey

84,170 adults

The USTS is the largest survey ever conducted to examine the experiences of transgender people in the U.S. The 2022 USTS, conducted by Advocates for Trans Equality (A4TE, formerly the National Center for Transgender Equality), includes responses from 92,329 binary and nonbinary transgender-identifying individuals—84,170 adults (ages 18 and older) and 8,159 youth (ages 16–17)—from all 50 states, the District of Columbia, five U.S. territories, and overseas military bases. This report focuses on adult respondents only and limits all analyses accordingly. Developed in collaboration with dozens of individuals and organizations deeply connected to trans communities, the survey prioritized the inclusion of historically underrepresented groups such as trans people of color and older transgender adults.

69%

Family support is not just linked to better health, it is life-saving. Those with supportive families had substantially better health—69% of respondents with supportive families said they had good health compared to 56% of those with unsupportive families. Individuals who experienced family rejection reported higher rates of considering suicide (70%), making plans to kill themselves (64%), and attempting suicide (52%) compared to those who did not experience such rejection (56%, 53%, and 38%, respectively).

66%

USTS respondents reported worse overall health compared to the general population:  66% rated their health as “excellent,” “very good,” or “good,” compared to 81% in the general population. Thirty-four (34%) percent reported “fair” or “poor” health, compared to 18% in the general population.  A majority (81%) of respondents indicated that they felt down, depressed or hopeless at least several days over the past two weeks. This is markedly higher than the general U.S. population (57%).

About the 2022 survey

Learn more about the largest-ever survey of transgender people in the United States.

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In their own words

  • Obtaining hormone therapy through the informed consent model and having access to surgery has definitely changed my life for the better. It certainly didn’t fix all of my problems instantly, but it fixed a lot of problems that my dysphoria caused. Now that I’ve been on HRT and had surgery, I can live my day to day life without pain, dissociation, and misery.

    Taylor

  • When I was younger, I was always afraid that I would never be accepted as transgender while currently having a job. I thought that people like me couldn't have jobs working with the public or could actually be "out" in the workforce, from the fear of being misunderstood and discriminated against.

    Milo

  • My whole life has been affected by the fact that my family was very accepting of me. I'm not exactly sure why, but both of my parents always supported my gender and sexual expression even before it was popular to do so. They would intervene at school and in the neighborhood, so I never had the problems that most people had growing up. As I get older (I'm over 50), I realize how important this was.

    Amanda

Download reports

Download the latest reports from the 2022 U.S. Trans Survey to learn about the lives and experiences of trans people in the United States.

2022 Early Insights Report Civic Engagement Report 2022 Health and Wellbeing Report
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