Prevalence and Correlates of Incarceration Among Trans Men, Nonbinary People, and Two-Spirit People in Canada.

In the United States, sexual and gender minority populations are known to experience both higher rates of incarceration and more harmful experiences while incarcerated. However, little is known about incarceration rates or experiences among these populations in Canada or among trans men, nonbinary people, and Indigenous Two-Spirit people. This community-based research study analyzed anonymous self-completed survey data from gay, bisexual, trans, and queer men, and nonbinary and Two-Spirit people to determine the prevalence and correlates of lifetime incarceration among trans men, nonbinary, and Two-Spirit participants. Overall, 5.7% of trans participants, 10.6% of nonbinary participants, and 19.7% of Two-Spirit participants reported being incarcerated in their lifetime, all higher than the prevalence among cisgender non-Two-Spirit participants (3.7%). Multivariable logistic regression models revealed both similar and different correlates of incarceration for trans, nonbinary, and Two-Spirit participants, including older age, less education, experiences of forced sex as a minor, hepatitis C virus (HCV) and HIV diagnoses, substance use, and being less out about one's sexuality. Our findings highlight the disproportionate and inequitable incarceration of trans men, nonbinary, and Two-Spirit people and underscore the need for access to gender diverse, culturally competent HCV and HIV screening, prevention, treatment, and harm reduction in correctional facilities.