Transgender
One effort to quantify the population gave a "rough estimate" that 0.3 percent of adults in the US are transgender, overlapping to an unknown degree with the estimated 3.5 percent of US adults (1-in-30) who identify as LGBT. More recent studies released in 2016 estimate the proportion of Americans who identify as transgender at 0.5 to 0.6%. This would put the total number of transgender Americans at approximately 1.4 million adults ().
Transgender inequality
Transgender individuals of color encounter more physical and mental health issues than transgender whites and their heterosexual counterparts. The HIV infection rate for transgender individuals overall is 2.6%, two percent over the national average. Within this group, 25% of blacks, 11% of Latinos, and 7% of American Indians report being HIV positive. A 2007 analysis of Medicaid policies found that exclusions on transition-related health expenses, such as hormone therapy and sex change surgeries, have a disproportionately large effect on low-income transgender people of color, leading to increased violence, political disenfranchisement, and poor health outcomes.