Illuminating the Divide

Surging gender-affirming care post volume

Since June is Pride month, we decided to address a crucial concern affecting the transgender community today – the increasing barriers to gender-affirming care.

According to the?World Health Organization, gender-affirming care covers the range of social, psychological, medical, and behavioral treatments and support designed to affirm an individual's gender identity when it conflicts with the gender they were assigned at birth. In this discussion, we will examine how sentiment towards gender-affirming care has changed over the past decade, who's participating in this conversation, and why people feel the way they do. Ten years ago, gender-affirming care received little attention. While they certainly existed, people identifying as transgender didn't occupy much space within our national consciousness. However, in the past year, we have witnessed an astounding growth of 223,935% in discussions related to this type of medical care.

Let's look at the reasons behind the spike in volume and negative sentiment in the conversation.

Rising negativity against trans people in America

The backlash against gender-affirming care in America didn't occur in a vacuum or overnight. Over the last few years, people identifying as transgender have become the latest victim of the American culture wars. The?New York Times?tracked and reported how this was a planned?effort?by conservative activists to mobilize voters after same-sex marriage was legalized in 2015. Social listening data revealed an unprecedented surge in negativity around transgender topics after 2015. Going back to 2007, we saw that negative social media posts around transgender issues had risen 839%, with the majority of the increase occurring from 2020 through the present.

Rising Anger metrics within the discussion

In the earlier years of the decade, the perception surrounding gender-affirming care was generally positive. We observed that Love was mentioned in over 28% of the posts, while Trust appeared in about 29%. Even as the volume of posts increased over time, Love and Trust consistently remained the top two emotions associated with gender-affirming care discussions until 2022.

However, in 2022, Infegy Atlas recorded a significant 540% surge in the presence of Anger within these discussions. In 2023, Anger has become 311% more likely to appear in posts discussing gender-affirming care than Love, which used to be the dominant emotion in such conversations.

Showing how very different communities reacted

We wanted to understand who was behind these waves of Trust and Love and who or what pushed the tide of Anger that occurred more recently. We discovered that two distinct groups were driving these different emotions. To identify these groups, we examined the source bios of various accounts, looking for self-appointed indications of conservative and LGBTQ+ identities. Our clustering algorithm categorized LGBTQ+ identifying individuals or allies in brown and conservative-aligning individuals in teal (Figure 4).

We found that earlier in the decade, LGBTQ+ individuals made up a more significant portion of the positive conversation. However, over the past year, conservative voices have grown louder and have overshadowed the positive discussions surrounding gender-affirming care.

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