A new report in the International Journal for Equity in Health says that transphobia in the UK is causing a public health crisis.

The paper identifies multiple issues: limited or non-existent access to appropriate healthcare; social exclusion; policy-driven discrimination; and “minority stress”, which leads to adverse health outcomes including cardiovascular disease and risk behaviours such as alcohol use.

The authors say that the health disparities faced by trans and gender-diverse people in the UK constitutes “a real-time public health crisis that demands urgent and sustained intervention.”