the pursuit of health care rights. Racial disparities Race has been shown to compound manifestations of existing discrimination on the basis of gender identity. Black trans women have the highest suicide rate of any other group in the United States, at almost half attempting in their lives, while cisgender black women attempt suicide at a rate of 1.7% on average. Trans students of color face higher rates of harassment and violence in schools. American Indian transgender students face the highest rates of sexual assault in school at 24%, followed by multiracial (18%), Asian (17%), and black (15%) students. White transgender students face a 9% rate of sexual assault in K–12. Black trans women have a higher rate of HIV infection than other groups, with a 30.8–56.3% rate, versus 27.7% of MTF transgender people on average. Police and incarceration In the 2011 National Transgender Discrimination Survey, 22% of respondents who had interacted with the police reported harassment due to bias. 20% reported denial of equal services. 48% reported being uncomfortable asking for police assistance. Respondents who had served time in jail reported a higher rate of harassment by officers than by others in jail. For all respondents, 7% reported being held in a jail cell solely due to gender identity expression, while this number was 41% for black and 21% for Latino trans respondents. Transgender people have reported being refused medical care, particularly hormone therapy, in prison, with black trans people and American Indian trans people with the highest reporting rates. See also Discrimination against non-binary gender people Gay bashing Hate crime Homelessness among LGBT youth in the United States List of people killed for being transgender Transgender inequality Trust and safety issues in online dating services Transphobia Violence against LGBT people Violence against transgender people in the US References External links National Center for Transgender Equality, National Center for Transgender Equality has information on hate crime laws in the United States Transgender victims in Massachusetts Discrimination against transgender people Violence against LGBT people Abuse LGBT terminology