Health Impact Assessment of House Bill 2 and House Bill 142 on LGBTQ+ North Carolinians

In April 2019, NCCADV released a report on the health and violence-related impacts of North Carolina's HB2 (the "bathroom bill") and the bill that repealed and replaced it, HB142.

While there have been well-documented statewide economic ramifications of HB2, there had been little focus on how HB2 and HB142 have impacted the health and well-being of LGBTQ+ individuals and communities, particularly T/GNC communities, in North Carolina. This health impact assessment report explores how HB2 and HB142 impact health and violence outcomes in these communities. Click below to read:

The report describes:
  • The current literature around the health and violence impacts of discriminatory laws;
  • Current available quantitative data about the prevalence of these outcomes before the passage of HB2 and HB142 in North Carolina;
  • Results from qualitative interviews with LGBTQ+ service providers on effects of HB2 and HB142 on LGBTQ+ communities;
  • Results from five regional focus groups conducted with LGBTQ+ community members;
  • Results from a statewide survey of LGBTQ+ North Carolinians and allies; and
  • Estimated quantitative impacts of these laws on health and violence outcomes.


HB2 HB142 HIA infographic full
Additional square-formatted graphics:

"License to be hateful" quote graphic Total counts of outcomes for T/GNC North Carolinians Anxiety and depression rates HB2 vs. HB142

Media representation matters Common coping strategies HIA recommendations infographic

The assessment was carried out with support from a Community Advisory Board, researchers from ETR Services, LLC, and graduate students from the UNC Gillings School of Global Public Health.