<p>The purpose of this study is to describe experiences with healthcare among transgender women. Data are from cross-sectional surveys conducted in San Francisco in 2019 (N=201) and 2023 (N=339). Most transgender women in both surveys had health insurance (92.5% and 92.0%, respectively). Having a provider they felt comfortable with discussing gender-related health issues declined from 81.1% in 2019 to 63.7% in 2023. Many reported being denied healthcare (11.5%), mistreatment by providers (16.4%), and avoiding seeking healthcare (19.2%) due to their gender identity. Training for healthcare providers is needed to ensure respectful and effective care for transgender women.</p>

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Access to and Experiences with Healthcare Among Transgender Women, San Francisco 2019–2024

  • Ansharan Akbar,
  • Erikka Palafox,
  • Bow Suprasert,
  • Oyku Ozyucel,
  • Dillon Trujillo,
  • Eileen Yu,
  • Iris O’Neal,
  • Riley Shea,
  • Alexis Salvatore,
  • Moranda Tate,
  • Raul Ruiz,
  • Abtin Shafie,
  • Glenda Baguso,
  • Kelly D. Taylor,
  • Sean Arayasirikul,
  • Erin C. Wilson,
  • Willi McFarland

摘要

The purpose of this study is to describe experiences with healthcare among transgender women. Data are from cross-sectional surveys conducted in San Francisco in 2019 (N=201) and 2023 (N=339). Most transgender women in both surveys had health insurance (92.5% and 92.0%, respectively). Having a provider they felt comfortable with discussing gender-related health issues declined from 81.1% in 2019 to 63.7% in 2023. Many reported being denied healthcare (11.5%), mistreatment by providers (16.4%), and avoiding seeking healthcare (19.2%) due to their gender identity. Training for healthcare providers is needed to ensure respectful and effective care for transgender women.