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