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Table 3 Summary of interviews’ emergent themes and relative frequency of discussion by topic

From: Combined effects of gender affirmation and economic hardship on vulnerability to HIV: a qualitative analysis among U.S. adult transgender women

Study topicRelative frequency of discussiona,bEmergent themes
Gender transition****Transition occurs in stages but does not define womanhood
******Financial barriers to medical transitioning
****Use of lower-cost and non-prescribed medications
**Taking on only small transition expenses
**Waiting to “come out” until transition is completed
******Limited access to gender affirming services
Employment*Termination due to disclosed transgender identity
******No transition or full transition is most protective against job discrimination
******Sex exchange as source of employment while gender transitioning
****Challenges with name change and name preferences at work
******Need for trans-sensitivity training for local employers
****Higher pre-transition earning power
Housing**Useful to have trans-supportive housing
**Difficulty accessing housing due to transgender identity
HIV services******Linking transition services to HIV testing/care
****Concerns for trans discrimination by health care system
****Discussing HIV prevention with sex partners
****Effect of transition on sex partner accessibility and relationship
  1. [a] Based on n = 19 trans women; [b] Relative frequency of responses are denoted by: * discussed by < 20% trans women; ** discussed by 20 to 35% trans women; ****discussed by 35 to 50% trans women; ****** discussed by > 50% of trans women