Table 3 Reasons for not seeking gender affirming care among those who would like to do so

It is not available in the country where I live.

2.6%

10.3%

p < .001

It is not covered by my country´s public health insurance

9.6%

14.5%

p = .005

I cannot afford it due to financial reasons.

20.0%

20.4%

p = .838

I do not dare to.

41.0%

31.9%

p < .001

I do not have confidence in the services provided.

26.1%

22.1%

p = .087

I do not know where to go.

31.7%

26.7%

p = .042

It takes too much time (including waiting lists).

16.2%

10.1%

p < .001

I am afraid of prejudice from the care providers.

33.3%

27.2%

p = .019

It is too complicated in terms of bureaucracy.

21.1%

14.9%

p = .002

I have had previous bad experiences with care providers.

9.9%

8.4%

p = .357