Table 2 Gender minority stress, resilience, and access to healthcare variables among transgender women in Eastern and Southern US overall and by HIV status and mode

Gender Minority Stress

Non-affirmation

9 (5–14)

10 (5–15)

13 (9–17)

11 (6–15)

< 0.05

Physical Violence, ever

152 (54.7)

466 (62.3)

390 (67.1)

1008 (62.7)

< 0.05

Sexual Violence, ever

112 (40.3)

324 (43.3)

240 (41.3)

676 (42.1)

< 0.05

Intimate Partner Violence, past 12 months

0 (0–1)

0 (0–1)

0 (0–1)

0 (0–1)

< 0.05

Discrimination

15.5 (9-21.5)

21 (13–27)

24 (19–28)

21 (15–27)

< 0.05

Resilience

Pride

15 (11–16)

12 (8–15)

-

13 (9–16)

< 0.05

Community Connectedness

6 (5–8)

7 (5–9)

-

6 (5–8)

< 0.05

Social Support

10 (6–15)

12 (7–16)

11 (7–16)

11 (7–16)

0.1070

Body Comfort

< 0.05

Very Uncomfortable

Uncomfortable

Neither Comfortable nor Uncomfortable

65 (23.3)

27 (9.7)

46 (16.5)

133 (17.8)

147 (19.6)

121 (16.2)

125 (21.5)

205 (35.2)

109 (18.7)

324 (20.1)

380 (23.6)

276 (17.1)

Comfortable

Very Comfortable

Prefer not to answer

55 (19.7)

82 (29.4)

4 (1.4)

219 (29.3)

118 (15.8)

10 (1.3)

117 (20.1)

26 (4.5)

0 (0)

391 (24.3)

226 (14.0)

14 (0.9)

Family Support

< 0.05

Strongly Disagree

Disagree

Neither agree nor disagree

Agree

Strongly agree

Prefer not to answer

27 (9.7)

19 (6.8)

45 (16.1)

78 (28.0)

91 (32.6)

19 (6.8)

118 (15.8)

89 (11.9)

145 (19.4)

197 (26.3)

180 (24.1)

19 (2.5)

114 (19.6)

77 (13.2)

147 (25.3)

153 (25.3)

75 (12.9)

16 (2.7)

259 (16.1)

185 (11.5)

338 (21.0)

429 (26.6)

346 (21.5)

54 (3.3)

Access to Healthcare

Challenges to Access

Time

Transportation

Worried about Safety

Childcare

Cost

No Health Coverage

Hours Not Convenient

Mistreatment by Staff

Bad Experiences in the Past

Providers not comfortable caring for transgender patients

106 (37.9)

141 (50.4)

82 (29.3)

1 (0.4)

84 (30.0)

43 (15.4)

55 (19.6)

35 (12.5)

84 (30.0)

54 (19.3)

343 (45.8)

306 (40.8)

155 (20.7)

10 (1.3)

361 (48.2)

170 (22.7)

199 (26.6)

163 (21.8)

281 (37.5)

243 (32.4)

338 (58.1)

226 (38.8)

120 (20.6)

22 (3.8)

371 (63.7)

164 (28.2)

229 (39.3)

183 (31.4)

256 (44.0)

283 (48.6)

788 (48.8)

675 (41.8)

357 (22.1)

33 (2.0)

818 (50.1)

377 (23.4)

484 (30.0)

381 (23.6)

621 (38.5)

580 (36.0)

< 0.05

< 0.05

< 0.05

< 0.05

< 0.05

< 0.05

< 0.05

< 0.05

< 0.05

< 0.05

Health Insurance

< 0.05

Uninsured

Public Insurance

Private Insurance

Unknown

12 (4.3)

246 (87.9)

8 (2.9)

14 (5.0)

71 (9.5)

360 (48.1)

266 (35.5)

52 (6.9)

54 (9.2)

151 (26.0)

349 (60.0)

28 (4.8)

137 (8.5)

758 (47.0)

624 (38.7)

94 (5.8)

Has a Personal Healthcare Provider

231 (82.5)

572 (76.4)

366 (62.9)

1170 (72.5)

< 0.05

Satisfaction with Care

< 0.05

Dissatisfied

Neither Satisfied nor Dissatisfied

Satisfied

Prefer not to answer

13 (4.8)

22 (8.1)

231 (84.9)

6 (2.2)

22 (3.1)

105 (15.0)

567 (80.9)

7 (1.0)

48 (9.3)

115 (22.2)

349 (67.5)

5 (1.0)

83 (5.6)

242 (16.2)

1149 (77.0)

18 (1.2)

Provider Knowledgeable about Issues Facing Trans People?

Not Knowledgeable

Somewhat Knowledgeable

Very Knowledgeable

Prefer not to answer

Don’t Know

24 (8.6)

42 (15.0)

187 (66.8)

11 (3.9)

16 (5.7)

47 (6.3)

153 (20.4)

475 (63.4)

7 (0.9)

67 (9.0)

117 (20.1)

175 (30.1)

222 (38.4)

2 (0.3)

66 (11.4)

188 (11.7)

371 (23.00)

885 (54.9)

20 (1.2)

149 (9.2)

< 0.05

Health Status

< 0.05

Poor

Fair

Good

Very Good

Excellent

Prefer not to answer

7 (2.5)

48 (17.1)

76 (27.1)

65 (23.2)

79 (28.2)

5 (1.8)

23 (3.1)

114 (15.2)

230 (30.7)

222 (29.6)

157 (21.0)

3 (0.4)

36 (6.2)

132 (22.7)

188 (32.3)

169 (29.0)

56 (9.6)

1 (0.2)

66 (4.1)

294 (18.2)

494 (30.6)

458 (28.4)

292 (18.1)

9 (0.6)