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

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.