Perceived barriers and facilitators to health care utilization in the United States for transgender people: A review of recent literature

Justin E. Lerner, Gabriel Robles

Research output: Contribution to journalReview articlepeer-review

31 Scopus citations

Abstract

Transgender people face numerous barriers when utilizing health care in the United States. The current study sought to highlight transgender consumer perspectives in order to present theoretically informed, concrete recommendations for increasing transgender health care utilization. The search yielded several prominent themes associated with barriers to health care for transgender people: 1) provider lack of knowledge concerning transgender identity issues and transgender health issues, 2) transgender patients’ previous negative experiences with the health care system or anticipation of these experiences, 3) transgender patients’ inability to pay for health care services, and 4) health care provider refusal to provide health care services to transgender people. We present a modified version of Adapted Behavioral Model of health care utilization for transgender people focused on transgender individuals as a guiding theoretical framework that informs our recommendations for increasing transgender health care utilization.

Original languageEnglish (US)
Pages (from-to)127-152
Number of pages26
JournalJournal of health care for the poor and underserved
Volume28
Issue number1
DOIs
StatePublished - Feb 2017
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Keywords

  • Behavioral model of health services use
  • Gender nonconforming
  • Health care barriers
  • Health care utilization
  • Health services for transgender people
  • Transgender

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