Patients’ perceived level of clinician knowledge of transgender health Care, Self-rated health, and psychological distress among transgender adults

Transgender, gender nonbinary, and genderqueer (henceforth, transgender) people are more likely to report adverse health outcomes than cisgender people. For example, an estimated 22% of transgender people estimate their health as fair or poor compared with 18% of the overall US population, and 39% of transgender people currently meet the criteria for severe psychological distress (SPD) compared with 5% of the overall US population. Long-term stressors, including restrictive policy environments, structural and interpersonal experiences of transphobia, discrimination, stigmatization, and gender minority stress (“the social stressors specific to transgender and other gender minority people that result from gender-related discrimination, … nonaffirmation of gender identity, internalized transphobia, … community connectedness, and pride”), are important factors contributing to these adverse health outcomes. (author introduction) #HES4A