Table 4.

Main themes and examples from responses on most pressing health/ healthcare concerns

Themes	Examples
Insurance Coverage for Transition-related Care	“Trans-inclusive insurance coverage” “Lack of inclusive insurance coverage” “Lack of insurance coverage for all of my transition related healthcare”
Access to / Availability of Transition-Related Care	“Support/help/access in rural and isolated communities” “Access to sex positive, trans positive sex ed and healthcare.” “Access to hormones.” “Access to gender affirming surgeries.”
Education of Healthcare Providers about trans/NB patients and issues	“Doctors and medical staff that are fully informed on transgender related health issues” “Many health providers are not educated in transgender issues” “Doctors and nursing and other staff being educated about being respectful to trans folks.” “Education among healthcare workers relating to how trans bodies and minds work.” “Lack of trans health curriculum in nursing / pre-med programs (includes medical / law schools)”
Public Education to Address Stigma and Discrimination and Non-Healthcare Systems Change	“Better exposure of information and transgender services to the public” “Religious…education. We’re not all going to hell, you know.” “Public education including parents.”
Healthcare Systems and Policies that are Supportive and Trans/NB-Inclusive	“Options on paperwork for more than physical sex and biological/legal name including preferred name, preferred pronouns, and gender identity, etc.” “Allowed to use preferred gender and name on official documentation.” “Rights a person has in a hospital.” “Medical records having the preferred name on them.”
Access to Trans/NB-Knowledgeable Mental Health Care Providers	“Finding a supporting/properly trained mental health care [provider].” “Mental health services geared to or with knowledge of transgender identities” “Mental Health–affordable, competent counseling resources to use in order to further the transitioning process.”
Concerns for Transgender/Non-Binary/Gender Non-Conforming Youth	“Support and access for trans youth” “Access for pre-puberty treatment.” “Youth counseling”
Physical Health Concerns	“Help with hair removal for MtF patients” “Current public health data/implications for prevention of STIs among transgender persons” “Interactions of ART and HRT.” “HIV in the transgender community” “Sexual assault” “What comorbidities may affect ability to medically transition? (i.e., does diabetes contraindicate HRT?)”
Suicide and Suicide Prevention	“Psychologist and support for suicidal issues, depression” “Suicide rate and altogether safety of trans folks.”
Homelessness	“Homeless Transgender Youth” “How do we reach the homeless population”