Skip to main content
. 2018 Nov;16(6):555–558. doi: 10.1370/afm.2298

Table 2.

Factors Associated With Primary Care Clinicians’ Willingness to Provide Routine Care for Transgender Patients and Pap Tests for Transgender Men (N = 140)

Routine Care for Transgender Patients Pap Test for Transgender Men

No. (%) P Value No. (%) P Value
Clinician characteristics
Age (mean, SD) .042 .246
 Willing 38.7 (13.2) 39.0 (13.4)
 Not willing 45.3 (13.5) 42.2 (13.3)
Sex .262 .511
 Male 89.7 75.9
 Female 82.9 80.5
Continent of origin .002 .044
 North America/Caribbean 92.3 83.5
 Other 72.9 68.8
Political views .379 .101
 Liberal 89.4 86.4
 Moderate 80.4 72.5
 Conservative 87.0 69.6
Specialty .940 .020
 Internal medicine 85.6 73.2
 Family medicine 86.0 90.7
Clinician type .156 .165
 Resident 90.4 83.6
 Advanced practitioner 100.0 100.0
 Attending MD 79.7 71.9
Exposure
Ever met a transgender person .020 <.001
 Yes 89.6 85.8
 No 73.5 55.9
Transgender patient in past 5 years .022 .012
 Yes 92.0 86.7
 No 78.5 69.2
Barriers & facilitators
Empathy (mean, SD) .035 .083
Willing 5.5 (1.4) 5.5 (1.3)
Not willing 4.8 (1.6) 4.9 (1.8)
Transphobia (mean, SD) .007 <.001
Willing 3.1 (1.0) 3.0 (1.0)
Not willing 3.8 (1.3) 3.8 (1.1)
Lack of training on transgender health .240 .006
 Yes 82.1 68.7
 No 89.0 87.7
Lack of exposure to transgender patients .022 .013
 Yes 76.9 67.3
 No 90.9 85.2
Lack of knowledge about transgender .018 .018
care among staff
 Yes 75.6 66.7
 No 90.5 84.2
Lack of familiarity with guidelines .782 .027
 Yes 84.9 71.2
 No 86.6 86.6
Capable of providing routine care <.001 .043
 Yes 99.0 83.3
 No 56.8 68.2

Pap = Papanicoulou.