Transgender adults face a health care system rife with stigma, including a lack of culturally responsive providers and high likelihood of discrimination and mistreatment. However, there is a gap in knowledge about trans men—those assigned a female sex at birth who identify as men or as transmasculine—including subgroups, such as trans men of color. Using data from the U.S. Transgender Survey, the largest transgender survey conducted in the United States, this study analyzes whether trans men’s access to knowledgeable providers and their experiences of mistreatment in health care were related to demographic and mental health characteristics and degree of being “out” to providers. Among 7,950 trans men, respondent race and ethnicity, education level, disability status, psychological distress, suicidality, and being less “out” were associated with assessing one’s health care provider as not knowledgeable about trans-related care. Mistreatment in health care was more common among Alaska Native/American Indian trans men; those who lived in or near poverty; those who were queer, pansexual, bisexual, or an orientation not listed; those with a disability; those experiencing distress or suicidality; and those who were more “out.” This article discusses how findings can inform culturally responsive health care interventions with trans men.

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跨性别男性接触知识渊博的提供者及其在医疗保健环境中的经验：人口统计、心理健康和“外向”提供者程度的差异

跨性别成年人面临着充斥着污名的医疗保健系统，包括缺乏对文化敏感的提供者以及极有可能受到歧视和虐待。然而，关于跨性别男性的知识存在差距 - 那些在出生时被指定为女性并认定为男性或跨男性 - 包括亚群，例如有色人种的跨性别男性。本研究使用美国跨性别调查的数据，这是在美国进行的最大的跨性别调查，分析了跨性别男性接触知识渊博的提供者及其在医疗保健中遭受虐待的经历是否与人口统计和心理健康特征以及“出局”的程度有关。 ”给供应商。在 7,950 名跨性别男性中，受访者的种族和民族、教育水平、残疾状况、心理困扰、自杀倾向、和较少“外出”与评估一个人的医疗保健提供者不了解跨性别相关护理有关。医疗保健方面的虐待在阿拉斯加原住民/美洲印第安跨性别男性中更为常见；那些生活在贫困中或接近贫困的人；酷儿、泛性恋、双性恋或未列出的取向的人；残障人士；那些经历痛苦或自杀的人；和那些更“出局”的人。本文讨论了研究结果如何为跨性别男性的文化响应医疗干预提供信息。那些经历痛苦或自杀的人；和那些更“出局”的人。本文讨论了研究结果如何为跨性别男性的文化响应医疗干预提供信息。那些经历痛苦或自杀的人；和那些更“出局”的人。本文讨论了研究结果如何为跨性别男性的文化响应医疗干预提供信息。