A Tale of Two Cities: Access to Care and Services Among African-American Transgender Women in Oakland and San Francisco

LGBT Health
Tooru NemotoMaria Sakata

Abstract

The San Francisco Bay Area attracts people from all over the country due to the perception of lesbian, gay, bisexual, and transgender (LGBT) acceptance and affirmation. African-American transgender women are severely marginalized across society and as such have many unmet health and social service needs. This study sought to quantitatively assess unmet needs among African-American transgender women with a history of sex work by comparing residents of Oakland versus San Francisco. A total of 235 African-American transgender women were recruited from San Francisco (n=112) and Oakland (n=123) through community outreach and in collaboration with AIDS service organizations. Participants were surveyed regarding basic, health, and social needs and HIV risk behaviors. Pearson Chi-squared tests and a linear regression model examined associations between city of residence and unmet needs. While participants from both cities reported unmet needs, Oakland participants had a greater number of unmet needs in receiving basic assistance, mental health treatment, and health care services. Oakland participants also reported less transgender community identification but higher social support from the family. These findings demonstrate the enormit...Continue Reading

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Citations

Jul 20, 2016·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Tonia PoteatStefan Baral
Mar 7, 2019·ANS. Advances in Nursing Science·Ethan C CiceroJanice C Humphreys
Sep 19, 2017·Current Opinion in Pediatrics·Elizabeth A SilberholzAmy E Pattishall
Oct 21, 2020·The Journal of Primary Prevention·R Andrew YockeyRebecca A Vidourek

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