Background: Relationships between primary care providers (PCP) and trans patients remain important, necessitating discussions about gender identity, health and their intersections.
Methods: Using an online survey, we explored socio-demographic and psycho-social factors associated with: (1) disclosing gender identity; (2) discussing gender identity-related health issues; and (3) comfort sharing gender identity with PCPs, among trans people (n =112) over 16years of age, sampled in Waterloo, Ontario, Canada. Bivariate and multivariate methods using modified Poisson regression generated effect estimates.
Results: Age, birth presumed gender, employment status, family support, and transphobia were significantly associated with disclosing gender identity, discussing gender identity-related health issues, and comfortability sharing gender identity with PCPs.
Conclusion: Increasing PCPs' knowledge of trans-related health issues is stressed to improve access and quality for trans patients.