{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T09:04:40Z","timestamp":1789635880339,"version":"4.0.0"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T00:00:00Z","timestamp":1763337600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T00:00:00Z","timestamp":1763337600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["NU62PS924778"],"award-info":[{"award-number":["NU62PS924778"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["AIDS Behav"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1007\/s10461-025-04960-z","type":"journal-article","created":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T03:25:59Z","timestamp":1763349959000},"page":"2640-2645","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Access to and Experiences with Healthcare Among Transgender Women, San Francisco 2019\u20132024"],"prefix":"10.1007","volume":"30","author":[{"given":"Ansharan","family":"Akbar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erikka","family":"Palafox","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bow","family":"Suprasert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oyku","family":"Ozyucel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dillon","family":"Trujillo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iris","family":"O\u2019Neal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riley","family":"Shea","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis","family":"Salvatore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moranda","family":"Tate","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raul","family":"Ruiz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abtin","family":"Shafie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glenda","family":"Baguso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly D.","family":"Taylor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean","family":"Arayasirikul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin C.","family":"Wilson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4148-5660","authenticated-orcid":false,"given":"Willi","family":"McFarland","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,11,17]]},"reference":[{"key":"4960_CR1","unstructured":"World Health Organization. Health is a fundamental human right, Geneva S. 2017. https:\/\/www.who.int\/news-room\/commentaries\/detail\/health-is-a-fundamental-human-right. Accessed 2 May 2025."},{"key":"4960_CR2","unstructured":"Department of Health and Human Services. Section\u00a01557: protecting individuals against sex discrimination, Washington. DC; 2020. https:\/\/www.hhs.gov\/civil-rights\/for-individuals\/section-1557\/fs-sex-discrimination\/index.html. Accessed 2 May 2025."},{"key":"4960_CR3","unstructured":"American College of Physicians. Attacks on gender-affirming and transgender health care. Philadelphia, PA. 2024. https:\/\/www.acponline.org\/advocacy\/state-health-policy\/attacks-on-gender-affirming-and-transgender-health-care. Accessed 2 May 2025]."},{"key":"4960_CR4","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare9080967","author":"A Burgwal","year":"2021","unstructured":"Burgwal A, Gvianishvili N, H\u00e5rd V, et al. The impact of training in transgender care on healthcare providers competence and confidence: a cross-sectional survey. Healthcare (Basel). 2021. https:\/\/doi.org\/10.3390\/healthcare9080967.","journal-title":"Healthcare (Basel)"},{"key":"4960_CR5","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-022-08315-5","author":"GN Baguso","year":"2022","unstructured":"Baguso GN, Karen Aguilar, Sicro S, et al. Lost trust in the system: system barriers to publicly available mental health and substance use services for transgender women in San Francisco. BMC Health Serv Res. 2022. https:\/\/doi.org\/10.1186\/s12913-022-08315-5.","journal-title":"BMC Health Serv Res"},{"key":"4960_CR6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2022.106988","author":"KI Fredriksen-Goldsen","year":"2022","unstructured":"Fredriksen-Goldsen KI, Romanelli M, Hoy-Ellis CP, et al. Health, economic and social disparities among transgender women, transgender men and transgender nonbinary adults: results from a population-based study. Prev Med. 2022. https:\/\/doi.org\/10.1016\/j.ypmed.2022.106988.","journal-title":"Prev Med"},{"key":"4960_CR7","doi-asserted-by":"publisher","DOI":"10.1089\/trgh.2020.0017","author":"A Kachen","year":"2020","unstructured":"Kachen A, Pharr JR. Health care access and utilization by transgender populations: a united States transgender survey study. Transgend Health. 2020. https:\/\/doi.org\/10.1089\/trgh.2020.0017.","journal-title":"Transgend Health"},{"key":"4960_CR8","unstructured":"Centers for Disease Control and Prevention (CDC). National HIV Behavioral Surveillance: round 6, model surveillance protocol. Atlanta, GA. 2022. https:\/\/www.cdc.gov\/hiv-data\/media\/pdfs\/nhbs\/cdc-hiv-NHBS-Model-Protocol-Round6-2022.pdf. Accessed 21 May 2025."},{"key":"4960_CR9","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2019.11.014","author":"SK Kattari","year":"2020","unstructured":"Kattari SK, Bakko M, Hecht HK, et al. Intersecting experiences of healthcare denials among transgender and nonbinary patients. Am J Prev Med. 2020. https:\/\/doi.org\/10.1016\/j.amepre.2019.11.014.","journal-title":"Am J Prev Med"},{"key":"4960_CR10","doi-asserted-by":"publisher","DOI":"10.1370\/afm.2298","author":"DA Shires","year":"2018","unstructured":"Shires DA, Stroumsa D, Jaffee KD, et al. Primary care clinicians\u2019 willingness to care for transgender patients. Ann Fam Med. 2018. https:\/\/doi.org\/10.1370\/afm.2298.","journal-title":"Ann Fam Med"},{"key":"4960_CR11","doi-asserted-by":"publisher","DOI":"10.1089\/trgh.2021.0074","author":"D Kent","year":"2022","unstructured":"Kent D, Perry K, Vanier C, et al. Assessing comfort of physicians to provide transgender-specific care. Transgend Health. 2022. https:\/\/doi.org\/10.1089\/trgh.2021.0074.","journal-title":"Transgend Health"},{"key":"4960_CR12","doi-asserted-by":"publisher","DOI":"10.2147\/AMEP.S147183","author":"SN Dubin","year":"2018","unstructured":"Dubin SN, Nolan IT, Streed CG, et al. Transgender health care: improving medical students\u2019 and residents\u2019 training and awareness. Adv Med Educ Pract. 2018. https:\/\/doi.org\/10.2147\/AMEP.S147183.","journal-title":"Adv Med Educ Pract"}],"container-title":["AIDS and Behavior"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10461-025-04960-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10461-025-04960-z","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10461-025-04960-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T08:36:37Z","timestamp":1789634197000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10461-025-04960-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,17]]},"references-count":12,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["4960"],"URL":"https:\/\/doi.org\/10.1007\/s10461-025-04960-z","relation":{},"ISSN":["1090-7165","1573-3254"],"issn-type":[{"value":"1090-7165","type":"print"},{"value":"1573-3254","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,17]]},"assertion":[{"value":"24 October 2025","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 November 2025","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare they have no financial or non-financial interests that are directly or indirectly related to this work.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors certify that the study was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.","order":2,"name":"Ethics","label":"Ethical Approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Participation was anonymous. All participants provided verbal informed consent.","order":3,"name":"Ethics","label":"Consent to Participate","group":{"name":"EthicsHeading","label":"Declarations"}}]}}