Abstract

To examine distance traveled to an urban community health center by gender-expansive and cisgender participants. Client-reported zip code of residence from archival data (N=2677) was used. A chi-square test of independence and a Mann-Whitney-Wilcoxon test were conducted. Gender-expansive clients travel farther to access health care from this clinic; this is true for clients who live within the city, within the state, and in the neighboring states. Trans people experience travel distance as a barrier to accessing quality health care. Broadening telehealth services and working with rural health care providers to develop transition-related health care knowledge are key.

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