Conclusions: Patient and provider-side barriers inhibit AI/AN transgender and 2S youth access to healthcare. Historical trauma and community resilience play a role in health for these youth. Understanding history, the intersection of identities, and community strengths can help with the development of solutions to provide high quality care to AI/AN transgender or 2S youth. Keywords: American Indian/Alaska Native health; Community based participatory research; Gender identity; Health disparities; Historical trauma; Resilience.
By Alessandra Angelino, Teresa Evans-Campbell, and Bonnie Duran, 2020