Table 2 Titles and definitions of themes pertaining to the experiences of and resistance to multiple discrimination in health care settings among transmasculine people of color (n = 19) from five focus groups

1

Structural barriers to accessing health care as transmasculine people of color

Notable challenges accessing physical and mental health care as a result of lack of access to health care providers with expertise in transgender health, limited access to health care providers with one more shared marginalized social positions and related lived experiences, and lack of access to affordable health care and financial resources

2

Anticipating and experiencing multiple intersecting forms of interpersonal discrimination in health care settings

Anticipating and experiencing multiple intersecting forms of interpersonal discrimination—both independently and simultaneously—while navigating various health care settings, including cissexism, racism, weight-based discrimination, and ableism

3

Consequences of multiple discrimination in health care settings

Negative impact of anticipating and experiencing multiple intersecting forms of interpersonal discrimination in health care settings on participants’ health care utilization, quality of care, and mental and physical health

4

Strategies for challenging and resisting multiple discrimination in health care settings

Use of various strategies to challenge and resist multiple intersecting forms of discrimination in health care settings, including setting boundaries with health care providers, seeking care from competent health care providers with shared marginalized social positions, engaging in self-advocacy, drawing on peer support during health care visits, and obtaining health information through social networks