“…In comparison, little research to date has been conducted to document the experiences of rural transgender persons; however, small qualitative studies show that lesbian, gay, bisexual, and transgender (LGBT) populations in rural settings have distinct health needs. In addition to lack of health care resources, poor transportation infrastructure is a structural barrier to the provision of services in rural areas, while lack of community and a hostile social climate emerge as social barriers among rural LGBT populations in the United States (Oswald & Culton, 2003; Willging, Salvador, & Kano, 2006; Drumheller & McQuay, 2010; King & Dabelko-Schoeny, 2009). Although not all of the studies included transgender participants, it is reasonable to anticipate that transgender persons in rural settings face similar challenges.…”