“…Barriers to accessing health-care services are found to correspond with providers’ lack of skills, knowledge, and trans affirmative attitudes when working with diverse transgender populations (Institute of Medicine, 2011; Poteat, German, & Kerrigan, 2013). This is particularly concerning considering research that indicates that sexual violence exposures and experiences with provider-based stigma contribute to the development of health, mental health, and substance use issues in sexual and gender minority populations (Fergusson, Swain-Campbell, & Horwood, 2002; Herbst et al, 2008; Nguyen-Feng, Baker, Merians, & Frazier, 2017; Walsh, Galea, & Koenen, 2012).…”