For trans Ontarians with access to publicly insured health care, this study aimed to determine predictors of not having a family physician, as well as to identify factors that influence a trans patient’s comfort discussing trans status or trans-related health needs with their physician. Previously collected demographic and family physician access related data (n=433) were used. Multiple logistic predictive model showed that age, marital status, education, employment, income-to-needs ratio, and social support independently predicted not having a family physician. Marital status, negative trans-specific experience with family physicians, and perception of family physician\u27s knowledge about trans health needs were identified as important predictors of discomfort with family physicians across gender spectra. These findings will be informative in addressing the inequality issues relating to access to care in trans communities. The results may also be helpful in changing the manner in which primary care services are delivered, helping to improve trans-related physician-patient discussion
