This ethnographic qualitative study explored the needs of transgender people of color,
including biological transitioning issues, gender and group membership identity formation,
HIV, and other health issues. The sample consisted of transgender youth and adults
of color in San Francisco (N = 43). Data were collected from in-depth interviews with
20 youth and adults and focus groups with 23 individuals. The study focused on perspectives
of racial and ethnic minorities from Asian/Pacific Islander, African American, and
Latino backgrounds. The medical decision-making perspective was used to gain a deeper
understanding of sociocultural and psychological factors affecting transgender individuals
of color in San Francisco. The major themes that emerged were gender identity, group
membership, transitioning and related issues, sex work, alcohol and drug use, mental
health and health care, sense of community, HIV, resources, and other support. Key
clinical considerations that health providers can use to improve care of transgender
individuals of color are included.