Objectives: To explore health research needs of American Indian and Native Hawaiian (AIINH) transgender individuals. Methods: This qualitative study is composed of four focus groups and one informal meeting, totaling 42 AIINH transgender individuals in four major cities. The theoretical and methodological approaches combined grounded theory with the principles of community based participatory research. Results: Healthcare and resiliency are two main themes that emerged as research needs with important subcategories within them. Access to quality care from medical professionals and access to care that is unique to their trans gender status were subcategories within healthcare. Lived experiences, culture, and history were factors found to contribute to their resiliency. Conclusions: There are a number of factors that lead to health disparities among AIINH people. They include the lack of quality care due to the negative encounters with health providers, health care providers' limited knowledge of trans gender issues, and lack of transgender specific services. This must be researched further along with health provider care, attitudes, beliefs, and education. Understanding the lived lives of AIINH trans gender individuals and utilizing their culture and history in health interventions may improve their health and overall wellbeing.

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