Evidence map›Paper›PMID 29505378›Full record

ArticleHealth affairs (Project Hope)2018

Identifying Gender Minority Patients' Health And Health Care Needs In Administrative Claims Data.

Ana M Progovac, Benjamin Lê Cook, Brian O Mullin, Alex McDowell, Maria Jose Sanchez R, Ye Wang, Timothy B Creedon, Mark A Schuster

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed.

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  15. Mental health of gender minority older adults in the United States: A systematic review.Psychology of sexual orientation and gender diversity · 2024
    Article
  16. Article
  17. Exploring Mediators of Mental Health Service Use Among Transgender Individuals in Ontario, Canada.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2023
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Ana M ProgovacAna M. Progovac ( aprogovac@cha.harvard.edu ) is a senior scientist in the Health Equity Research Lab in the Department of Psychiatry, Cambridge Health Alliance, in Cambridge, and an instructor in the Department of Psychiatry, Harvard Medical School, in Boston, both in Massachusetts.
Benjamin Lê CookBenjamin Lê Cook is director of the Health Equity Research Lab and director of research in the Department of Psychiatry, Cambridge Health Alliance, and an assistant professor in the Department of Psychiatry, Harvard Medical School.
Brian O MullinBrian O. Mullin is a senior analyst in Health Equity Research Lab and the Children's Health Initiative in the Department of Psychiatry, Cambridge Health Alliance.
Alex McDowellAlex McDowell is a PhD student in the Department of Health Care Policy, Harvard Medical School, and a research assistant at the Health Equity Research Lab in the Department of Psychiatry, Cambridge Health Alliance.
Maria Jose Sanchez RMaria Jose Sanchez R. is a research assistant in the Health Equity Research Lab in the Department of Psychiatry, Cambridge Health Alliance.
Ye WangYe Wang is a research scientist in the Disparities Research Unit, Massachusetts General Hospital, in Boston.
Timothy B CreedonTimothy B. Creedon is a researcher at IBM Watson Health in Cambridge, Massachusetts. At the time this work was conducted, he was a research associate in the Health Equity Research Lab in the Department of Psychiatry, Cambridge Health Alliance.
Mark A SchusterMark A. Schuster is founding dean and CEO of the Kaiser Permanente School of Medicine, in Pasadena, California. At the time this work was conducted, he was chief of the Division of General Pediatrics, Boston Children's Hospital, and the William Berenberg Professor of Pediatrics in the Department of Pediatrics, Harvard Medical School.

Funding

Harvard Clinical and Translational Science CenterUL1TR001102 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$106.2M
Health Policy Training Program: Promoting Outcomes, Quality, Equity and Diffusion of AdvancesT32MH019733 · NIMH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI Benjamin Le Cook, Haiden A Huskamp · 1993 to 2026
$7.0M
NCATS NIH HHS UL1 TR001102NIMH NIH HHS T32 MH019733
6 · The paper itself

Abstract

Health care utilization patterns for gender minority Medicare beneficiaries (those who are transgender or gender nonbinary people) are largely unknown. We identified gender minority beneficiaries using a diagnosis-code algorithm and compared them to a 5 percent random sample of non-gender minority beneficiaries from the period 2009-14 in terms of mental health and chronic diseases, use of preventive and mental health care, hospitalizations, and emergency department (ED) visits. Gender minority beneficiaries experienced more disability and mental illness. When we adjusted for age and mental health, we found that they used more mental health care. And when we adjusted for age and chronic conditions, we found that they were more likely to be hospitalized and to visit the ED. There were several small but significant differences in preventive care use. Findings were similar for disabled and older cohorts. These findings underscore the need to capture gender identity in health data to better address this population's health needs.

Indexed as

Needs AssessmentAdministrative Claims, HealthcareAdultAgedAged, 80 and overChronic DiseaseEmergency Service, HospitalHospitalizationHumansMedicareMental DisordersMiddle AgedPatient Acceptance of Health CarePersons with DisabilitiesSexual and Gender MinoritiesUnited StatesDisparitiesGender MinorityMedicareMental Health/Substance AbuseMinority Health

Identifiers

PMID29505378
PMCPMC5942884

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.