Evidence map›Paper›PMID 33168681›Full record

ArticleAnnals of family medicine2020

Insurance Coverage and Use of Hormones Among Transgender Respondents to a National Survey.

Daphna Stroumsa, Halley P Crissman, Vanessa K Dalton, Giselle Kolenic, Caroline R Richardson

Open access · diamondAbstract read
In one paragraph

Article in Annals of family medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
5.2field-weighted citation impact, top 4% of its field
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

21 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
  2. Integrating CBPR and Implementation Science to Develop a PrEP-Promotion Intervention for Black Transgender Women.Health education & behavior : the official publication of the Society for Public Health Education · 2026
    Article
  3. Kidney Health and Gender-Affirming Hormone Therapy for Transgender and Gender Diverse Individuals.Clinical journal of the American Society of Nephrology : CJASN · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Using focus groups to inform a peer health navigator service for people who are transgender and gender diverse in Saskatchewan, Canada.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Hormone use among the transgender, transvestites and non-binary population of Porto Alegre, Brazil, 2021: a cross-sectional study.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2024
    Article
  15. Review
  16. Current use of testosterone therapy in LGBTQ populations.International journal of impotence research · 2022
    Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Daphna StroumsaDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan daphnast@med.umich.edu.
Halley P CrissmanDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan.
Vanessa K DaltonDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan.
Giselle KolenicDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan.
Caroline R RichardsonInstitute for Healthcare Policy & Innovation, University of Michigan, Ann Arbor, Michigan.
University of Michigan–Ann Arbor · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe undertook a study to assess the associations between barriers to insurance coverage for gender-affirming hormones (either lack of insurance or claim denial) and patterns of hormone use among transgender adults.

methodsWe used data from the US Transgender Survey, a large national sample of 27,715 transgender adults, collected from August to September 2015. We calculated weighted proportions and performed multivariate logistic regression analyses.

resultsOf 12,037 transgender adults using hormones, 992 (9.17%) were using nonprescription hormones. Among insured respondents, 2,528 (20.81%) reported that their claims were denied. Use of nonprescription hormones was more common among respondents who were uninsured (odds ratio = 2.64; 95% CI, 1.88-3.71;

conclusionsLack of insurance coverage for gender-affirming hormones is associated with lower overall odds of hormone use and higher odds of use of nonprescription hormones; such barriers may thus be linked to unmonitored and unsafe medication use, and increase the risks for adverse health outcomes. Ensuring access to hormones can decrease the economic burden transgender people face, and is an important part of harm-reduction strategies.

Indexed as

AdultDrug MisuseFemaleGender-Affirming ProceduresHealth Services AccessibilityHealth SurveysHormone Replacement TherapyHormonesHumansInsurance CoverageInsurance, HealthMaleMedically UninsuredOdds RatioTransgender PersonsUnited StatesHormonesgender-affirming hormoneshealth servicesinsuranceLGBTrisk reductiontransgendervulnerable populations

Identifiers

PMID33168681
PMCPMC7708284
OpenAlexW3106491540

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.