Evidence map›Paper›PMID 34080788›Full record

ArticleAndrology2021

Health and health care access in the US transgender population health (TransPop) survey.

Jamie L Feldman, Winston Ekaprasetia Luhur, Jody L Herman, Tonia Poteat, Ilan H Meyer

Open access · bronzeAbstract read
In one paragraph

Article in Andrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 1 pooled it
17.1field-weighted citation impact, top 1% 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

62 citing papers in PubMed, 1 synthesis or guideline pooled it, 109 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
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  5. Article
  6. 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
  7. Article
  8. Article
  9. Navigating Health Care: A Study on the Healthcare-seeking Behavior and Barriers Faced by the Transgender Community in Bhubaneswar, India.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2026
    Article
  10. Review
  11. Recommendations for healthcare organization websites: towards demonstrating LGBTQ+ inclusivity in oncology care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  12. Article
  13. Article
  14. An especially hidden population: sexual and gender minority dementia caregivers.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
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  16. Review
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  20. Article

2 more citing papers are in PubMed but not listed here.

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 3 institutions in 1 country.

Jamie L FeldmanProgram in Human Sexuality, Department of Family Practice and Community Health, University of Minnesota, Minneapolis, Minnesota, USA.ORCID 0000-0003-1059-1441
Winston Ekaprasetia LuhurWilliams Institute, School of Law, University of California, Los Angeles, California, USA.
Jody L HermanWilliams Institute, School of Law, University of California, Los Angeles, California, USA.
Tonia PoteatDepartment of Social Medicine, Center for Health Equity Research, University of North Carolina, Chapel Hill, North Carolina, USA.
Ilan H MeyerWilliams Institute, School of Law, University of California, Los Angeles, California, USA.
University of California, Los Angeles · USUniversity of Minnesota · USUniversity of North Carolina at Chapel Hill · US

Funding

Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Scientific and Technical CoreP2CHD041022 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HIRAM BELTRAN-SANCHEZ · 2016 to 2026
$6.9M
U.S. Transgender Population Health SurveyR01HD090468 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MEYER, ILAN H · 2017 to 2018
$828k
Eunice Kennedy Shriver National Institute of Child Health and Human DevelopmentNICHD NIH HHS P2C HD041022NICHD NIH HHS P2C HD050924NICHD NIH HHS R01 HD090468NICHD NIH HHS R01HD090468NIH HHSUS Department of Health and Human Services
6 · The paper itself

Abstract

backgroundProbability and nonprobability-based studies of US transgender persons identify different disparities in health and health care access.

objectivesWe used TransPop, the first US national probability survey of transgender persons, to describe and compare measures of health and health access among transgender, nonbinary, and cisgender participants. We directly compared the results with 2015 US Transgender Survey (USTS) data and with previously published analyses from the Behavioral Risk Factor Surveillance System (BRFSS).

methodsAll participants were screened by Gallup Inc., which recruited a probability sample of US adults. Transgender people were identified using a two-step screening process. Eligible participants completed self-administered questionnaires (transgender n = 274, cisgender n = 1162). We obtained weighted proportions/means, then tested for differences between gender groups. Logistic regression was performed to evaluate associations. Bivariate analyses were conducted using the weighted USTS data set for shared variables in USTS and TransPop.

resultsTransgender participants were younger and more racially diverse compared to the cisgender group. Despite equally high insurance coverage, transgender people more often avoided care due to cost concerns. Nonbinary persons were less likely to access transgender-related health care providers/clinics than transgender men and women. Transgender respondents more often rated their health as fair/poor, with more frequently occuring poor physical and mental health days compared to cisgender participants. Health conditions including HIV, emphysema, and ulcer were higher among transgender people. TransPop and USTS, unlike BRFSS-based analyses, showed no differences in health or health access. DISCUSSION: Transgender persons experience health access disparities centered on avoidance of care due to cost beyond insured status. Health disparities correspond with models of minority stress, with nonbinary persons having distinct health/health access patterns. Despite different sampling methods, USTS and TransPop appear more similar than BRFSS studies regarding health/health access.

conclusionFuture research should elucidate health care costs for transgender and nonbinary people, while addressing methodology in national studies of transgender health.

Indexed as

AdultBehavioral Risk Factor Surveillance SystemFemaleHealth Services AccessibilityHealth Services for Transgender PersonsHumansLogistic ModelsMalePopulation HealthTransgender PersonsTranssexualismUnited Statesaccess to carehealthnonbinaryprobability sampletransgender

Identifiers

PMID34080788
PMCPMC8613303
OpenAlexW3165183515

What OpenQuestion holds

Textmetadata
LicenceTDM
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.