Evidence map›Paper›PMID 35180717›Full record

ArticleMedical care2022

Prevalence of Private and Public Health Insurance Among Transgender and Gender Diverse Adults.

Jae Downing, Kendall A Lawley, Alex McDowell

Abstract read
In one paragraph

Article in Medical care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Kidney Health and Gender-Affirming Hormone Therapy for Transgender and Gender Diverse Individuals.Clinical journal of the American Society of Nephrology : CJASN · 2026
    Review
  6. Considerations in Care of the Transgender Orthopedic Patient.Current reviews in musculoskeletal medicine · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
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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

3 authors.

Jae DowningOregon Health & Science University, Portland, OR.
Kendall A LawleyDepartment of Epidemiology, University of Washington, Seattle, WA.
Alex McDowellMongan Institute Health Policy Research Center, Massachusetts General Hospital.

Funding

Scholars in Women's Health Research Across the LifespanK12HD043488 · NICHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI MYATT, LESLIE · 2002 to 2023
$10.4M
Substance Use and Gender-Affirming Care in Oregon's Medicaid ProgramK01DA050775 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI DOWNING, JAE · 2021 to 2022
$258k
NIDA NIH HHS K01 DA050775
6 · The paper itself

Abstract

backgroundLittle is known about how health insurance payer types differ between transgender and gender diverse (TGD) people and cisgender people. Much of what is known about insurance coverage among TGD adults has been based on research from claims and electronic health record data, which excludes individuals who have not accessed gender-affirming care. Research designed to understand how TGD populations pay for health care to best inform care interventions and public insurance policies is lacking.

objectiveThe objective of this study was to examine differences in the prevalence of public and private health insurance between transgender and cisgender adults.

methodsUsing data from the Behavioral Risk Factor Surveillance System, this study estimated prevalence of health insurance coverage among TGD and cisgender adults residing in 22 states that administered the Sexual Orientation and Gender Identity module and the Healthcare Access module from 2014 to 2019. This study estimated the odds of health insurance coverage (no insurance, private insurance, public insurance) among cisgender adults compared with TGD adults.

resultsTGD people had greater odds of being uninsured compared with cisgender women. Among nondisabled, nonelderly respondents, TGD adults had lower odds of having private insurance and higher odds of public insurance compared with cisgender men. Among respondents who were likely Medicaid-eligible, TGD respondents had lower odds of having public insurance and higher odds of being uninsured compared with cisgender women.

conclusionThese findings provide foundational information about the payer mix among TGD people and provide insight into barriers to health insurance that TGD adults may face.

Indexed as

Transgender PersonsAdultFemaleGender IdentityHumansInsurance, HealthMaleMedically UninsuredPrevalenceUnited States

Identifiers

PMID35180717
PMCPMC8916963

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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.