ArticleBMC public health2024
Racial/ethnic differences in the association between transgender-related U.S. state policies and self-rated health of transgender women.
Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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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.
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Who cites it
4 citing papers in PubMed, 7 citations in OpenAlex.
- Chronic pelvic and related genital pain in transgender and gender-diverse people: a scoping review.EClinicalMedicine · 2026Review
- Policy and Perception: Comparing Attitudes Toward LGBTQ and Gender Equality Between Long-Term Care Staff in Taiwan and Indonesia.The journal of nursing research : JNR · 2026Article
- "At the mercy of the State": Transgender and nonbinary young adults' experiences navigating restrictive healthcare legislation.Social science & medicine (1982) · 2026Article
- Structural drivers of health among transgender women in the United States: A nationwide study.Health & place · 2025Article
Corrections and comments
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Authors and funding
10 authors at 10 institutions in 1 country.
Funding
Abstract
backgroundPolicy protections for transgender adults in the United States are consistently associated with positive health outcomes. However, studies over-represent non-Latinx White transgender people and obscure variation in policies' intended goals. This study examined racial differences in the relationship between transgender-related policies and transgender women's self-rated health. Guided by Critical Race Theory, we hypothesized that policies conferring access to resources (e.g., healthcare) would be associated with better self-rated health among all participants while policies signifying equality (e.g., nondiscrimination laws) would be associated with better self-rated health only for White participants.
methodsUsing cross-sectional data collected between March 2018-December 2020 from 1566 transgender women, we analyzed 7 state-level 'access policies,' 5 'equality policies,' and sum indices of each. Participants represented 29 states, and 54.7% were categorized as people of color. We fit a series of multilevel ordinal regression models predicting self-rated health by each policy. Multivariate models were adjusted for relevant covariates at the individual- and state-level. We then tested moderation by race/ethnicity using interaction terms and generated stratified predicted probability plots.
resultsIn bivariate models, 4 access policies, 2 equality policies, and both indices were associated with better self-rated health, but associations did not persist in adjusted models. Results from the multivariable models including interaction terms indicated that policies concerning private insurance coverage of gender-affirming care, private insurance nondiscrimination, credit nondiscrimination, and both indices were statistically significantly associated with better self-rated health for White participants and worse self-rated health for participants of color.
conclusionsThe policies included in this analysis do not mitigate racism's effects on access to resources, indicating they may be less impactful for transgender women of color than White transgender women. Future research and policy advocacy efforts promoting transgender women's health must center racial equity as well as transgender people of color's priorities.
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Registered trials
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