Differences Across Age Groups in Transgender and Gender Non-Conforming People’s Experiences of Health Care Discrimination, Harassment, and Victimization

Shanna Katz Kattari · Leslie K. Hasche

113 citations0/0 files storedJournal of Aging and Health

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LGBTQ Health, Identity, and Policy HIV/AIDS Research and Interventions Adolescent and Pediatric Healthcare

Abstract

OBJECTIVE: Given the increasing diversity among older adults and changes in health policy, knowledge is needed on potential barriers to health care for transgender and gender non-conforming (GNC) individuals. METHOD: Using the 2010 National Transgender Discrimination Survey (NTDS), logistic regression models test differences between age groups (below 35, 35-49, 50-64, and 65 and above) in lifetime experience of anti-transgender discrimination, harassment, and victimization within health care settings while considering the influences of insurance status, level of passing, time of transition, and other socio-demographic factors. RESULTS: Although more than one fifth of transgender and GNC individuals of all ages reported health discrimination, harassment, or victimization, significant age differences were found. Insurance status and level of passing were also influential. DISCUSSION: Medicare policy changes and this study's findings prompt further consideration for revising other health insurance policies. In addition, expanded cultural competency trainings that are specific to transgender and GNC individuals are crucial.

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References

2000Levels of racism: a theoretic framework and a gardener's tale 2012The Health of lesbian, gay, bisexual, and transgender people: building a foundation for better understanding 2011Injustice at Every Turn: A Report of the National Transgender Discrimination Survey 2011How Many People are Lesbian, Gay, Bisexual and Transgender?2013Physical and Mental Health of Transgender Older Adults: An At-Risk and Underserved Population 2005Transgender Health: Findings from Two Needs Assessment Studies in Philadelphia 2012The Physical and Mental Health of Lesbian, Gay Male, and Bisexual (LGB) Older Adults: The Role of Key Health Indicators and Risk and Protective Factors 2014Successful Aging Among LGBT Older Adults: Physical and Mental Health-Related Quality of Life by Age Group

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2017Is It Okay To Ask: Transgender Patient Perspectives on Sexual Orientation and Gender Identity Collection in Healthcare 2020Transgender-Related Insurance Denials as Barriers to Transgender Healthcare: Differences in Experience by Insurance Type 2016Racial and Ethnic Differences in Experiences of Discrimination in Accessing Social Services Among Transgender/Gender-Nonconforming People 2020Transgender and Nonbinary Experiences of Victimization in Health care

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