Jaclyn M. W. Hughto|Adam J. Rose|John E. Pachankis|Sari L. Reisner
Barriers to Gender Transition-Related Healthcare: Identifying Underserved Transgender Adults in Massachusetts
Yale University|Fenway Health|RAND Corporation|Boston University|Yale University|Boston Children's Hospital|Harvard University|Fenway Health
purpose present study sought examine whether individual eg age gender interpersonal eg healthcare provider discrimination structural eg lack insurance coverage factors associated access transitionrelated care statewide sample transgender adults method 2013 364 transgender residents massachusetts completed electronic webbased survey online 871 person 129 multivariable logistic regression model tested whether individual interpersonal structural factors associated access transitionrelated care results overall 236 reported unable access transitionrelated care past 12 months multivariable model younger age low income low educational attainment private insurance coverage healthcare discrimination significantly associated unable access transitionrelated care p005 discussion despite state nondiscrimination policies universal access healthcare many massachusetts transgender residents sampled unable access transitionrelated care multilevel interventions needed including supportive policies policy enforcement ensure underserved transgender adults access medically necessary transitionrelated care