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

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 regressi...

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Bibliographic Details
Published in:Journal of aging and health 2016-03, Vol.28 (2), p.285-306
Main Authors: Kattari, Shanna K., Hasche, Leslie
Format: Article
Language:English
Subjects:
Adult
Adult abuse & neglect
Age differences
Age Distribution
Aged
Crime Victims - psychology
Female
Gender Identity
Harassment
Health care
Health Care Surveys
Health technology assessment
Healthcare Disparities
Humans
Male
Middle Aged
Prejudice - psychology
Professional-Patient Relations
Sex discrimination
Transgender persons
Transgender Persons - psychology
Transgender Persons - statistics & numerical data
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Summary: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.
ISSN:0898-2643
1552-6887
DOI:10.1177/0898264315590228