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Health insurance coverage and health outcomes among transgender adults in the United States

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  • Travis Campbell
  • Yana van der Meulen Rodgers

Abstract

This study provides evidence of health and insurance coverage disparities between the cisgender and transgender US populations using repeated cross sections from the 2014–2020 Behavioral Risk Factors Surveillance Systems. The analysis tests whether increasing the incidence of insurance coverage among transgender people could alleviate the health disparity. The empirical approach uses a fuzzy regression discontinuity design that leverages breaks in government health assistance eligibility by age. Results indicate that, for transgender recipients only, insurance coverage meaningfully improves mental health; for cisgender recipients only, insurance coverage reduces difficulties with concentration and memory; and for both the transgender and cisgender populations, insurance coverage contributes to important improvements in physical health, overall health, and healthcare access.

Suggested Citation

  • Travis Campbell & Yana van der Meulen Rodgers, 2022. "Health insurance coverage and health outcomes among transgender adults in the United States," Health Economics, John Wiley & Sons, Ltd., vol. 31(6), pages 973-992, June.
  • Handle: RePEc:wly:hlthec:v:31:y:2022:i:6:p:973-992
    DOI: 10.1002/hec.4483
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    References listed on IDEAS

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    1. Sebastian Calonico & Matias D. Cattaneo & Rocio Titiunik, 2014. "Robust Nonparametric Confidence Intervals for Regression‐Discontinuity Designs," Econometrica, Econometric Society, vol. 82, pages 2295-2326, November.
    2. Joshua D. Angrist & Jörn-Steffen Pischke, 2010. "The Credibility Revolution in Empirical Economics: How Better Research Design Is Taking the Con out of Econometrics," Journal of Economic Perspectives, American Economic Association, vol. 24(2), pages 3-30, Spring.
    3. Sebastian Calonico & Matias D. Cattaneo & Max H. Farrell & Rocío Titiunik, 2019. "Regression Discontinuity Designs Using Covariates," The Review of Economics and Statistics, MIT Press, vol. 101(3), pages 442-451, July.
    4. Juanmarti Mestres, Arnau & López Casasnovas, Guillem & Vall Castelló, Judit, 2021. "The deadly effects of losing health insurance," European Economic Review, Elsevier, vol. 131(C).
    5. World Bank Group, 2018. "Life on the Margins," World Bank Publications - Reports 30607, The World Bank Group.
    6. repec:aph:ajpbhl:10.2105/ajph.2016.303578_7 is not listed on IDEAS
    7. Amy Finkelstein & Sarah Taubman & Bill Wright & Mira Bernstein & Jonathan Gruber & Joseph P. Newhouse & Heidi Allen & Katherine Baicker, 2012. "The Oregon Health Insurance Experiment: Evidence from the First Year," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 127(3), pages 1057-1106.
    8. Washington, H.A., 2002. "Burning love: Big tobacco takes aim at LGBT youths," American Journal of Public Health, American Public Health Association, vol. 92(7), pages 1086-1095.
    9. White Hughto, Jaclyn M. & Reisner, Sari L. & Pachankis, John E., 2015. "Transgender stigma and health: A critical review of stigma determinants, mechanisms, and interventions," Social Science & Medicine, Elsevier, vol. 147(C), pages 222-231.
    10. George A. Akerlof & Rachel E. Kranton, 2000. "Economics and Identity," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 115(3), pages 715-753.
    11. Matias D. Cattaneo & Nicolas Idrobo & Rocio Titiunik, 2019. "A Practical Introduction to Regression Discontinuity Designs: Foundations," Papers 1911.09511, arXiv.org.
    12. Badgett, M.V. Lee & Waaldijk, Kees & Rodgers, Yana van der Meulen, 2019. "The relationship between LGBT inclusion and economic development: Macro-level evidence," World Development, Elsevier, vol. 120(C), pages 1-14.
    13. Christopher S. Carpenter & Samuel T. Eppink & Gilbert Gonzales, 2020. "Transgender Status, Gender Identity, and Socioeconomic Outcomes in the United States," ILR Review, Cornell University, ILR School, vol. 73(3), pages 573-599, May.
    14. Meyer, I.H., 2003. "Prejudice as stress: Conceptual and measurement problems," American Journal of Public Health, American Public Health Association, vol. 93(2), pages 262-265.
    15. Darius Erlangga & Marc Suhrcke & Shehzad Ali & Karen Bloor, 2019. "The impact of public health insurance on health care utilisation, financial protection and health status in low- and middle-income countries: A systematic review," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-20, August.
    16. Meerwijk, E.L. & Sevelius, J.M., 2017. "Transgender population size in the United States: A meta-regression of population-based probability samples," American Journal of Public Health, American Public Health Association, vol. 107(2), pages 1-8.
    17. Meyer, I.H. & Brown, T.N.T. & Herman, J.L. & Reisner, S.L. & Bockting, W.O., 2017. "Demographic characteristics and health status of transgender adults in select US regions: Behavioral risk factor surveillance system, 2014," American Journal of Public Health, American Public Health Association, vol. 107(4), pages 582-589.
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    Cited by:

    1. Campbell, Travis & Rodgers, Yana van der Meulen, 2023. "Conversion therapy, suicidality, and running away: An analysis of transgender youth in the U.S," Journal of Health Economics, Elsevier, vol. 89(C).
    2. Francesco Berlingieri & Matija Kovacic, 2023. "Health and relationship quality of the LGBTQIA+ population in Europe," Working Papers 2023: 29, Department of Economics, University of Venice "Ca' Foscari".

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