title: Differences Across Age Groups in Transgender and Gender Non-Conforming People's Experiences of Health Care Discrimination, Harassment, and Victimization.
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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: University of Denver, CO, USA Shanna.Kattari@du.edu.
authors.forename: Shanna K
authors.initials: SK
authors.lastname: Kattari
authors.affiliation: University of Denver, CO, USA.
authors.forename: Leslie
authors.initials: L
authors.lastname: Hasche
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D019548:Crime Victims / Q000523:psychology*; D005260:Female; D005783:Gender Identity; D019538:Health Care Surveys; D054625:Healthcare Disparities; D006801:Humans; D008297:Male; D008875:Middle Aged; D011287:Prejudice / Q000523:psychology*; D011369:Professional-Patient Relations; D063106:Transgender Persons / Q000523:psychology* / Q000706:statistics & numerical data
keywords: discrimination; harassment; health care services and policy; transgender; victimization