Background: The transgender population historically has not been identified in population research. Little is known about their health care needs.
Study design: Survey review.
Setting: Large, continuously operative health survey.
Synopsis: The Centers for Disease Control and Prevention added an optional Sexual Orientation and Gender Identity module to thein 2014. Compared with non–transgender responders, transgender adults (0.55% of responders) were more likely to report “fair” or “poor” health status (24.5% vs. 18.2%), were more likely to have experienced severe mental distress in the last 30 days (20.3% vs. 11.6), and were more likely to be physically inactive (35% vs. 25.6%), smoke cigarettes (19.2% vs. 16.3%), and lack health care coverage (20.1% vs. 14.6%).
Bottom line: Transgender adults report worse physical and mental health status. Physicians should consider these disparities during screening and treatment.
Citation: Baker K. Findings from the Behavioral Risk Factor Surveillance System on health-related quality of life among U.S. transgender adults, 2014-2017. JAMA Intern Med. 2019 Apr 22..
Dr. Hoegh is a hospitalist at the University of Colorado at Denver, Aurora.