Disparities in Suicidality by Gender Identity Among Medicare Beneficiaries.

American Journal of Preventive Medicine
Ana M ProgovacBenjamin Lê Cook

Abstract

Suicidality is higher for gender minorities than the general population, yet little is known about suicidality in disabled or older adult gender minorities. This study used 2009-2014 Medicare claims to identify people with gender identity-related diagnosis codes (disabled, n=6,678; older adult, n=2,018) and compared their prevalence of suicidality with a 5% random non-gender minority beneficiary sample (disabled, n=535,801; older adult, n=1,700,008). Correlates of suicidality were assessed (via chi-square) for each of the 4 participant groups separately, and then disparities within eligibility status (disabled or older adult) were assessed using logistic regression models, adjusting first for age and mental health chronic conditions and then additionally for Medicaid eligibility, race/ethnicity, or U.S. region (each separately). The primary hypotheses were that gender minority beneficiaries would have higher suicidality but that suicidality disparities would persist after adjusting for covariates. Data were analyzed between 2017 and 2019. Gender minority beneficiaries had higher unadjusted suicidality than non-gender minority beneficiaries in the disabled cohort (18.5% vs 7.1%, p<0.001). Significant suicidality predictors in al...Continue Reading

Citations

Dec 23, 2020·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Kristen NockaJulia Raifman
Jun 16, 2021·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Ginny K Renkiewicz, Michael W Hubble

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