Fewer screens, greater needs: housing insecurity and healthcare costs for transgender patients in a safety-net system.

ABSTRACT:

Introduction

Routine screening for health-related social needs (HRSNs) is inconsistent, creating disparities in who gets identified and supported. Transgender patients, already facing structural stigma, may be especially affected.

Methods

We analyzed electronic health records from a large urban safety-net system (2018-2023). We identified 2639 transgender patients with at least one outpatient visit and created a ∼11:1 comparison cohort of 23 944 cisgender patients. Overall, 7.5% (n = 1997) completed a Social Needs Questionnaire (SNQ), including 1840 cisgender and 157 transgender patients. We compared screening rates using chi-square tests and assessed adjusted odds for HRSN with logistic regression.

Results

Transgender patients were screened less often than cis

SUBMITTER: Breslow AS 

PROVIDER: S-EPMC12849370 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature