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key takeaway: "Transgender and gender-diverse adults were more likely to have Medicaid (21% vs 14%, p=0.01) or be uninsured (15% vs 10%, p=0.04) and less likely to have Medicare (6% vs 25%, p<0.001) than cisgender adults. Transgender and gender-diverse adults reported more frequent mental distress (47% vs 21%, p<0.001) and unmet mental health need (48% vs 26%, p<0.001) than cisgender adults. In multivariable models, transgender and gender-diverse adults had higher unmet mental health need than cisgender adults (OR=1.62, 95% CI=1.08, 2.43). Transgender and gender-diverse adults were more likely to report cost as the main care barrier than cisgender adults (30% vs 15%, p=0.01)."

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