Original Investigation

Cardiovascular Health at the Intersection of Race and Gender in Medicare Fee for Service

JAMA Health Forum 10.1001/jamahealthforum.2025.3014

August 22, 2025 at 11:00 AM EDT

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How does the prevalence of cardiovascular-related conditions differ among transgender and gender diverse (TGD) Medicare beneficiaries across racial and ethnic groups compared with cisgender beneficiaries?This repeated cross-sectional analysis that included 359 617 Medicare beneficiaries found that Asian and Pacific Islander and Black TGD beneficiaries had an excess prevalence of several cardiovascular-related conditions that were at the intersection of gender, race, and ethnicity.TGD Asian and Pacific Islander, Black, and Hispanic beneficiaries experienced higher than expected rates of cardiovascular conditions based on rates of cardiovascular conditions among TGD White beneficiaries and cisgender beneficiaries of the same race.

Corresponding Author: Gray Babbs, MPH, Brown University School of Public Health, 121 S Main St, Providence, RI 02903 (gray_babbs@brown.edu).

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