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. 2022 Oct 3;9(7):520–524. doi: 10.1089/lgbt.2021.0340

Table 1.

Advance Care Planning Claim Utilization by Beneficiary Characteristics for Transgender, Dual-Eligible, and Fee-for-Service Medicare Beneficiaries

  Transgender
Dual eligible
FFS Medicare
Total Had ACP Total Had ACP Total Had ACP
Eligible beneficiaries 3610 7.3% 1,439,069 6.2% 5,391,465 6.0%
Age (years)
 <65 1480 4.1% 665,321 3.3% 645,658 2.4%
 65–74 946 7.3% 321,910 6.3% 2,284,590 5.2%
 75–84 730 10.4% 245,279 8.8% 1,615,922 7.1%
 85+ 454 13.2% 206,559 9.7% 845,295 9.1%
 Missing
Total 3610 7.3% 1,439,069 6.2% 5,391,465 6.0%
Median (quart. range) 69 (25) 75 (18) 67 (23) 74 (19) 73 (13) 77 (13)
Mean (SD) 64.8 (18.2) 73.5 (14.6) 65.6 (17.1) 73.2 (14.3) 74.5 (9.7) 77.6 (9.0)
Sexa
 Male 1847 6.7% 604,232 5.1% 2,484,303 5.6%
 Female 1763 8.0% 834,836 6.4% 2,907,162 6.4%
 Missing
Total 3610 7.3% 1,439,069 6.2% 5,391,465 6.0%
Race
 Non-Hispanic White 2838 7.7% 895,582 5.5% 4,590,753 6.1%
 Non-Hispanic Black 400 5.5% 252,230 5.9% 349,166 6.0%
 Asian/Pacific Islander b 8.5% 70,072 8.7% 96,687 7.1%
 Hispanic 212 7.6% 176,612 6.6% 204,288 5.4%
 Other b b 44,573 4.3% 150,571 4.6%
 Missing
Total 3610 7.3% 1,439,069 6.2% 5,391,465 6.0%
Region
 Midwest 744 4.6% 308,934 3.2% 1,247,480 3.3%
 Northeast 852 7.3% 289,277 6.9% 943,749 7.0%
 South 1173 9.0% 533,726 7.5% 2,169,099 7.1%
 West 836 7.7% 306,126 6.6% 1,004,841 6.3%
 Other b b 319 7.5% 14,319 1.1%
 Missing b b 687 3.6% 11,977 1.6%
Total 3610 7.3% 1,439,069 6.2% 5,391,465 6.0%
a

Sex: this variable is not a reliable designation among the transgender group.

b

Number too small to report.

ACP, advance care planning; FFS, fee-for-service; quart. range, quartile range; SD, standard deviation.