The authors of this study used an intersectional approach to examine how sexual and gender minority status, race and ethnicity, and nativity jointly shape healthcare access.

Using 2015–2020 California Health Interview Survey (CHIS) data, they found that compared with heterosexuals, gay and lesbian foreign-born adults had lower probability of being uninsured; respondents reporting sexual orientation as "none" had higher Medicaid/other and lower employer/private coverage. 

For usual source of care, gay and lesbian adults were less likely to lack a source, whereas bisexual, "none," and "other" groups had higher probabilities of no usual source and lower physician-based care. 

Transgender identity showed no consistent differences. Hispanic and Black foreign-born adults were more likely to use community/other sites and less likely to use physician care. 

The findings highlight the need for targeted, culturally responsive coverage and care interventions.