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 data, they found that compared with heterosexuals, gay/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/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.