Economics of LGBTQ+ Individuals Virtual Seminar Series

Tuesdays at Noon ET (16:00 UTC)


The one-hour seminar includes a 35-minute presentation by the author and 25 minutes for questions and discussion. Please contact Michael Martell at with any questions or feedback.

Please sign up to receive the link to the Zoom meeting each week.

Upcoming Seminars

March 16th at 12:00 ET
Travis Campbell (University of Massachusetts at Amherst) will present "Health insurance coverage and health outcomes among transgender adults in the U.S."

Abstract: This study provides evidence of health and insurance coverage disparities between the cisgender and transgender US populations using the 2014-2018 Behavioral Risk Factors Surveillance Systems. The analysis tests whether increasing the incidence of insurance coverage among transgender people could alleviate the health disparity. The empirical approach uses a fuzzy regression discontinuity design that leverages breaks in government health assistance eligibility by age and the federal poverty level. Results indicate that insurance coverage meaningfully improves the mental health of transgender recipients. In contrast, insurance coverage for the cisgender population comes with an important, but modest, improvement to general health and healthcare access.

March 30th at 12:00 ET
Silvia Palmaccio (KU Leuven) will present "Early Labor Market Outcomes of Children in Same-Sex Families: Evidence from Population Data"

Abstract: This paper provides the first evidence on a large representative sample of early labor market outcomes of children who lived in a same-sex family during their childhood. We exploit a unique administrative dataset from the Netherlands, where we observe year by year the address where every child (and parent) lives since birth. By matching household member identifiers with demographics, we are able to distinguish whether the child has lived in a same-sex or a different-sex family while growing. We focus on the population of children born between 1995 and 1999, who are old enough to first approach the labor market. We find no significant differences in labor market performances between young adults of same-sex and different-sex families, both for part-time and full-time workers. Our results suggest that children who lived in a same-sex family during their childhood are likely to perform just as well as children in different-sex families, when entering the labor market.

April 13th at 12:00 ET
Joshua Martin (West Virginia University) will present "The Effect of Same-Sex Partnership Laws on Adoptions and Family Formation in the US."

Abstract: We exploit the timing of different types of same-sex partnership laws in the United States from 2000-2015 in order to estimate their effects on child adoption. We compare constitutional and legislative bans to civil unions, domestic partnerships and same-sex marriage laws and find evidence that legislative bans and legal same-sex marriage had sizeable effects on the number of adoptions within a s tate. Further analysis reveals that these results are driven largely by changes in the composition of adoptive family types – where legal same-sex marriage is associated with a decrease in the proportion of single women and unmarried partners adopting relative to the increase in adopting married couples. The opposite effect is documented with legislative bans.

April 20th at 12:00 ET
Max Lee (San Francisco State University) will present "Schooling and Coming Out: Education as a Coping Mechanism"

Abstract: This paper models the education and coming out choices of sexual minorities and empirically tests the model predictions using the American Community Survey and the National Longitudinal Study of Adolescent to Adult Health. The model predicts higher educational attainment for minorities if education reduces potential discrimination. The gap is driven by two mechanisms I call counterbalance and selection. Minorities choose to obtain more education in anticipation of future discrimination (counterbalance), and educated minorities become more likely to come out as they experience less discrimination relative to their less-educated counterparts (selection). The empirical analyses suggest that sexual minority men obtain more education than heterosexual counterparts, the education gap disappears in LGBTQ-friendly places, and the ability threshold for college enrollment is lower for minority men relative to their heterosexual counterparts. With women, the ability threshold is surprisingly higher for sexual minorities. I explore the possibility that sexual minority women may reduce their education to avoid discrimination.

May 4th at 12:00 ET
Billur Aksoy (Rensselaer Polytechnic Institute) will present "Hidden Identity and Social Preferences: Evidence From Sexual Minorities"

Abstract: While attitudes toward LGBTQ+ individuals in the United States have improved over the past few decades, there remain persistent inequalities in their socioeconomic status relative to the general population. Using a novel method to signal one’s sexual identity in controlled experiments, this paper examines discriminatory behavior along pro-social domains and individuals’ responses in anticipation of such behavior. Pro-social behavior plays an important role in day-to-day interactions and contributes to social cohesion within diverse communities. Nonetheless, we find evidence of discrimination based on perceived sexual identity, where heterosexual individuals gift less of their endowed money to individuals whom they perceive to be non-heterosexual. Importantly, such behavior is largely shaped by their political and religious views. Moreover, non-heterosexual women are less likely to signal their sexual identity when they are made aware of the potential ramifications that these signals could have on their payoffs, while men are more likely to do so instead. We posit that women may in general be more likely to anticipate discriminatory behavior. Our findings contribute to debates on the appropriate policies to address discrimination against these individuals both in the workplace and the community at large. Our novel tool of signalling one’s sexual identity in a salient but non-intrusive manner also creates opportunities for advancing research relating to LGBTQ+ individuals and other minority groups.

May 18th at 12:00 ET
Raquel Fernandez (New York University) will present "Coming Out in America" (with Sahar Parsa and Martina Viarengo)

Abstract: The last few decades witnessed a dramatic change in public opinion towards gay people. We study the hypothesis that the AIDS epidemic unified the gay community under a common cause, endogenously generating a political process that led to cultural transformation. Using a difference-in-difference empirical strategy, we find that, consistent with contact theory and/or greater exposure to the AIDS epidemic, greater mobilization and local media coverage, opinion change was greater in states with higher AIDS rates. Our analysis suggests that had individuals in low-AIDS states lived through a similar experience, their approval rate would have been 50 percent greater.


Previous Seminars

April 15, 2020, 12:00 ET
Ian Burn (University of Liverpool) will present "Gender Typicality and Sexual Orientation Earnings Differentials" (with Mike Martell)

Abstract: Previous research on sexual orientation based earnings differentials has repeatedly documented asymmetry in the effect of sexual orientation on earnings. Gay men earn significantly less than their heterosexual counterparts, and lesbian women earn the same or more than their heterosexual counterparts. The difficulty of reconciling the asymmetric earnings effects with theories of discrimination has posed a challenge for researchers interested in understanding the cause of sexual orientation based differentials. We leverage the rich data on personality and behaviors found in the National Study of Adolescent to Adult Health (Add Health) to test the commonly suggested theory that the asymmetry in the sexual orientation earnings differential reflects perceptions of masculinity and gender typicality. We measure adherence to gender typicality using a gender diagnostic approach. While we find evidence that adherence to gender typical norms does affect labor market outcomes of men and women, we find no evidence of a differential effect for gays and lesbians. Controlling for these factors does not affect the gender asymmetry of the sexual orientation earnings differentials observed in the Add Health.

April 22, 2020, 12:00 ET
Shuai Chen (Luxembourg Institute of Socio-Economic Research) will present "Mental Health Effects of Same-Sex Marriage Legalization" (with Jan van Ours)

Abstract: Gay men and lesbians often have a worse than average mental health condition. This may have to do with social acceptance of same-sex relationships. If so, one would expect that legalization of same-sex marriage improves mental health of sexual minorities. To investigate this we study the mental health effects of same-sex marriage legalization (SSML) in the Netherlands. Using Dutch registered micro data we apply a difference-in-differences approach comparing mental health before and after SSML of individuals with a different sexual orientation. Our evidence suggests that the legalization improved mental health of both gay men and lesbians making their mental health converge to heterosexuals.

April 29, 2020, 12:00 ET
David Schwegman (American University) will present "Do Foster Care Agencies Discriminate Against Gay Couples? Evidence from a Correspondence Study" (with Mattie Mackenzie-Liu and Leonard Lopoo)

Abstract: There has been considerable recent debate regarding proposed policies that would allow foster care administrators to discriminate on the basis of the sexual orientation of the foster parent. To date, however, we know very little about the level of discrimination on the basis of sexual orientation in the foster care system. To the best of our knowledge, this is the first empirical investigation to ask whether foster care agencies, the public and nonprofit firms that facilitate foster care placements, respond similarly to emails sent by fictitious same-sex and heterosexual couples who inquire about becoming foster parents. Our results suggest that, while foster care agencies respond at somewhat similar rates to gay male couples, gay female couples, and heterosexual couples, responses sent to gay males are of lower quality. Gay males receive much shorter responses that take longer to receive. Responses to gay male couples are also less likely to include essential information about the process of becoming a foster parent, such as details about informational sessions or being given an application. We do not find any evidence of differential treatment towards same-sex female couples.

May 6, 2020, 12:00 ET
Kitt Carpenter (Vanderbilt University) will present "Effects of the Affordable Care Act Dependent Coverage Mandate on Health Insurance Coverage for Individuals in Same-Sex Couples" (with Gilbert Gonzales Jr. Tara McKay and Dario Sansone)

Abstact: A large body of research documents that the 2010 dependent coverage mandate of the Affordable Care Act was responsible for significantly increasing health insurance coverage among young adults. No prior research has examined whether sexual minority young adults also benefited from the dependent coverage mandate, despite previous studies showing lower health insurance coverage among sexual minorities and the fact that their higher likelihood of strained relationships with their parents might predict a lower ability to use parental coverage. Our estimates from the American Community Surveys using difference-in-differences and event study models show that men in same-sex couples age 21-25 were significantly more likely to have any health insurance after 2010 compared to the associated change for slightly older 27 to 31-year-old men in same-sex couples. This increase is concentrated among employer-sponsored insurance, and it is robust to permutations of time periods and age groups. Effects for women in same-sex couples and men in different-sex couples are smaller than the associated effects for men in same-sex couples. These findings confirm the broad effects of expanded dependent coverage and suggest that eliminating the federal dependent mandate could reduce health insurance coverage among young adult sexual minorities in same-sex couples.

May 13, 2020, 12:00 ET
Charlie Whittington (she/her) (Human Rights Campaign Foundation) will present "The Moderating Role of Sexual Orientation and Gender Identity in the Relationship Between Income and Complications During COVID-19 Infection" (with Dan Stewart he/him)

Abstract: With the onset of the coronavirus pandemic (COVID-19) in December 2019, policymakers and public health scholars continue to give attention to the heightened risk older adults face. COVID-19, a zoonotic respiratory virus, becomes most complicated among those who have compromised immune systems and engage in other risky behaviors such as smoking. Specifically, the risk faced by sexual and gender minorities amidst the COVID-19 pandemic continues to garner significant attention from the media, among advocacy organizations focused on issues affecting members of the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community, and now, the present research. The present research asks whether or not sexual orientation and gender identity moderate the effects that categorical income situations have on older adults' risk of complications in the event of a COVID-19 infection. That is, does the relationship between categorical income and complications during infection vary based on older adults sexual orientation and gender identity. Data will come from five years (2014-2018) of the Behavioral Risk Factor Surveillance System (BRFSS). A fixed-effects model using both state of residency and year of survey will be employed. Results will demonstrate the extent of disparities and similarities between LGBTQ and non-LGBTQ older adults in their risk of complications in the case of COVID-19 infection.

May 20th, 12:00 ET
Ian Chadd (Rensselaer Polytechnic Institute) will present "Queer Preferences for Competition" (with Billur Aksoy)

Abstract: In this project, we seek to understand whether homosexual men and women have meaningfully different preferences for competition than their heterosexual counterparts. Such differences, if they exist, could help explain the employment gaps we observe across men and women with different sexual orientations. We conduct a series of economics experiments on the online labor market platform Prolific, collecting data not only on sexual orientation and competitiveness, but also on important social variables to better capture the lived experience of homosexual persons in US society. Such data could illuminate any channels through which a potential "sexual orientation gap" in competitiveness is observed and is important for understanding how identity shapes economic preferences.

May 27, 2020, 12:00 ET
Travis Campbell (University of Massachusetts - Amherst) will present "Beyond the Gender Binary: Transgender Labor Force Status in the United States 2014-2017" (with Lee Badgett and Everest Brennan)

Abstract: Following the recent acknowledgment of and debates around transgender people in the United States, there has emerged a small but growing literature on the economic implications of being transgender. However, this literature has either failed to account for major components of gender by only including gender identity or has been belied by sampling bias, both of which may entail drastic mischaracterizations of transgender labor market outcomes. This paper builds from social identity theory to provide a formal model of gender - the interplay between gender identity, expression and perception. We apply this model using the Behavioral Risk Factors Surveillance Systems 2014-2017 and find evidence of labor market penalties associated with feminine identities, expressions and perceptions.

June 3rd, 12:00 ET
Emily Nix (University of Southern California) will present "What Causes the Child Penalty and How Can it be Reduced? Evidence from Same-Sex Couples and Policy Reforms" (with Martin Eckhoff Andresen)

Abstract: New parenthood causes large decreases in labor market incomes for mothers but not fathers, a stylized fact known as the "child penalty." We use a simple household model combined with a comparison of child penalties in heterosexual and same-sex couples to better understand what causes the child penalty. We also provide causal estimates of two policies aimed at reducing the child penalty. We find small and insignificant impacts of paternity leave use on the child penalty, but find a 25% reduction in the child penalty from a large Norwegian reform that expanded access to child care.

June 10th, 12:00 ET
Matthew Shannon (University College, Dublin) will present "The Labour Market Outcomes of Transgender Individuals"

Abstract: I study the relationship between earnings and transgender status using the 2015 United States Transgender Survey of 27,715 transgender respondents. First, I compare the earnings of each transgender group against a sub-population of undisclosed crossdressers who are used as a novel proxy for cisgender men, and find that all transgender groups earn significantly less than cisgender men. Second, I estimate earnings differentials between different transgender groups, and find that transgender people who were assigned female at birth earn significantly less than those assigned male at birth. However, these results are sensitive to the degree to which respondents have socially transitioned. The earlier transgender people transition and the greater their ability to ‘pass’, the more their earnings profiles reflect that of their gender identity rather than their assigned birth- sex. This finding provides evidence in support of a traditional cisgender pay gap, with ‘maleness’ enjoying an earnings premium in the workplace over ‘femaleness’.

June 17, 12:00 ET
Connor Redpath (University of California, San Diego) will present "Access to Marriage Affects Couples’ Assortativeness: Evidence from Same-Sex Marriage Legalization"

Abstract: Using variation in access to (same-sex) marriage and Diff-in-Diff framework, I show legal marriage affects couple formation. Access to marriage induces matches with smaller years-of-education gaps and increased state-year-level correlations of years-of-education between partners, which is consistent with economic theory of legal marriage and cohabitation. Results suggest increased matching on race and, for women, age; however, the data are underpowered, unable to reject no effect.

June 24th, 12:00 ET
Michael Martell (Bard College) will present "Tolerance and the Labor Supply of Gays and Lesbians"

Abstract: The direct effects of tolerance for sexual minorities are presumed to matter but are under-studied. Tolerance can affect the disutility of work and household bargaining; therefore, we study how the labor supply of gay and lesbian workers responds to changes in tolerance of homosexuality across the United States. A one percentage point increase in tolerance motivates a one and half hour increase of annual paid labor among gay men and a one hour decrease of annual paid labor among lesbian women. The effect of tolerance is two and half times larger among lesbians who earn less than their partners.

July 1, 12:00 ET:
Joanne Hadaad (University of Ottawa) will present "Institutions, Attitudes and LGBT: Evidence from the Gold Rush" (with Abel Brodeur)

Abstract: This paper analyzes the determinants behind the spatial distribution of the LGBT population in the U.S. We relate the size of the present-day LGBT population to the discovery of gold mines during the 19th century gold rushes. Comparing the surroundings of these gold mines to other current and former mining counties, we find that there are currently 10-15% more same-sex couples in counties in which gold discoveries were made during the gold rushes. We also provide empirical evidence that residents of gold rush counties still have more favorable attitudes toward homosexuality nowadays. Our findings are consistent with two mechanisms. First, gold rushes led to a large (temporary) increase in the male-to-female ratio. Second, we show that gold rush counties were less likely to house a notable place of worship at the time of the discovery (and in the following decades) and are currently less religious, suggesting a role of institutions in shaping attitudes and norms.

July 15, 12:00 ET
Ralph Dehaas (European Bank for Reconstruction and Development, CEPR, and Tilburg University) will present "Men. Roots and Consequences of Masculinity Norms" (with Victoria Baranov and Pauline Grosjean)

Abstract: Recent research has uncovered the historical roots of gender norms about women and the persistent impact of such norms on economic behavior. We document similar roots and consequences of masculinity norms: beliefs about the proper conduct of men. We exploit a natural historical experiment in which convict transportation in the 18th and 19th century created a variegated spatial pattern of sex ratios across Australia. We show that areas that were heavily male-biased in the past (though not the present) remain characterized by more violence, higher rates of male suicide and other forms of preventable male mortality, and more male-stereotypical occupational segregation. Further evidence indicates that in these historically male-biased areas, more Australians recently voted against same-sex marriage and that boys—but not girls—are more likely to be bullied in school. We interpret these results as manifestations of masculinity norms that emerged due to intense local male-male competition and that persisted over time through peer socialization in schools.

August 26, 12:00 ET
Raquel Fernandez (New York University) will present "Coming Out in America" (with Sahar Parsa and Martina Viarengo)

Abstract: The last few decades witnessed a dramatic change in public opinion towards gay people. We study the hypothesis that the AIDS epidemic unified the gay community under a common cause, endogenously generating a political process that led to cultural transformation. Using a difference-in-difference empirical strategy, we find that, consistent with contact theory and/or greater exposure to the AIDS epidemic, greater mobilization and local media coverage, opinion change was greater in states with higher AIDS rates. Our analysis suggests that had individuals in low-AIDS states lived through a similar experience, their approval rate would have been 50 percent greater.

September 16 at 11:00 ET (note one hour earlier than usual):
Roberto Ivo da Rocha Lima Filho (Federal University of Rio de Janeiro) will present "Decision Neuroscience Applied to a Trading Environment: An EEG Approach"

Abstract: The objective of this article is to identify, with the aid of an electroencephalogram (EEG), whether traders use different areas of the brain (and therefore different levels of neuronal activity) in their decision-making process when it comes to making a financial investment. A sample of forty (40) experienced traders was used, divided equally into 50% male and 50% female. Some findings through brain mapping indicate that these operators in the financial market tend to make decisions using an associative based rule process (anchored to historical or intuitive data); rather than any form of analytical based rule, as the classical financial literature on this issue suggests. From an economic standpoint, this work is distinct from the classical theories of Finance - Efficient Markets Hypothesis (EMH) and Modern Portfolio Theory (MPT) - to the extent that it not only employs assumptions of behavioral finance, but also encompasses studies of neurocognitive processes.

September 23 at 12:00 ET:
Nir Eilam (University of Texas, Austin) will present "PrEP and Moral Hazard" (with Scott Delhommer)

Abstract: PrEP is a drug introduced in 2012 that reduces the risk of contracting HIV if exposed to the virus. Since its introduction, the drug has become popular amongst gay men, who are responsible for the majority of new HIV infections. Given the reduced risk of contracting HIV, men on PrEP might be more likely to engage in risky sexual behavior, specifically multiple sexual partners and non-protected sex; these might lead to increases in other STIs. In this paper, we examine this empirically, by applying several difference-in-difference analyses, comparing the evolution of STIs in states with different PrEP adoption rates and between men and women. In addition, we exploit cross-state variation in the gay male population before PrEP was introduced as a treatment intensity measure. We show that STI rates were parallel in high and low PrEP states before the introduction of PrEP, but began to diverge afterwards. We estimate that one additional male PrEP user increases male Chlamydia incidences by 0.73 and male Gonorrhea incidences by 0.83, a sizeable effect. We also conduct back of the envelope calculations to estimate the costs associated with the additional STIs due to the introduction of PrEP and create a counterfactual distribution of STIs, estimating that male STI rates would have been 8% lower in the absence of PrEP. This informs an open question regarding the increases in STDs in recent years, as well as the unintended consequences of the rollout of a major drug.

September 30 at 12:00 ET:
Details to be distributed via email.

October 7 at 12:00 ET:
Luca Fumarco and Eva Dils (Tulane University) will present "Gender Identity, Race, and Ethnicity Discrimination in Access to Mental Health Care: Evidence from an Audit Field Experiment" (with Patrick Button, Benjamin Harrell, and David J. Schwegman)

Abstract: Using an audit field experiment, we seek to quantify the extent to which transgender women, transgender men, nonbinary people, and racial and ethnic minorities (African American and Hispanic people) face discrimination in access to appointments with mental health professionals (i.e., therapists, counselors, and psychologists). Understanding the role of discrimination in access to mental health care is especially important given the mental health disparities that racial and gender minorities face: higher rates of anxiety, depression, substance abuse, PTSD, and suicidality. Based on a preliminary pilot study, we find significant discrimination based on gender identity, in particular against racial and ethnic minorities.

October 14 at 12:00 ET:
William Delgado (University of Chicago) will present "Teachers’ Comparative Advantage, School Segregation, and Educational Mobility in Chicago Public Schools"

Abstract: School districts are employing value-added (VA) models to make high-stake personnel decisions; however, these models often assume homogeneous (or univariate) teacher effects despite the fact that teachers teach heterogeneous students. This paper examines this assumption and tests whether teacher effects are student specific. We develop and estimate a flexible multivariate VA model in which teacher effects can vary by student type and drift over time. Defining student type by race and using data on 1.7 million observations, we employ quasi-experimental and holdout strategies that exploit teacher switching in Chicago Public Schools. We find compelling evidence of student-specific teacher effects, thus rejecting the homogeneity assumption in VA models. Multivariate teacher effects naturally create comparative advantage—that is, teachers are more effective with specific student types than other types. We characterize teachers’ comparative advantage and relate it with educational mobility. We also discuss the implications of deselecting teachers based on univariate rather than multivariate VA when schools are segregated.

October 21 at 12:00 ET:
Hyunmin Park (University of Chicago) will present "Specific Human Capital and Employment Dynamics"

Abstract: Why did worker flows decline in the U.S. in the last few decades? Did specific human capital play any role? How does specific human capital compare to other explanations such as an improvement in screening technology? By using a general equilibrium labor search model à la Moscarini (2005), where workers and employers learn about their match quality throughout their employment relationship, I show how the productivity of specific human capital affects employment dynamics via changes in human capital investment, screening, endogenous separation, and vacancy creation. Using this model, I quantify the effects of firm-specific human capital on the observed decline in worker flows in the US, comparing it to other potential explanations and discuss optimal unemployment policy.

October 28 at 12:00 ET:
Hani Mansour (University of Colorado, Denver) will present "Voting and Political Participation in the Aftermath of the HIV/AIDS Epidemic"

Abstract: This is the first study to examine the effect of experiencing a widespread, deadly epidemic on voting behavior. Using data on elections to the U.S House of Representatives and leveraging cross-district variation in HIV/AIDS mortality during the period 1983-1987, we document the effects of the HIV/AIDS epidemic on votes received by Democratic and Republican candidates. Beginning with the 1994 elections, there is a strong, positive association between HIV/AIDS mortality and the vote share received by Democratic candidates. Congressional districts that bore the brunt of the epidemic also saw substantial increases in Democratic voter turnout and contributions made to Democratic candidates.

November 18 at 12:00 ET:
Ylva Moberg (Swedish Institute for Social Research (SOFI)) will present "The child penalty in same-sex and different-sex couples in Sweden, Norway, Denmark and Finland" (with Marie Evertsson and Maaike van der Vleuten)

Abstract: A major determinant of the gender pay gap is the reduction in income women experience after having children. This paper aims to study the causes of this child penalty by comparing same-sex couples (SSC) and different sex couple (DSC) in Norway, Sweden, Denmark and Finland. Comparing income trajectories of partners in SSC to that of DSC as they transition to parenthood allows us to discriminate among theories used to explain child penalties. For example, if the penalty is caused by specialization due to childbirth we should see similar patterns for the biological mother in SSC and DSC. Using register data from 1990 - 2018 from four Nordic countries, and an event study approach, child penalties are estimated separately for the biological and non-biological parents in SSC and for mothers and fathers in DSC.

December 2 at 12:00 ET:
Raquel Fernandez (New York University) will present "Coming Out in America" (with Sahar Parsa and Martina Viarengo)

Abstract: The last few decades witnessed a dramatic change in public opinion towards gay people. We study the hypothesis that the AIDS epidemic unified the gay community under a common cause, endogenously generating a political process that led to cultural transformation. Using a difference-in-difference empirical strategy, we find that, consistent with contact theory and/or greater exposure to the AIDS epidemic, greater mobilization and local media coverage, opinion change was greater in states with higher AIDS rates. Our analysis suggests that had individuals in low-AIDS states lived through a similar experience, their approval rate would have been 50 percent greater.

December 9 at 12:00 ET:
Lucas Tilley will present "The Labor Market and Health Effects of Gender Dysphoria: Evidence from Sweden" (with Ian Burn, Ylva Moberg and Emma von Essen)

Abstract: The number of transgender individuals seeking gender-affirming care has increased significantly during the last decade, but we have limited knowledge about the changing demographics of the transgender community as well as the health and labor market effects of going through a gender transition. Previous research mostly uses small qualitative interviews or surveys, and cannot provide a representative picture. By contrast, our project leverages high-quality register data covering all adults who have received gender-affirming care in Sweden through 2018. We start with a descriptive analysis documenting how the demographics of the transgender community in Sweden have changed since the early 2000’s. We then match the transgender individuals in our data to a comparable sample of cisgender people and use event studies to investigate how labor market and health outcomes are affected at different stages of the gender transition process, from initial diagnosis to medical treatment to legal gender change.

December 16 at 12:00 ET:
Sheheryar Banuri (University of East Anglia) "On the process of discrimination in healthcare: A field experiment with Pakistan’s Transgender community" (with Husnain F. Ahmad and Farasat Bokhari)

Abstract: An estimated 25 million people are classified as "Transgender", i.e. those whose gender identity is different from that assigned at birth. According to a survey conducted by the National Center for Transgender Equality in 2008, 28% of survey respondents report postponing medical care due to discrimination. Furthermore, 19% of respondents reported refusal of care, 28% reported harassment or violence, and nearly 50% reported lack of healthcare professional knowledge. At the same time, Pakistan is one of the few countries actively recognizing transgender rights: The Pakistan supreme court ruled in favor of transgender individuals, while in 2010 they ordered full recognition of the transgender community. Furthermore, in December 2017, a senate committee approved the Transgender Person (Protection of Rights) Bill 2017, providing full legal rights to transgender people. This paper reports findings from an experiment conducted with male or transgender standardized patients in two low income neighborhoods in Lahore, Pakistan. A sample of 36 clinics that serve low income populations were visited twice, once by a male actor, and once by a transgender actor. Both the male and transgender actors displayed identical symptoms with identical backstories. The patients displayed symptoms consistent with Asthma, which requires both physical tests, and family histories to diagnose accurately. Male and Transgender patients were sent to the clinics a minimum of two weeks apart to minimize contamination concerns. The clinics selected serve low income populations typically charging consultation fees of between 100 and 500 PKR ($1 and $5). Data included information on the entire process including oral patient history, physical examinations, and wait list assignment procedures. Results show that even when there are no significant differences in access to doctors, or treatment by clinic staff, healthcare professionals were significantly less engaging with Transgender patients: were less likely to ask questions about occupation and family history, the length of attacks and other throat or respiratory symptoms. We also find differences in physical examinations with doctors less likely to measure blood pressure, and check auscultations (particularly from the front). Implications for discrimination in quality of healthcare are discussed.

February 2nd at 12:00 ET
Samuel Mann (Swanswea University) will present "Sexual Orientation, Political Trust, and Same-Sex Relationship Recognition Policies: Evidence from Europe"

Abstract: This study uses data from the European Social Survey to analyse the impact of same-sex relationship recognition policies on the political trust of sexual minorities. Results suggest that same-sex relationship recognition policies increase the trust that sexual minorities have in the actors and institutions that afforded them the additional right (politicians and parliament) but does not increase trust more generally. Importantly, results also indicate positive impacts for heterosexuals; same-sex relationship recognition policies are associated with significant increases in the political trust of heterosexuals. Several mechanisms are explored, and robustness exercises confirm the robustness of the findings. The findings suggest that equality legislation can improve political trust, for both those people that benefit from the legislation, and the wider population.

February 16th at 12:00 ET
Marcus Dillender (University of Illinois at Chicago) will present "Does Place-Based Federal Health Funding Work? Evidence and Lessons from the Fight against HIV/AIDS"

Abstract: HIV/AIDS has been one of the largest public health crises in recent history, and the U.S. federal government has spent hundreds of billions of dollars fighting the disease. This study examines the impact of the large amounts of federal funding allocated to U.S. cities to combat HIV/AIDS through the Ryan White CARE Act's first title. The findings indicate that the cost to avoid an HIV/AIDS death through the program is roughly $314,000, that the program has saved approximately 60,000 lives through 2018, and that funding disparities are responsible for the uneven progress in combating HIV/AIDS across the United States.

March 2nd at 12:00 ET
Bridget Hiedemann and Lisa Brodoff (Seattle University) will present "Marriage Equality and Activity Limitations among Older Adults in Same-Sex Relationships"

Abstract: We leverage variation in same-sex marriage policies across time and across states to examine whether marriage equality reduces the risk of activity limitations among older gays and lesbians. Specifically, our analysis relies on the 2008-2017 waves of the American Community Survey (ACS) as well as state-level annual data from a variety of sources on public policies related to LGBT rights. Although the ACS questionnaire does not include a question related to sexual orientation identity, information on the relationship between each household member and the householder as well as the biological sex of each household member enables researchers to identify married and cohabitating same-sex couples. We restrict each cross-section to adults aged 60 years or over who reported living with a same-sex partner or spouse. Our dependent variable indicates whether the individual experienced at least one of the following four activity limitations: self-care difficulty, difficulty living independently, ambulatory difficulty, or cognitive disability. Each of our models captures a dimension of the same-sex marriage policy in the individual’s state of residence. Since the health benefits of marriage equality may not be immediate, our first measure distinguishes among three policy environments – long-term marriage equality (same-sex marriage had been legal in the individual’s state of residence for at least five years at the time of the interview), short-term marriage equality (same-sex marriage had been legal in the individual’s state of residence for less than five years), and lack of marriage equality (same-sex marriage was not yet legal in the individual’s state of residence). Since attitudes towards same-sex marriage and, in turn, the health benefits of marriage equality may be more favorable in states where same-sex marriage became legal through a legislative rather than a judicial process, our second measure captures whether and how same-sex marriage became legal, thus distinguishing among states where same-sex marriage became legal through a legislative process, those where it became legal through a judicial process, and those where same-sex marriage was not yet legal.