期刊
AMERICAN JOURNAL OF EPIDEMIOLOGY
卷 190, 期 7, 页码 1281-1293出版社
OXFORD UNIV PRESS INC
DOI: 10.1093/aje/kwab012
关键词
health-care access; health-care disparities; health disparities; LGB; sexual minorities; sexual minority health
资金
- University of Maryland Prevention Research Center from the Centers for Disease Control and Prevention [U48DP006382]
- Maryland Population Research Center
- Eunice Kennedy Shriver National Institute of Child Health and Human Development [P2CHD041041]
Identifying barriers to adequate healthcare for sexual minority populations is challenging due to complexity and variations within different sexual orientation subgroups. Despite similar health insurance coverage, sexual minorities face more chronic health conditions and limited healthcare access, with dissatisfaction in medical provider experiences. Understanding and addressing these disparities is crucial for improving the health outcomes of sexual minority populations.
Identification of barriers to adequate health care for sexual minority populations remains elusive given that they are complex and variable across sexual orientation subgroups (e.g., gay, lesbian, bisexual). To address these complexities, we used data from a US nationally representative sample of health-care consumers to assess sexual identity differences in health-care access and satisfaction. We conducted a secondary data analysis of 12 waves (2012-2018) of the biannual Consumer Survey of Health Care Access (n = 30,548) to assess sexual identity differences in 6 health-care access and 3 health-care satisfaction indicators. Despite parity in health insurance coverage, sexual minorities-with some variation across sexual minority subgroups and sex-reported more chronic health conditions alongside restricted health-care access and unmet health-care needs. Gay/lesbian women had the lowest prevalence of health-care utilization and higher prevalence rates of delaying needed health care and medical tests relative to heterosexual women. Gay/lesbian women and bisexual men were less likely than their heterosexual counterparts to be able to pay for needed health-care services. Sexual minorities also reported less satisfactory experiences with medical providers. Examining barriers to health care among sexual minorities is critical to eliminating health disparities that disproportionately burden this population.
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