Barriers to Health Care Among Adults Identifying as Sexual Minorities: A US National Study
Barriers to Health Care Among Adults Identifying as Sexual Minorities: A US National Study
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DOI：
10.2105/ajph.2016.303049
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发表时间：
2016-06-01
影响因子：
12.7
通讯作者：
Ward, Brian W.
中科院分区：
文献类型：
--
作者：
Dahlhamer, James M.;Galinsky, Adena M.;Ward, Brian W.
目标.评估18至64岁的女同性恋、男同性恋和双性恋（LGB）成年人在医疗保健方面遇到障碍的程度。我们使用了2013年全国健康访谈调查数据，包括521名同性恋（291名男性，230名女性），215名双性恋（66名男性，149名女性）和25149名异性恋（11525名男性，13624名女性）成年人。评估了五个障碍的护理结果（延迟或没有得到照顾，因为成本，没有得到具体的服务，因为成本，延迟照顾非成本原因，麻烦找到一个提供者，没有通常的照顾来源）。相对于异性恋成年人，男同性恋或女同性恋和双性恋成年人因费用而延迟或不接受护理的几率更高。双性恋成年人因非成本原因推迟护理的几率更高，同性恋男性比异性恋男性报告难以找到提供者的几率更高。相比之下，男同性恋或女同性恋女性因非成本原因推迟护理的几率低于异性恋女性。双性恋女性比男同性恋或女同性恋女性报告5个障碍中的3个的几率更高。性少数群体的成员，特别是双性恋妇女，比异性恋者更容易遇到护理障碍。
Objectives. To assess the extent to which lesbian, gay, and bisexual (LGB) adults aged 18 to 64 years experience barriers to health care.Methods. We used 2013 National Health Interview Survey data on 521 gay or lesbian (291 men, 230 women), 215 bisexual (66 men, 149 women), and 25 149 straight (11 525 men, 13 624 women) adults. Five barrier-to-care outcomes were assessed (delayed or did not receive care because of cost, did not receive specific services because of cost, delayed care for noncost reasons, trouble finding a provider, and no usual source of care).Results. Relative to straight adults, gay or lesbian and bisexual adults had higher odds of delaying or not receiving care because of cost. Bisexual adults had higher odds of delaying care for noncost reasons, and gay men had higher odds than straight men of reporting trouble finding a provider. By contrast, gay or lesbian women had lower odds of delaying care for noncost reasons than straight women. Bisexual women had higher odds than gay or lesbian women of reporting 3 of the 5 barriers investigated.Conclusions. Members of sexual minority groups, especially bisexual women, are more likely to encounter barriers to care than their straight counterparts.