Health care access among individuals involved in same-sex relationships
Health care access among individuals involved in same-sex relationships
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DOI：
10.2105/ajph.2005.062661
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发表时间：
2006-06-01
影响因子：
12.7
通讯作者：
Gorin, Sherri Sheinfeld
中科院分区：
文献类型：
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作者：
Heck, Julia E.;Sell, Randall L.;Gorin, Sherri Sheinfeld
目标.我们使用来自全国健康访谈调查的数据来比较同性和异性关系中的个人获得医疗保健的情况。我们对614名同性恋者和93418名异性恋者的汇总数据进行了描述性和逻辑回归分析。同性关系中的女性（调整后的比值比[OR]=0.60; 95%置信区间[CI]=0.39，0.92）与异性关系中的女性相比，在过去12个月内，（OR=0.66; 95%CI =0.46，0.95），有正常的医疗保健来源（OR=0.50; 95% CI =0.35，0.71）;他们更可能由于成本问题而无法满足医疗需求（OR= 1.85; 95% CI= 1.16，2.96）。相比之下，同性关系中的男性获得医疗保健的机会等于或大于异性关系中的男性。在这项涉及全国概率样本的研究中，我们发现同性和异性关系中的个人，特别是女性，在获得医疗保健方面存在一些重要差异。
Objectives. We used data from the National Health Interview Survey to compare health care access among individuals involved in same-sex versus opposite-sex relationships.Methods. We conducted descriptive and logistic regression analyses from pooled data on 614 individuals in same-sex relationships and 93418 individuals in opposite-sex relationships.Results. Women in same-sex relationships (adjusted odds ratio [OR]=0.60; 95% confidence interval [CI]=0.39, 0.92) were significantly less likely than women in opposite-sex relationships to have health insurance coverage, to have seen a medical provider in the previous 12 months (OR=0.66; 95% CI=0.46, 0.95), and to have a usual source of health care (OR=0.50; 95% CI =0.35, 0.71); they were more likely to have unmet medical needs as a result of cost issues (OR= 1.85; 95% CI= 1.16, 2.96). In contrast, health care access among men in same-sex relationships was equivalent to or greater than that among men in opposite-sex relationships.Conclusions. In this study involving a nationwide probability sample, we found some important differences in access to health care between individuals in same-sex and opposite-sex relationships, particularly women.