Healthcare satisfaction at the intersections of sexual orientation and race/ethnicity.
Healthcare satisfaction at the intersections of sexual orientation and race/ethnicity.
复制标题
性取向和种族/民族交叉点的医疗保健满意度。
DOI：
10.1080/13557858.2022.2096207
复制
发表时间：
2023
影响因子：
3.1
通讯作者：
Gorman,Bridget
中科院分区：
文献类型：
--
作者：
Kim,MinJu;Wilkins,Kiana;Gorman,Bridget
ObjectivesExisting奖学金一直表现出基于性别认同的医疗保健经验的差异。然而，相对较少的研究考虑了与种族/民族的交叉，尽管与其他特征的交叉可能会使性少数群体的医疗保健体验和满意度复杂化。本研究旨在通过检查跨性别和种族/民族身份交叉点的医疗保健满意度来解决这种差距。设计利用2013-2018年行为风险因素监测系统（BRFSS）中包含的美国成年人数据（n= 372，766），我们调查了同时体现两种身份的一系列群体对护理的满意度水平。模型显示，在确定为异性恋的成年人中，黑人，亚洲人和美洲原住民对护理的高满意度的几率较低。在性少数成年人中，与其他种族/民族或美国土著和白色异性恋者的同性恋者相比，美国土著同性恋成年人报告对护理的高满意度的可能性始终较低，这表明在这一多个少数群体中，对护理的满意度水平往往普遍较高，未来的研究应该奋进调查那些具有交叉少数民族身份的人中，降低高医疗保健满意度几率的驱动因素。
ObjectivesExisting scholarship has consistently demonstrated disparities in healthcare experience based on sexual identity. However, relatively little research has considered intersections with race/ethnicity, despite that intersection with other characteristics may complicate healthcare experiences and satisfaction among sexual minorities. This study aims to address such a gap by examining healthcare satisfaction across the intersections of sexual and racial/ethnic identity.DesignUtilizing data on U.S. adults included in the 2013–2018 Behavioral Risk Factor Surveillance System (BRFSS) (n= 372,766), we investigate levels of satisfaction with care among a range of groups simultaneously embodying two identities.ResultsFindings from ordered logistic regression models show that among adults who identify as heterosexual, the odds of reporting high satisfaction with care are lower among Blacks, Asians, and Native Americans. Among sexual minority adults, the likelihood of reporting high satisfaction with care is consistently lower among Native American gay and lesbian adults compared to gays and lesbians of other race/ethnicity or Native American and White heterosexuals, indicating heightened vulnerability to poorer healthcare experience among this multiple minority group.ConclusionWhile levels of satisfaction with care tend to be generally high across groups, future research should endeavor to investigate the driving factors that lower the odds of high healthcare satisfaction among those with intersecting minority identities.