Sexual Orientation Differences in Satisfaction with Healthcare: Findings from the Behavioral Risk Factor Surveillance System, 2014
Sexual Orientation Differences in Satisfaction with Healthcare: Findings from the Behavioral Risk Factor Surveillance System, 2014
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DOI：
10.1089/lgbt.2016.0127
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发表时间：
2017-06-01
期刊：
影响因子：
4.8
通讯作者：
Blosnich, John R.
中科院分区：
文献类型：
--
作者：
Blosnich, John R.
目的：在美国，《平价医疗法案》和婚姻平等可能缓解了基于性取向的医疗保险覆盖率差异，但有限的研究调查了基于性取向的医疗保健满意度差异。本研究的目的是检查是否与医疗保健的满意度不同的性取向在一个大的人口为基础的样本adultes.Methods：数据来自2014年的行为风险因素监测系统，包括项目的性取向和医疗保健（n = 113，317）。医疗保险包括以雇主为基础的保险;个人购买的保险;医疗保险;医疗补助;或TRICARE，VA或军事护理。受访者表示，他们是否“非常满意，有点满意，或不满意”与healthcare.Results：调整后的几个社会人口协变量，女同性恋，男同性恋和双性恋的地位与个人购买保险的医疗保健满意度较低结论：需要努力检查和减少性取向对医疗保健满意度的差异。
Purpose: In the United States, the Affordable Care Act and marriage equality may have eased sexual orientation-based differences in access to healthcare coverage, but limited research has investigated sexual orientation-based differences in healthcare satisfaction. The purpose of this study was to examine whether satisfaction with healthcare varied by sexual orientation in a large population-based sample of adults.Methods: Data are from the 2014 Behavioral Risk Factor Surveillance System, including items about sexual orientation and healthcare (n = 113,317). Healthcare coverage included employer-based insurance; individually purchased insurance; Medicare; Medicaid; or TRICARE, VA, or military care. Respondents indicated whether they were "very satisfied, somewhat satisfied, or not at all satisfied" with healthcare.Results: After adjusting for several sociodemographic covariates, lesbian, gay, and bisexual status was associated with lower satisfaction with healthcare with individually purchased insurance (adjusted odds ratio = 1.49, 95% confidence interval = 1.24-1.80).Conclusion: Efforts are needed to examine and reduce sexual orientation differences in satisfaction with healthcare.