Examining Sexual Orientation Disparities in Unmet Medical Needs among Men and Women.
Examining Sexual Orientation Disparities in Unmet Medical Needs among Men and Women.
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DOI：
10.1007/s11113-013-9282-9
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发表时间：
2014-08
影响因子：
2.4
通讯作者：
Mollborn, Stefanie
中科院分区：
文献类型：
--
作者：
Everett, Bethany G.;Mollborn, Stefanie
利用国家青少年健康纵向研究(N=13,810)，这项研究考察了青春期未得到满足的医疗需求的性取向认同的差异。我们使用二元Logistic回归并扩展Andersen的医疗保健利用框架，以确定在性取向未满足的医疗需求方面形成差异的因素。我们还调查了异性恋者在求医行为中公认的性别差异是否适用于性少数群体。结果显示，与异性恋女性相比，性少数群体女性更有可能报告未得到满足的医疗需求，但在性少数群体男性和异性恋男性之间没有发现差异。此外，我们发现异性恋和性少数群体之间的性别差距发生了逆转：异性恋女性报告未得到满足的医疗需求的可能性低于异性恋男性，而性少数群体女性报告未得到满足的医疗需求的可能性高于性少数群体男性。最后，这项工作发展了安徒生的模型，阐明了包括社会心理因素对于减少女性性取向未得到满足的医疗需求差异的重要性。
Using the National Longitudinal Study of Adolescent Health (N = 13,810), this study examines disparities in unmet medical needs by sexual orientation identity during young adulthood. We use binary logistic regression and expand Andersen’s health care utilization framework to identify factors that shape disparities in unmet medical needs by sexual orientation. We also investigate whether the well-established gender disparity in health-seeking behaviors among heterosexual persons holds for sexual minorities. The results show that sexual minority women are more likely to report unmet medical needs than heterosexual women, but no differences are found between sexual minority and heterosexual men. Moreover, we find a reversal in the gender disparity between heterosexual and sexual minority populations: heterosexual women are less likely to report unmet medical needs than heterosexual men, whereas sexual minority women are more likely to report unmet medical needs compared to sexual minority men. Finally, this work advances Andersen’s model by articulating the importance of including social psychological factors for reducing disparities in unmet medical needs by sexual orientation for women.
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