Disparities in Health Insurance Coverage, Access, and Outcomes for Individuals in Same-Sex Versus Different-Sex Relationships, 2000-2007
Disparities in Health Insurance Coverage, Access, and Outcomes for Individuals in Same-Sex Versus Different-Sex Relationships, 2000-2007
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DOI：
10.2105/ajph.2009.160804
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发表时间：
2010-03-01
影响因子：
12.7
通讯作者：
Carpenter, Christopher S.
中科院分区：
文献类型：
--
作者：
Buchmueller, Thomas;Carpenter, Christopher S.
目标.我们使用来自行为风险因素监测系统的数据来比较同性与异性关系中的健康保险覆盖范围、获得护理的机会以及女性癌症筛查。我们使用5265名同性关系中的个体和802659名异性关系中的个体的数据估计了logistic回归模型。与异性关系中的女性相比，同性关系中的女性获得医疗保险的可能性明显较低，在过去一年内进行检查的可能性较小，更有可能报告未满足的医疗需求，并且最近进行乳房X光检查或巴氏试验的可能性较小。与异性关系中的男性相比，同性关系中的男性获得医疗保险的可能性明显较低，并且更有可能报告未满足的医疗需求，尽管他们更有可能在过去一年中进行了检查。在最大和最新的全国代表性样本中，我们发现同性关系中的个人和异性关系中的男性和女性在健康保险覆盖范围和获得护理方面存在重要差异。(Am J公共卫生。2010;100：489-495. doi：10.2105/AJPH.2009.160804）
Objectives. We used data from the Behavioral Risk Factor Surveillance System to compare health insurance coverage, access to care, and women's cancer screenings for individuals in same-sex versus different-sex relationships.Methods. We estimated logistic regression models by using data on 5265 individuals in same-sex relationships and 802659 individuals in different-sex relationships.Results. Compared with women in different-sex relationships, women in same-sex relationships were significantly less likely to have health insurance coverage, were less likely to have had a checkup within the past year, were more likely to report unmet medical needs, and were less likely to have had a recent mammogram or Pap test. Compared with men in different-sex relationships, men in same-sex relationships were significantly less likely to have health insurance coverage and were more likely to report unmet medical needs, although they were more likely to have had a checkup in the past year.Conclusions. In the largest and most recent nationally representative sample, we found important differences in health insurance coverage and access to care between individuals in same-sex relationships and those in different-sex relationships for both men and women. (Am J Public Health. 2010;100:489-495. doi:10.2105/AJPH.2009.160804)