John R Blosnich1. 1. Center for Health Equity Research and Promotion , VA Pittsburgh Healthcare System, Department of Veterans Affairs, Pittsburgh, Pennsylvania.
Abstract
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.
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.
Keywords:
insurance; minority health; patient satisfaction; sexual orientation
Authors: Ariella R Tabaac; Alexa L Solazzo; Allegra R Gordon; S Bryn Austin; Carly Guss; Brittany M Charlton Journal: Prev Med Date: 2020-01-22 Impact factor: 4.018
Authors: Erin A Vogel; Danielle E Ramo; Meredith C Meacham; Judith J Prochaska; Kevin L Delucchi; Gary L Humfleet Journal: Nicotine Tob Res Date: 2020-08-24 Impact factor: 4.244
Authors: Alexander J Martos; Patrick A Wilson; Allegra R Gordon; Marguerita Lightfoot; Ilan H Meyer Journal: Soc Sci Med Date: 2018-05-07 Impact factor: 4.634
Authors: Rodman E Turpin; Natasha D Williams; Ellesse-Roselee L Akré; Bradley O Boekeloo; Jessica N Fish Journal: Int J Environ Res Public Health Date: 2022-04-21 Impact factor: 4.614