Trends in Health Care Access/Experiences: Differential Gains across Sexuality and Sex Intersections before and after Marriage Equality

dc.contributor.authorTurpin, Rodman E.
dc.contributor.authorWilliams, Natasha D.
dc.contributor.authorAkré, Ellesse-Roselee L.
dc.contributor.authorBoekeloo, Bradley O.
dc.contributor.authorFish, Jessica N.
dc.date.accessioned2023-10-25T18:23:44Z
dc.date.available2023-10-25T18:23:44Z
dc.date.issued2022-04-21
dc.description.abstractBackground: Sexual minority adults experience several health care access inequities compared to their heterosexual peers; such inequities may be affected by LGBTQ+ legislation, such as the 2015 national marriage equality ruling. Methods: Using population-based data (n = 28,463) from the Association of American Medical Colleges biannual Consumer Survey of Health Care Access, we calculated trend ratios (TR) for indicators of health care access (e.g., insurance coverage, delaying or forgoing care due to cost) and satisfaction (e.g., general satisfaction, being mistreated due to sexual orientation) from 2013 to 2018 across sexuality and sex. We also tested for changes in trends related to the 2015 marriage equality ruling using interrupted time series trend interactions (TRInt). Results: The largest increases in access were observed in gay men (TR = 2.42, 95% CI 1.28, 4.57). Bisexual men had decreases in access over this period (TR = 0.47, 95% CI 0.22, 0.99). Only gay men had a significant increase in the health care access trend after U.S. national marriage equality (TRInt = 5.59, 95% CI 2.00, 9.18), while other sexual minority groups did not. Conclusions: We found that trends in health care access and satisfaction varied significantly across sexualities and sex. Our findings highlight important disparities in how federal marriage equality has benefited sexual minority groups.
dc.description.urihttps://doi.org/10.3390/ijerph19095075
dc.identifierhttps://doi.org/10.13016/dspace/cgbg-of9a
dc.identifier.citationTurpin, R.E.; Williams, N.D.; Akré, E.-R.L.; Boekeloo, B.O.; Fish, J.N. Trends in Health Care Access/Experiences: Differential Gains across Sexuality and Sex Intersections before and after Marriage Equality. Int. J. Environ. Res. Public Health 2022, 19, 5075.
dc.identifier.urihttp://hdl.handle.net/1903/31122
dc.language.isoen_US
dc.publisherMDPI
dc.relation.isAvailableAtEpidemiology & Biostatistics
dc.relation.isAvailableAtSchool of Public Health
dc.relation.isAvailableAtDigital Repository at the University of Maryland (DRUM)
dc.relation.isAvailableAtUniversity of Maryland (College Park, MD)
dc.subjectLGBT
dc.subjecthealthcare
dc.subjectnational
dc.subjectbarriers
dc.subjectservices
dc.subjecttime series
dc.titleTrends in Health Care Access/Experiences: Differential Gains across Sexuality and Sex Intersections before and after Marriage Equality
dc.typeArticle
local.equitableAccessSubmissionNo

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