参与同性关系的个体获得医疗保健的情况。
Health care access among individuals involved in same-sex relationships.
作者信息
Heck Julia E, Sell Randall L, Gorin Sherri Sheinfeld
机构信息
Department of Epidemiology, Institute for Social and Economic Research and Policy, Columbia University, New York City, USA.
出版信息
Am J Public Health. 2006 Jun;96(6):1111-8. doi: 10.2105/AJPH.2005.062661. Epub 2006 May 2.
OBJECTIVES
We used data from the National Health Interview Survey to compare health care access among individuals involved in same-sex versus opposite-sex relationships.
METHODS
We conducted descriptive and logistic regression analyses from pooled data on 614 individuals in same-sex relationships and 93418 individuals in opposite-sex relationships.
RESULTS
Women in same-sex relationships (adjusted odds ratio [OR]=0.60; 95% confidence interval [CI]=0.39, 0.92) were significantly less likely than women in opposite-sex relationships to have health insurance coverage, to have seen a medical provider in the previous 12 months (OR=0.66; 95% CI=0.46, 0.95), and to have a usual source of health care (OR=0.50; 95% CI=0.35, 0.71); they were more likely to have unmet medical needs as a result of cost issues (OR=1.85; 95% CI=1.16, 2.96). In contrast, health care access among men in same-sex relationships was equivalent to or greater than that among men in opposite-sex relationships.
CONCLUSIONS
In this study involving a nationwide probability sample, we found some important differences in access to health care between individuals in same-sex and opposite-sex relationships, particularly women.
目的
我们利用国家健康访谈调查的数据，比较了同性关系与异性关系中的个体获得医疗保健服务的情况。
方法
我们对614名处于同性关系中的个体和93418名处于异性关系中的个体的汇总数据进行了描述性分析和逻辑回归分析。
结果
处于同性关系中的女性（调整后的优势比[OR]=0.60；95%置信区间[CI]=0.39，0.92）比处于异性关系中的女性获得医疗保险覆盖的可能性显著更低，在过去12个月内看过医疗服务提供者的可能性也更低（OR=0.66；95%CI=0.46，0.95），并且有常规医疗保健来源的可能性也更低（OR=0.50；95%CI=0.35，0.71）；由于费用问题，她们更有可能有未满足的医疗需求（OR=1.85；95%CI=1.16，2.96）。相比之下，处于同性关系中的男性获得医疗保健服务的情况与处于异性关系中的男性相当或更好。
结论
在这项涉及全国概率样本的研究中，我们发现同性关系和异性关系中的个体在获得医疗保健服务方面存在一些重要差异，尤其是女性。
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