平价医疗法案与女同性恋、男同性恋和双性恋成年人的医疗保险覆盖范围：行为风险因素监测系统分析。
The Affordable Care Act and Health Insurance Coverage for Lesbian, Gay, and Bisexual Adults: Analysis of the Behavioral Risk Factor Surveillance System.
机构信息
1 Department of Health Policy, Vanderbilt University School of Medicine , Nashville, Tennessee.
2 Division of Health Policy and Management, University of Minnesota School of Public Health , Minneapolis, Minnesota.
出版信息
LGBT Health. 2017 Feb;4(1):62-67. doi: 10.1089/lgbt.2016.0023. Epub 2016 Dec 20.
PURPOSE
This study compares uninsurance rates for lesbian, gay, and bisexual (LGB) adults by state Medicaid expansion decisions under the Affordable Care Act.
METHODS
Data come from nonelderly adults in the 2014 Behavioral Risk Factor Surveillance System. Prevalence estimates and logistic regression models identified LGB adults most likely to be uninsured.
RESULTS
Approximately 15.7% of LGB adults lack health insurance, but the uninsurance rate is lower among LGB adults in Medicaid expansion states (12.5%) compared with LGB adults in nonexpansion states (20.0%).
CONCLUSIONS
Expanding Medicaid in states that have not yet done so should increase coverage and lead to improved health for vulnerable LGB adults.
目的
本研究通过平价医疗法案（Affordable Care Act）各州医疗补助扩展决定，比较了女同性恋、男同性恋和双性恋（LGB）成年人的无保险率。
方法
数据来自 2014 年行为风险因素监测系统中的非老年成年人。患病率估计和逻辑回归模型确定了最有可能没有保险的 LGB 成年人。
结果
约有 15.7%的 LGB 成年人没有医疗保险，但在医疗补助扩张州的 LGB 成年人（12.5%）中，无保险率低于非扩张州的 LGB 成年人（20.0%）。
结论
在尚未扩大医疗补助的州扩大医疗补助范围，应该会增加覆盖范围，并改善弱势 LGB 成年人的健康状况。
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