Center for Health Equity Research and Promotion , VA Pittsburgh Healthcare System, Department of Veterans Affairs, Pittsburgh, Pennsylvania.
LGBT Health. 2017 Jun;4(3):227-231. doi: 10.1089/lgbt.2016.0127. Epub 2017 Mar 30.
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.
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.
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).
Efforts are needed to examine and reduce sexual orientation differences in satisfaction with healthcare.
在美国，《平价医疗法案》和婚姻平权可能已经缓解了基于性取向的医疗保健覆盖范围的差异，但关于性取向对医疗保健满意度的差异的研究有限。本研究的目的是在一个大型基于人群的成年人样本中，检验医疗保健满意度是否因性取向而有所不同。
数据来自 2014 年行为风险因素监测系统，包括有关性取向和医疗保健的项目（n=113317）。医疗保健覆盖范围包括雇主提供的保险；个人购买的保险；医疗保险；医疗补助；或 TRICARE、VA 或军队保健。受访者表示他们对医疗保健“非常满意、有些满意还是完全不满意”。
在调整了几个社会人口学协变量后，同性恋、双性恋和异性恋的身份与个人购买保险的医疗保健满意度较低有关（调整后的优势比=1.49，95%置信区间=1.24-1.80）。
需要努力检查和减少医疗保健满意度方面的性取向差异。
