Wolstein Joelle, Charles Shanna A, Babey Susan H, Diamant Allison L
UCLA Center for Health Policy Research, 10960 Wilshire Blvd., Suite 1550, Los Angeles, California 90024.
Department of Health Sciences at California State University, Fullerton.
Policy Brief UCLA Cent Health Policy Res. 2018 Oct;2018(9):1-8.
This policy brief examines differences in health care access, health behaviors, and health outcomes by sexual orientation among California adults. Using data from the California Health Interview Survey, the study finds that although lesbian, gay, and bisexual women and men have similar or better rates of insurance coverage compared to straight women and men, they are more likely to experience delays in getting needed health care. Lesbians, bisexual women, and bisexual men have higher rates of smoking and binge drinking than straight women and men; however, gay men are less likely to consume sugary beverages and to be physically inactive. Lesbians and bisexuals had poorer health status and higher rates of disability than straight adults. Future research is needed to explain these disparities, as well as to identify health care and structural interventions that will improve access to care and health outcomes for this population.
本政策简报探讨了加利福尼亚州成年人中按性取向划分的医疗保健可及性、健康行为和健康结果的差异。该研究利用加利福尼亚健康访谈调查的数据发现，尽管女同性恋者、男同性恋者和双性恋女性及男性与异性恋女性及男性相比，拥有相似或更高的保险覆盖率，但他们更有可能在获得所需医疗保健时出现延迟。女同性恋者、双性恋女性和双性恋男性的吸烟和狂饮率高于异性恋女性及男性；然而，男同性恋者饮用含糖饮料和身体不活动的可能性较小。女同性恋者和双性恋者的健康状况比异性恋成年人差，残疾率更高。需要未来的研究来解释这些差异，以及确定能够改善这一人群获得医疗保健机会和健康结果的医疗保健及结构性干预措施。
