Population Science and Policy, Southern Illinois University School of Medicine, Springfield, IL, USA.
Department of Health and Human Performance, Austin Peay State University, Clarksville, TN, USA.
Am J Health Promot. 2024 Sep;38(7):954-959. doi: 10.1177/08901171241240814. Epub 2024 Mar 27.
To describe healthcare experiences and health outcomes among rural LGBTQ + individuals.
2022 cross-sectional survey.
Southern Illinois.
85 individuals.
Demographics, sexual orientation and gender identity, healthcare experiences, health outcomes.
Experiences and outcomes were assessed vs orientation and identity. Distribution comparison was by -test and chi-square, risk prediction by logistic regression, and significance assumed at < .050.
By orientation, participants were: 35.3% gay, 16.5% lesbian, and 45.8% bisexual plus; and by identity they were: 49.4% cisgender, 25.9% transgender, and 24.8% other identity. Survey item responses ranged from 95%-99%. Compared to gay men, lesbians and bisexual plus individuals more frequently reported medical bill payment difficulty (58.3% and 57.9% vs 25.0%; = .020) and more past month days of poor mental health (19.4 and 15.8 vs 10.6; = .018). Compared to heterosexual and other identity, transgender individuals less frequently reported having a routine medical provider (72.7% vs 92.7% and 95.0%; = .037) and more frequently reported past healthcare denial (45.5% vs 17.5% and 18.8%; = .042). Current health was associated with medical bill payment ability (OR = .33, 95% CI = .13-.86) and respectful treatment by healthcare administrators (OR = 3.90, 95% CI = 1.34-11.35) and clinicians (OR = 3.82, 95% CI = 1.39-10.47). Significance of some findings likely limited due to sample size.
Our data describes healthcare experience and health outcome disparities among rural lesbian, gay, bisexual, transgender, queer and other sexual and gender minority individuals, and indicate that clinical experiences directly influence health outcomes.
描述农村 LGBTQ+个体的医疗保健体验和健康结果。
2022 年横断面调查。
南伊利诺伊州。
85 人。
人口统计学、性取向和性别认同、医疗保健体验、健康结果。
根据取向和认同评估体验和结果。通过检验和卡方检验比较分布，通过逻辑回归预测风险，假设显著性水平为<.050。
根据取向，参与者为：35.3%为男同性恋，16.5%为女同性恋，45.8%为双性恋加；根据身份，他们为：49.4%为顺性别，25.9%为跨性别，24.8%为其他身份。调查项目的回复率为 95%-99%。与男同性恋者相比，女同性恋者和双性恋者更频繁地报告医疗账单支付困难（58.3%和 57.9%比 25.0%；=.020），过去一个月内心理健康状况较差的天数更多（19.4%和 15.8%比 10.6%；=.018）。与异性恋和其他身份相比，跨性别者较少报告有常规医疗服务提供者（72.7%比 92.7%和 95.0%；=.037），更多报告过去医疗保健被拒绝（45.5%比 17.5%和 18.8%；=.042）。目前的健康状况与支付医疗费用的能力（OR=.33，95%CI=.13-.86）和医疗保健管理人员（OR=3.90，95%CI=1.34-11.35）和临床医生（OR=3.82，95%CI=1.39-10.47）的尊重治疗有关。由于样本量有限，一些发现的意义可能受到限制。
我们的数据描述了农村女同性恋、男同性恋、双性恋、跨性别、酷儿和其他性和性别少数群体个体的医疗保健体验和健康结果差异，并表明临床经验直接影响健康结果。
