Nowaskie Dustin Z, Blackwood Dehandra, Garcia Frank, Flautero Jorge D
Department of Psychiatry and the Behavioral Sciences, Keck School of Medicine of University of Southern California, Los Angeles, CA, United States.
Mailman School of Public Health, Columbia University, New York, NY, United States.
Front Sociol. 2025 Jul 18;10:1569519. doi: 10.3389/fsoc.2025.1569519. eCollection 2025.
LGBTQ+ individuals have historically faced and continue to experience stigma and discrimination in various areas, including healthcare. There is very limited data regarding LGBTQ+ people's perceptions of their health insurer and health insurer workers.
An online cross-sectional survey was conducted with a national sample of United States residents, who responded to questions about their healthcare, including experiences with their health insurer and health insurer workers.
Compared to cisgender, heterosexual people ( = 1,400), LGBTQ+ people ( = 1,234) reported significantly poorer experiences with their health insurer, including being dissatisfied with their health insurer; believing their health insurer is not their advocate; distrusting their health insurer; not knowing what is covered in their health plan; being dissatisfied with providers in their health plan; and not believing their health insurer meets their needs. Additionally, compared to cisgender, heterosexual people, LGBTQ+ people conveyed poorer experiences with health insurer workers, including health insurer workers not addressing them by their names; not being comfortable when interacting with them; not being coordinated; misgendering them; and being discriminatory toward them.
LGBTQ+ communities continue to face significant healthcare disparities, including stigma and discrimination from health insurers and health insurer workers. Longitudinal dedication to LGBTQ+ education, advocacy, and institutional reform is necessary to dismantle the entrenched discrimination in health insurer environments and create more equitable, supportive environments for all LGBTQ+ people.
LGBTQ+群体在历史上一直面临且仍在各个领域，包括医疗保健领域，遭受耻辱和歧视。关于LGBTQ+群体对其健康保险公司和健康保险公司工作人员看法的数据非常有限。
对美国居民全国样本进行了一项在线横断面调查，他们回答了有关其医疗保健的问题，包括与健康保险公司和健康保险公司工作人员的经历。
与顺性别异性恋者（=1400人）相比，LGBTQ+群体（=1234人）报告称，他们与健康保险公司的经历明显更差，包括对健康保险公司不满意；认为健康保险公司不维护他们的权益；不信任健康保险公司；不知道健康计划涵盖哪些内容；对健康计划中的医疗服务提供者不满意；以及认为健康保险公司不能满足他们的需求。此外，与顺性别异性恋者相比，LGBTQ+群体表示与健康保险公司工作人员的经历更差，包括健康保险公司工作人员不称呼他们的名字；与他们互动时感到不舒服；缺乏协调；错误称呼他们的性别；以及对他们有歧视行为。
LGBTQ+群体继续面临重大的医疗保健差距，包括来自健康保险公司和健康保险公司工作人员耻辱和歧视。需要长期致力于LGBTQ+教育、宣传和机构改革，以消除健康保险公司环境中根深蒂固的歧视，并为所有LGBTQ+群体创造更公平、更具支持性的环境。
