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Health care access among individuals involved in same-sex relationships

Author

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  • Heck, J.E.
  • Sell, R.L.
  • Gorin, S.S.

Abstract

Objectives. We used data from the National Health Interview Survey to compare health care access among individuals involved in same-sex versus opposite-sex relationships. Methods. We conducted descriptive and logistic regression analyses from pooled data on 614 individuals in same-sex relationships and 93 418 individuals in opposite-sex relationships. Results. Women in same-sex relationships (adjusted odds ratio [OR] = 0.60; 95% confidence interval [CI] = 0.39, 0.92) were significantly less likely than women in opposite-sex relationships to have health insurance coverage, to have seen a medical provider in the previous 12 months (OR = 0.66; 95% CI = 0.46, 0.95), and to have a usual source of health care (OR = 0.50; 95% CI = 0.35, 0.71); they were more likely to have unmet medical needs as a result of cost issues (OR = 1.85; 95% CI = 1.16, 2.96). In contrast, health care access among men in same-sex relationships was equivalent to or greater than that among men in opposite-sex relationships. Conclusions. In this study involving a nationwide probability sample, we found some important differences in access to health care between individuals in same-sex and opposite-sex relationships, particularly women.

Suggested Citation

  • Heck, J.E. & Sell, R.L. & Gorin, S.S., 2006. "Health care access among individuals involved in same-sex relationships," American Journal of Public Health, American Public Health Association, vol. 96(6), pages 1111-1118.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2005.062661_8
    DOI: 10.2105/AJPH.2005.062661
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    Cited by:

    1. Reczek, Corinne, 2012. "The promotion of unhealthy habits in gay, lesbian, and straight intimate partnerships," Social Science & Medicine, Elsevier, vol. 75(6), pages 1114-1121.
    2. McNair, Ruth Patricia & Hegarty, Kelsey & Taft, Angela, 2012. "From silence to sensitivity: A new Identity Disclosure model to facilitate disclosure for same-sex attracted women in general practice consultations," Social Science & Medicine, Elsevier, vol. 75(1), pages 208-216.
    3. Carpenter, Christopher S. & Gonzales, Gilbert & McKay, Tara & Sansone, Dario, 2020. "Effects of the Affordable Care Act Dependent Coverage Mandate on Health Insurance Coverage for Individuals in Same-Sex Couples," IZA Discussion Papers 13119, Institute of Labor Economics (IZA).
    4. Saxby, Karinna & de New, Sonja C. & Petrie, Dennis, 2020. "Structural stigma and sexual orientation disparities in healthcare use: Evidence from Australian Census-linked-administrative data," Social Science & Medicine, Elsevier, vol. 255(C).
    5. Bethany Everett & Stefanie Mollborn, 2014. "Examining Sexual Orientation Disparities in Unmet Medical Needs Among Men and Women," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 33(4), pages 553-577, August.
    6. Powdthavee, Nattavudh & Wooden, Mark, 2015. "Life satisfaction and sexual minorities: Evidence from Australia and the United Kingdom," Journal of Economic Behavior & Organization, Elsevier, vol. 116(C), pages 107-126.
    7. Corinne Reczek & Russell Spiker & Hui Liu & Robert Crosnoe, 2016. "Family Structure and Child Health: Does the Sex Composition of Parents Matter?," Demography, Springer;Population Association of America (PAA), vol. 53(5), pages 1605-1630, October.
    8. Madina Agénor & J. Wyatt Koma & Ashley E. Pérez & Alex McDowell & Gilbert Gonzales, 2023. "Differences in Health Insurance and Usual Source of Care Among Racial/Ethnic and Sexual Orientation Subgroups of U.S. Women and Men," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 42(3), pages 1-26, June.
    9. Corinne Reczek & Hui Liu & Dustin Brown, 2014. "Cigarette Smoking in Same-Sex and Different-Sex Unions: The Role of Socioeconomic and Psychological Factors," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 33(4), pages 527-551, August.
    10. Michael Goodman & Sarah Seidel & Reegan Kaberia & Philip Keiser, 2015. "How can we improve healthcare access and general self-rated health among orphans and vulnerable children? Findings from a Kenyan cross-sectional study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(5), pages 589-597, July.

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