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Disparities in health insurance coverage, access, and outcomes for individuals in same-sex versus different-sex relationships, 2000-2007

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  • Buchmueller, T.
  • Carpenter, C.S.

Abstract

Objectives. We used data from the Behavioral Risk Factor Surveillance System to compare health insurance coverage, access to care, and women's cancer screenings for individuals in same-sex versus different-sex relationships. Methods. We estimated logistic regression models by using data on 5265 individuals in same-sex relationships and 802659 individuals in different-sex relationships. Results. Compared with women in different-sex relationships, women in same-sex relationships were significantly less likely to have health insurance coverage, were less likely to have had a checkup within the past year, were more likely to report unmet medical needs, and were less likely to have had a recent mammogram or Pap test. Compared with men in different-sex relationships, men in same-sex relationships were significantly less likely to have health insurance coverage and were more likely to report unmet medical needs, although they were more likely to have had a checkup in the past year. Conclusions. In the largest and most recent nationally representative sample, we found important differences in health insurance coverage and access to care between individuals in same-sex relationships and those in different-sex relationships for both men and women.

Suggested Citation

  • Buchmueller, T. & Carpenter, C.S., 2010. "Disparities in health insurance coverage, access, and outcomes for individuals in same-sex versus different-sex relationships, 2000-2007," American Journal of Public Health, American Public Health Association, vol. 100(3), pages 489-495.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.160804_3
    DOI: 10.2105/AJPH.2009.160804
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    Cited by:

    1. Rodman E. Turpin & Natasha D. Williams & Ellesse-Roselee L. Akré & Bradley O. Boekeloo & Jessica N. Fish, 2022. "Trends in Health Care Access/Experiences: Differential Gains across Sexuality and Sex Intersections before and after Marriage Equality," IJERPH, MDPI, vol. 19(9), pages 1-11, April.
    2. Nicole Makris & Catherine Vena & Sudeshna Paul, 2016. "Rate and predictors of human papillomavirus vaccine uptake among women who have sex with women in the United States, the National Health and Nutrition Examination Survey, 2009–2012," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(23-24), pages 3619-3627, December.
    3. Alexa L. Solazzo & Bridget K. Gorman & Justin T. Denney, 2017. "Cancer Screening Utilization Among U.S. Women: How Mammogram and Pap Test Use Varies Among Heterosexual, Lesbian, and Bisexual Women," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 36(3), pages 357-377, June.
    4. Nova Corcoran, 2017. "Promoting health in lesbian and bisexual women: it is not just about behaviour change," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(21-22), pages 3742-3750, November.
    5. 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).
    6. 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).
    7. Hswen, Yulin & Sewalk, Kara C. & Alsentzer, Emily & Tuli, Gaurav & Brownstein, John S. & Hawkins, Jared B., 2018. "Investigating inequities in hospital care among lesbian, gay, bisexual, and transgender (LGBT) individuals using social media," Social Science & Medicine, Elsevier, vol. 215(C), pages 92-97.
    8. 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.
    9. Francesco Berlingieri & Matija Kovacic, 2023. "Health and relationship quality of the LGBTQIA+ population in Europe," Working Papers 2023: 29, Department of Economics, University of Venice "Ca' Foscari".
    10. M Eugenia Socías & Jean Shoveller & Chili Bean & Paul Nguyen & Julio Montaner & Kate Shannon, 2016. "Universal Coverage without Universal Access: Institutional Barriers to Health Care among Women Sex Workers in Vancouver, Canada," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-15, May.
    11. Carpenter, Christopher S. & Sansone, Dario, 2021. "Cigarette taxes and smoking among sexual minority adults," Journal of Health Economics, Elsevier, vol. 79(C).
    12. Tianxu Chen, 2019. "Health Insurance Coverage and Marriage Behavior: Is There Evidence of Marriage Lock?," Working papers 2019-09, University of Connecticut, Department of Economics.
    13. 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.
    14. Tianxu Chen, 2023. "Health insurance coverage and marriage behavior: Is there evidence of marriage lock?," International Studies of Economics, John Wiley & Sons, vol. 18(2), pages 136-158, June.
    15. Tianxu Chen, 2019. "Health Insurance and Marriage Behavior: Will Marriage Lock Hold Under Healthcare Reform?," Working papers 2019-10, University of Connecticut, Department of Economics.
    16. Solazzo, Alexa & Brown, Tony N. & Gorman, Bridget K., 2018. "State-level climate, anti-discrimination law, and sexual minority health status: An ecological study," Social Science & Medicine, Elsevier, vol. 196(C), pages 158-165.
    17. Elliott Isaac, 2018. "Suddenly Married: Joint Taxation And The Labor Supply Of Same-Sex Married Couples After U.S. v. Windsor," Working Papers 1809, Tulane University, Department of Economics.
    18. Goodnature, Mia & Neto, Amir Borges Ferreira, 2021. "Same-Sex Unmarried Partners in the Census," Journal of Regional Analysis and Policy, Mid-Continent Regional Science Association, vol. 51(1), April.
    19. 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.

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