health care access and perceptions of provider care among individuals in same-sex couples joseph...
TRANSCRIPT
![Page 1: Health Care Access and Perceptions of Provider Care among Individuals in Same-Sex Couples Joseph Clift AHRQ/Environmental Protection Agency James Kirby](https://reader036.vdocuments.us/reader036/viewer/2022083004/56649e315503460f94b223e9/html5/thumbnails/1.jpg)
Health Care Access and Perceptions of Provider Care among Individuals in
Same-Sex Couples
Joseph Clift
AHRQ/Environmental Protection Agency
James Kirby
AHRQ
![Page 2: Health Care Access and Perceptions of Provider Care among Individuals in Same-Sex Couples Joseph Clift AHRQ/Environmental Protection Agency James Kirby](https://reader036.vdocuments.us/reader036/viewer/2022083004/56649e315503460f94b223e9/html5/thumbnails/2.jpg)
Background
Most research on LGBT people focuses on health disparities, not access, use or perceptions
Most research is based on small, convenience samples
![Page 3: Health Care Access and Perceptions of Provider Care among Individuals in Same-Sex Couples Joseph Clift AHRQ/Environmental Protection Agency James Kirby](https://reader036.vdocuments.us/reader036/viewer/2022083004/56649e315503460f94b223e9/html5/thumbnails/3.jpg)
Objective
Compare individuals in same-sex couples to those in different-sex married couples– Access– Preventive Use– Perceptions of care
![Page 4: Health Care Access and Perceptions of Provider Care among Individuals in Same-Sex Couples Joseph Clift AHRQ/Environmental Protection Agency James Kirby](https://reader036.vdocuments.us/reader036/viewer/2022083004/56649e315503460f94b223e9/html5/thumbnails/4.jpg)
Method
Descriptive statistics with difference tests corrected for the complex sample design
Logistic regression models controlling for a limited number of basic sociodemographic variables– Age, household income, highest degree,
metropolitan residence and insurance status
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Data
Medical Expenditure Panel Survey, pooled for 1996-2007
Sample: individuals who are married or who report having a “partner” of the same sex – 136,676 married individuals– 696 individuals in same sex couples
![Page 6: Health Care Access and Perceptions of Provider Care among Individuals in Same-Sex Couples Joseph Clift AHRQ/Environmental Protection Agency James Kirby](https://reader036.vdocuments.us/reader036/viewer/2022083004/56649e315503460f94b223e9/html5/thumbnails/6.jpg)
Variables
Access
Preventive Use
Perceptions of Provider Care
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Results: Access
Has USC Got appt when wanted (urgent)
Got appt when wanted
(non-urgent)
Easy to see a specialist
0%
10%
20%
30%
40%
50%
60%
70%
80%
90% 83% 85% 84%77%
81% 79%74%
62%
Different-sex married Same-sex
*
*
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Results: Access
Unable to get dental care
Delayed in getting dental care
Unable to get Rx Delays in getting Rx
0%
1%
2%
3%
4%
5%
6%
7%
3% 3%
2%
3%
4%
5%
2%
6%
Different-sex married Same-sex
*
![Page 9: Health Care Access and Perceptions of Provider Care among Individuals in Same-Sex Couples Joseph Clift AHRQ/Environmental Protection Agency James Kirby](https://reader036.vdocuments.us/reader036/viewer/2022083004/56649e315503460f94b223e9/html5/thumbnails/9.jpg)
Results: Preventive Use
Had routine checkup
Had flu shot Had blood pressure checked
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
65%
32%
84%
64%
39%
83%
Different-sex married Same-sex
*
![Page 10: Health Care Access and Perceptions of Provider Care among Individuals in Same-Sex Couples Joseph Clift AHRQ/Environmental Protection Agency James Kirby](https://reader036.vdocuments.us/reader036/viewer/2022083004/56649e315503460f94b223e9/html5/thumbnails/10.jpg)
Results: Perceptions of Provider Care
Clear explanations provided
Provider showed respect
Provider spent enough time
74%76%78%80%82%84%86%88%90%92%94% 93% 93%
87%
90%88%
80%
Different-sex married Same-sex
*
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Odds-ratios from Logistic regression model
VariableDifferent-
sexSame-
sex
Got medical appointment when wanted (urgent) 1.0 0.8
Got medical appointment when wanted (non-urgent) 1.0 0.6
Easy to see a specialist 1.0 0.6
Delayed in getting necessary prescription drugs 1.0 2.4
Had flu shot in last year 1.0 1.7
Doctor showed respect 1.0 0.6
Doctor spent enough time 1.0 0.7
*
*
*
*
*
*
![Page 12: Health Care Access and Perceptions of Provider Care among Individuals in Same-Sex Couples Joseph Clift AHRQ/Environmental Protection Agency James Kirby](https://reader036.vdocuments.us/reader036/viewer/2022083004/56649e315503460f94b223e9/html5/thumbnails/12.jpg)
Summary and Conclusions
Statistically significant differences exist on:– Timeliness of getting appointments and Rx drugs– Ease in seeing specialists– Annual flu shot
Most measures show no statistically significant difference
Overall pattern of differences indicate that individuals in same-sex couples have generally worse access and more negative perceptions of care– Annual flu shot is the exception
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Limitations
Cannot infer to LGBT people, only to those in same-sex cohabiting couples
Differences are “averages” over 12 years
Descriptive