Healthcare Experiences and Health Outcomes Among Rural LGBTQ+ Individuals.

IF 2.5 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH American Journal of Health Promotion Pub Date : 2024-09-01 Epub Date: 2024-03-27 DOI:10.1177/08901171241240814
Wiley D Jenkins, Kyle W Miller, Heather Tillewein, Suzan Walters, Taryn Weatherly, Hannah Wickham, Georgia Luckey, Emma Fenner
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引用次数: 0

Abstract

Purpose: To describe healthcare experiences and health outcomes among rural LGBTQ + individuals.

Design: 2022 cross-sectional survey.

Setting: Southern Illinois.

Sample: 85 individuals.

Measures: Demographics, sexual orientation and gender identity, healthcare experiences, health outcomes.

Analysis: Experiences and outcomes were assessed vs orientation and identity. Distribution comparison was by t-test and chi-square, risk prediction by logistic regression, and significance assumed at P < .050.

Results: 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%; P = .020) and more past month days of poor mental health (19.4 and 15.8 vs 10.6; P = .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%; P = .037) and more frequently reported past healthcare denial (45.5% vs 17.5% and 18.8%; P = .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.

Conclusions: 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.

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农村 LGBTQ+ 个人的医疗保健经历和健康结果。
目的:描述农村 LGBTQ + 个人的医疗保健经历和健康结果。设计:2022 项横断面调查:样本:85 人:人口统计学、性取向和性别认同、医疗保健经历、健康结果:分析:根据性取向和性别认同对经历和结果进行评估。分布比较采用 t 检验和卡方检验,风险预测采用逻辑回归,显著性假设为 P <.050:按性取向划分,参与者分别为35.3%的参与者为同性恋,16.5%的参与者为女同性恋,45.8%的参与者为双性恋加双性恋者:49.4%为顺性性别,25.9%为变性性别,24.8%为其他身份。对调查项目的回答率介于 95%-99% 之间。与男同性恋者相比,女同性恋者和双性恋加双性恋者更经常报告医疗账单支付困难(58.3% 和 57.9% vs 25.0%;P = .020),以及过去一个月精神健康状况较差的天数较多(19.4 和 15.8 vs 10.6;P = .018)。与异性恋者和其他身份者相比,变性人较少报告有常规医疗服务提供者(72.7% vs 92.7% 和 95.0%;P = .037),较多报告过去曾被拒绝提供医疗服务(45.5% vs 17.5% 和 18.8%;P = .042)。目前的健康状况与医疗账单支付能力(OR = .33,95% CI = .13-.86)以及医疗管理人员(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。某些结果的显著性可能因样本量而受到限制:我们的数据描述了农村女同性恋者、男同性恋者、双性恋者、变性者、同性恋者和其他性与性别少数群体的医疗保健经验和健康结果差异,并表明临床经验直接影响健康结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
American Journal of Health Promotion
American Journal of Health Promotion PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.40
自引率
3.70%
发文量
184
期刊介绍: The editorial goal of the American Journal of Health Promotion is to provide a forum for exchange among the many disciplines involved in health promotion and an interface between researchers and practitioners.
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