Healthcare experiences of urban young adult lesbians-Reference-Cited by-同舟云学术

Healthcare experiences of urban young adult lesbians

Published:2020-01 Issue: Volume:16 Page:174550651989982
ISSN:1745-5065
Container-title:Women's Health
language:en
Short-container-title:Womens Health (Lond Engl)

Author:

Griffin Marybec¹²^ORCID,Jaiswal Jessica²³,Krytusa Dawn¹⁴,Krause Kristen D¹²,Kapadia Farzana²⁵⁶,Halkitis Perry N¹²⁷⁸⁹

Affiliation:

1. Departments of Biostatistics, and Social and Behavioral Health Sciences, Rutgers School of Public Health, Rutgers University, Piscataway, NJ, USA

2. Center for Health, Identity, Behavior and Prevention Studies, Rutgers University, Newark, NJ, USA

3. Department of Health Science, University of Alabama, Tuscaloosa, AL

4. New Jersey Medical School, Rutgers University, Newark, NJ, USA

5. College of Global Public Health, New York University, New York, NY, USA

6. Department of Population Health, Langone Medical Center, New York University, New York, NY, USA

7. Department of Urban-Global Public Health, Rutgers School of Public Health, Rutgers University, Newark, NJ, USA

8. Graduate School of Applied and Professional Psychology, Rutgers University, Newark, NJ, USA

9. School of Public Affairs and Administration, Rutgers University, Newark, NJ, USA

Abstract

Purpose: This cross-sectional study of young adult lesbians explores their healthcare experiences including having a primary care provider, forgone care, knowledge of where to obtain Pap testing, and sexually transmitted infection testing. Methods: Quantitative surveys were conducted at lesbian, gay, bisexual, and transgender venues and events with a sample of 100 young adult lesbians in New York City between June and October 2016. Using the Andersen model of healthcare access, this study examined associations between sociodemographic characteristics and healthcare experiences using multivariable logistic regression models. Results: Having a primary care provider was associated with having health insurance (adjusted odds ratio (AOR) = 4.9, p < 0.05). Both insurance (AOR = 0.2, p < 0.05) and employment (AOR = 0.2, p < 0.05) status were protective against foregone care among young adult lesbians. Disclosure of sexual orientation to a provider improved knowledge of where to access Pap testing (AOR = 7.5, p < 0.05). Disclosure of sexual orientation to friends and family improved knowledge of where to access sexually transmitted infection testing (AOR = 3.6, p < 0.05). Conclusion: Socioeconomic factors are significantly associated with healthcare access among young adult lesbians in New York City. Maintaining non-discrimination protections for both healthcare services and insurance coverage are important for this population. In addition, financial subsidies that lower the cost of health insurance coverage may also help improve healthcare access among young adult lesbians.

Publisher

SAGE Publications

Subject

General Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/1745506519899820

Reference35 articles.

1. Comparing Health and Mental Health Needs, Service Use, and Barriers to Services among Sexual Minority Youths and Their Peers

2. Unmet health and mental health need among adolescents: The roles of sexual minority status and child-parent connectedness.

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