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Health Care Access and Perceptions of Provider Care among Individuals in Same-Sex Couples. Joseph Clift AHRQ/Environmental Protection Agency James Kirby AHRQ. Background. Most research on LGBT people focuses on health disparities, not access, use or perceptions
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Health Care Access and Perceptions of Provider Care among Individuals in Same-Sex Couples Joseph Clift AHRQ/Environmental Protection Agency James Kirby AHRQ
Background • Most research on LGBT people focuses on health disparities, not access, use or perceptions • Most research is based on small, convenience samples
Objective • Compare individuals in same-sex couples to those in different-sex married couples • Access • Preventive Use • Perceptions of care
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
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
Variables • Access • Preventive Use • Perceptions of Provider Care
Results: Access * *
Odds-ratios from Logistic regression model * * * * * *
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
Limitations • Cannot infer to LGBT people, only to those in same-sex cohabiting couples • Differences are “averages” over 12 years • Descriptive