Health Care Access and Perceptions of Provider Care among Individuals in Same-Sex Couples

Slide presentation from the AHRQ 2011 conference.

On September 19, 2011, James Kirby made this presentation at the 2011 Annual Conference. Select to access the PowerPoint® presentation (100 KB). Plugin Software Help.


Slide 1

Health Care Access and Perceptions of Provider Care among Individuals in Same-Sex Couples  

Health Care Access and Perceptions of Provider Care among Individuals in Same-Sex Couples

Joseph Clift
AHRQ/Environmental Protection Agency

James Kirby
AHRQ

Slide 2

 Background

Background

  • Most research on gay, lesbian, bisexual and transgender (LGBT) people focuses on health disparities, not access, use or perceptions.
  • Most research is based on small, convenience samples.

Slide 3

 Objective

Objective

  • Compare individuals in same-sex couples to those in different-sex married couples:
    • Access.
    • Preventive Use.
    • Perceptions of care.

Slide 4

 Method

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.

Slide 5

 Data

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.

Slide 6

Variables  

Variables

  • Access.
  • Preventive Use.
  • Perceptions of Provider Care.

Slide 7

 Results: Access

Results: Access

Image: Bar graph shows the following data:

 Different-sex
married
Same-sex
Has USC83%81%
Got appt when wanted (urgent)85%79%
Got appt when wanted (non-urgent)84%74%
Easy to see a specialist77%62%

Slide 8

Results: Access  

Results: Access

Image: Bar graph shows the following data:

 Different-sex
married
Same-sex
Unable to get dental care3%4%
Delayed in getting dental care3%5%
Unable to get Rx2%2%
Delays in getting Rx3%6%

 

Slide 9

 Results: Preventive Use

Results: Preventive Use

Image: Bar graph shows the following data:

 Different-sex
married
Same-sex
Had routine checkup65%64%
Had flu shot32%39%
Had blood pressure checked84%83%

Slide 10

 Results: Perceptions of Provider Care

Results: Perceptions of Provider Care

Image: Bar graph shows the following data:

 Different-sex
married
Same-sex
Clear explanations provided93%90%
Provider showed respect93%88%
Unable to get Rx2%2%
Provider spent
enough time
87%80%


Slide 11

 Odds-ratios from Logistic Regression Model

Odds-ratios from Logistic Regression Model

VariableDifferent-sexSame-sex
Got medical appointment when wanted (urgent)1.00.8
Got medical appointment when wanted (non-urgent)1.00.6
Easy to see a specialist1.00.6
Delayed in getting necessary prescription drugs1.02.4
Had flu shot in last year1.01.7
Doctor showed respect1.00.6
Doctor spent enough time1.00.7

Slide 12

 Summary and Conclusions

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.

Slide 13

Limitations  

Limitations

  • Cannot infer to LGBT people, only to those in same-sex cohabiting couples.
  • Differences are "averages" over 12 years.
  • Descriptive.
Page last reviewed March 2012
Internet Citation: Health Care Access and Perceptions of Provider Care among Individuals in Same-Sex Couples. March 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/events/conference/2011/kirby/index.html