Understanding the well being care wants and experiences of LGBT+ folks in the US is vital for addressing obstacles and facilitating entry to care and protection. We analyzed nationally consultant knowledge from a brand new KFF survey to match the experiences of self-identified LGBT+ adults to their non-LGBT+ counterparts. Key findings embody the next:
- The demographics of the LGBT+ neighborhood differ in some methods from that of their non-LGBT+ counterparts, variations which will have implications for well being wants and entry. Particularly, LGBT+ adults are youthful, decrease earnings, and fewer prone to be married.
- LGBT+ folks extra generally report being in honest or poor well being than non-LGBT+ folks, regardless of being a youthful inhabitants, and report increased charges of ongoing well being situations and incapacity or continual illness.
- Whereas LGBT+ individuals are as prone to have a regular supply of care and common supplier, and use related websites of care as their non-LGBT+ counterparts, they have been extra prone to report a variety of unfavorable supplier experiences, together with being blamed for well being issues or having their issues dismissed. On the similar time, LGBT+ folks have been extra prone to focus on sure well being and social points with their suppliers than non-LGBT+ folks.
- LGBT+ folks additionally extra generally report that they or a family member of the family has had issues paying medical payments up to now 12 months than non-LGBT+ folks, and as for non-LGBT+ folks, it is a problem that generally impacts their skill to afford primary requirements.
- LGBT+ folks’s utilization of well being companies in comparison with non-LGBT+ folks varies significantly by service kind. For instance, LGBT+ girls have been much less prone to report having had a current mammogram or ever had gynecological examination than non-LGBT+ girls however LGBT+ folks have been extra prone to report having obtained different preventive screenings, together with for sexual well being.
- In some circumstances, LGBT+ folks confronted more difficult COVID-related circumstances than non-LGBT+ folks, together with the next share of LGBT+ folks looking for psychological well being care due to the pandemic.
- Smaller, however nonetheless substantial, shares of LGBT+ girls report ever being pregnant in comparison with non-LGBT+ girls, and majorities reported giving beginning, although miscarriage was additionally a standard expertise.
Understanding the well being care wants and experiences of the greater than 11 million LGBT people in the US is vital for addressing obstacles and facilitating entry to care and protection. Research have discovered that LGBT+ folks expertise sure well being and entry to care challenges at increased charges than their non-LGBT+ friends. Recognizing this, the Nationwide Institutes of Well being (NIH) has identified sexual and gender minorities as a “well being disparity inhabitants” to encourage and help analysis on this space. Well being disparities amongst LGBT+ folks can range throughout the inhabitants and might intersect with components past sexual orientation and gender id to incorporate race/ethnicity, class, nationality, and age, amongst different elements of id.
Regardless of some important progress in researching these points over the past decade, a current examine discovered that almost all population-based analysis nonetheless does not include measures of sexual orientation and gender id, limiting the power of policymakers, coverage implementers, and researchers to evaluate nationwide traits, disparities, and determine wanted interventions. We sought so as to add to the information base on this space by analyzing newly out there, nationally consultant knowledge from the 2020 KFF Girls’s Well being Survey to match the experiences of self-identified LGBT+ adults to their non-LGBT+ counterparts.
The survey included measures of sexual orientation and gender id, in addition to different demographic traits, and requested a couple of vary of points from normal well-being to experiences participating within the well being system, HIV, reproductive well being care, and the affect of COVID-19. The survey, carried out between November and December 17, 2020, included a nationally consultant pattern of 4,805 folks ages 18-64 utilizing an internet probability-based panel, together with 492 LGBT+ folks and oversampled lesbian and bisexual girls. (A breakdown of pattern measurement by LGBT+ group is obtainable within the appendix.) Information are consultant of people that self-identified as ‘feminine’ or ‘male’ (no matter intercourse assigned at beginning) and two separate survey questionnaires have been designed for these two gender teams. Whereas we aimed to be as inclusive as potential, we weren’t in a position to acquire a big sufficient pattern to help a separate questionnaire targeted on non-binary or gender-fluid folks. As well as, small pattern measurement limits our skill to report consultant estimates of experiences amongst transgender folks.