Forgone Care among LGBTQ and Non-LGBTQ Americans during the COVID-19 Pandemic: The Role of Health, Social Support, and Pandemic-Related Stress

被引:11
作者
Tabler, Jennifer [1 ]
Schmitz, Rachel M.
Charak, Ruby
Propst, Aidan
机构
[1] Univ Wyoming, Dept Criminal Justice & Sociol, 1000 E Univ Ave, Laramie, WY 82070 USA
关键词
COVID-19; LGBTQ plus; pandemic stress; sexual and gender minorities; unmet need; MENTAL-HEALTH; DEPRESSION; RISK; GAY; POPULATIONS; IDENTITY; OUTCOMES; ACCESS; PHQ-9;
D O I
10.14423/SMJ.0000000000001456
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives In this study, we explore the role of Coronavirus Disease 2019 pandemic-related stress, social support, and health on unmet healthcare needs during the Coronavirus Disease 2019 pandemic, particularly among lesbian, gay, bisexual, transgender, and queer plus (LGBTQ+) adults. Methods We collected data using a self-administered online survey of US adults. Using logistic regression, we modeled potential risk and protective factors for not receiving needed care during the pandemic (forgone care) among LGBTQ+ individuals (n = 121), cisgender and heterosexual-identifying women (n = 235), and cisgender and heterosexual-identifying men (n = 62). Limiting analyses to the LGBTQ+ subsample, we also assessed the unique role of LGBTQ+ discrimination and depressive symptoms. Results Logistic regression results suggested that social support was associated with lower odds of forgone care (odds ratio [OR] 0.95, P < 0.01). Furthermore, better self-rated health and higher levels of income were associated with lower odds of forgone care (OR 0.56, P < 0.001, and OR 0.92, P < 0.05, respectively). Finally, LGBTQ+ individuals experienced uniquely high levels of forgone care, and LGBTQ+ discrimination (OR 1.03, P < 0.05) and depressive symptoms (OR 1.09, P < 0.01) were associated with higher odds of forgone care among LGBTQ+ participants. Conclusions Future research should examine the unique factors shaping the access to health care of LGBTQ+ adults in the United States, and healthcare practitioners should consider strategies to screen for discrimination and leverage the protective benefits of social support.
引用
收藏
页码:752 / 759
页数:8
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