Health Insurance And Lgbtq+ Health Services: Progress In European Context – Lindsey Dawson Follow @LindseyH_Dawson on Twitter, Brittni Frederiksen, Michelle Long, Usha Ranji and Jennifer Kates Follow @jenkatesdc on Twitter
The demographics of the LGBT+ community differ from those of the non-LGBT+ community in several ways, and these differences may have implications for health needs and access (Figure 1):
Health Insurance And Lgbtq+ Health Services: Progress In European Context
Family structures also differ between LGBT+ and non-LGBT+ people, and these differences may affect health and insurance coverage (Figure 2).
Lgbt Health At Mount Sinai
Health status data for the LGBT+ population reveal some disparities between this group and the non-LGBT+ population (Figure 3).
Many LGBT+ people are dealing with chronic illness or disability that affects their daily lives, in some cases more severely than non-LGBT+ people (Table 1).
LGBT+ people were just as likely as non-LGBT+ people to have a common source of care and reported using similar places of care, factors that were associated with increased preventive care and better health outcomes (Figure 4).
Figure 5: Among LGBT+ people with a fixed location or source, 7 in 10 usually visit a doctor’s office and 2 in 10 visit a health center or clinic
Pride Month: Healthcare Self Advocacy For Lgbtq Patients
While LGBT+ people reported negative provider experiences at a higher rate than non-LGBT+ people, LGBT+ people were also more likely to discuss certain health issues with their providers (Figure 9).
LGBT+ people reported higher health care cost problems than non-LGBT+ people, including costs related to medical bills and other insurance costs, which may reflect lower income and higher health needs.
Healthcare costs can have an impact on the financial well-being of LGBT+ people, including their ability to afford basic necessities, similar to the experience of non-LGBT+ people (Figure 11).
Even with health insurance, some LGBT+ people experience barriers or problems accessing or paying for health care (Figure 12).
Infographic: Lgbtq Pride Month
In addition to asking about experiences and barriers to accessing health care, we explore LGBT+ people’s use of primary care services, including prescription drugs, health checks and preventive cancer screenings. Usage by LGBT+ and non-LGBT+ populations varies by service type
People take prescription drugs for many reasons, including to treat or manage chronic and acute conditions or to prevent pregnancy. More LGBT+ people than non-LGBT+ people reported regularly taking at least one prescription drug (64% vs. 51%), and like non-LGBT+ people, prescription drug use increased with age (Figure 13).
Regular doctor visits give people the opportunity to address new, chronic and emerging health concerns, undergo preventive screenings, and discuss a wide range of issues with their clinicians.
The use of preventive cancer screening allows for early detection of the disease when it is more sensitive to medical intervention, and potentially avoids serious complications (Figure 14).
Cedars Sinai Creates Safe Space For High Quality Lgbtq+ Healthcare
The COVID-19 pandemic has affected the lives of people across the country. In some cases, LGBT+ people have similar COVID-related experiences as non-LGBT+ people, but in other cases, they face more challenging circumstances.
Figure 18: More than half of LGBT+ people who have struggled to pay medical bills in the past 12 months say this is at least partially due to the COVID-19 pandemic
Figure 19: About half of LGBT+ people who have been tested for STIs or HIV know they have been tested because they asked to be tested
LGBT+ people are more likely than non-LGBT+ people to discuss a range of sexual health and relationship issues with their providers, suggesting that, for the majority of insureds, coverage without cost sharing is required (Figure 20).
Moving Beyond Change Efforts: Evidence And Action To Support And Affirm Lgbtqi+ Youth
Gynecological visits often include cervical and breast cancer screening, education and counselling, and in some cases LGBT+ women report lower rates of access to such care (Figure 21). We did not assess service utilization in terms of sex assigned at birth/biological need for services. Therefore, transgender men and others who could benefit from reproductive health care may be excluded from these findings from female respondents.
People use contraception for many reasons, sometimes more than one at a time (Figure 22).
More than four in 10 (41%) of LGBT+ women aged 18-64 (including 45% of bisexual women and 19% of lesbian women) reported having been pregnant in their lifetime, compared to 1 in 10 Seven in 10 (71%) were non-LGBT+ women (Table 5).
Most of the women said they knew someone who had had an abortion. This rate was higher for LGBT+ women (68%) than for non-LGBT+ women (59%). Nearly two-thirds of LGBT+ women (64%) said they had heard of medical abortion (a pregnancy termination option used in the first 10 weeks of pregnancy that involves taking two different drugs: mifepristone and misoprostol ), a higher percentage than non-LGBT+ women (55%) (Figure 24).
Companies Healthcare Benefits Offerings Are Failing Lgbtq Employees
This briefing is intended to complement the growing work on health in the LGBT+ community. We found that while in many cases LGBT+ people had similar health and healthcare experiences to non-LGBT+ people, there were also some significant differences, particularly in terms of some poorer health outcomes and negative provider experiences , and in terms of lower utilization of care in some regions. The number of cases and the burden of medical expenses are higher. LGBT+ people are also experiencing some of the challenges of the COVID-19 era at a higher rate.
While data collection on LGBT+ people is improving, especially at the federal level, it remains substandard and, as a result, knowledge gaps persist, including in health status, health needs, and access to healthcare. A lack of research in this area limits the ability of policy and the healthcare sector to address health needs and population disparities. Given the pervasive stigma, discrimination and violence that LGBT+ people experience in various settings (e.g. home, work, school, healthcare, etc.) Access goals are very important.
This work was supported in part by the Elton John AIDS Foundation. We value our funders. Maintain full editorial control over all policy analysis, opinion polls, and news events. Now through December 15th, Healthcare.gov is open for registration. At Family Equality, we’re partnering with Out2Enroll to encourage all LGBTQ people to make sure they’re covered and able to get the health care they need.
The study estimates that 25 percent of trans people, 17 percent of queer people and 19 percent of bisexual people are currently uninsured, compared with 8.8 percent of the overall population. A recent study by the Center for American Progress (CAP) suggests that discrimination can be a barrier to accessing health care for LGBTQ people.
Orientation & Identity Clinical Data Collection Toolkit
It’s a familiar idea for many LGBTQ people across the country, who are plagued by cis- and straight-sex issues as soon as they enter a hospital or doctor’s office. Anecdotes abound about discrimination in healthcare—from LGBTQ patients being judged or misinformed, to themselves and their children being denied treatment.
Under the Obama administration, the Affordable Care Act (ACA) attempted to address this issue by explicitly banning discriminatory practices in health care. The Trump administration’s effort to repeal the Affordable Care Act would weaken those protections, making it easier for providers to discriminate against LGBTQ people and women.
Knowing your rights can protect you as you find the health care that is right for you. Everyone deserves access to healthcare, and taking care of yourself is a right, not a privilege. Lindsey Dawson on Twitter @LindseyH_Dawson, Brittni Frederiksen, Michelle Long, Usha Ranji and Jennifer Kates on Twitter @jenkatesdc
Understanding the health care needs and experiences of LGBT+ people in the United States is important to address barriers and improve access to care and insurance. We analyzed nationally representative data from a new survey to compare the experiences of self-identified LGBT+ adults with those of non-LGBT+ adults. Key findings include the following:
Health And Access To Care And Coverage Lgbt Individuals In The Us
Understanding the healthcare needs and experiences of the more than 11 million LGBT people in the United States is important to addressing barriers and improving access to care and insurance. Studies have found that LGBT+ people are more likely than non-LGBT+ people to experience certain health and access to care challenges. Recognizing this, the National Institutes of Health (NIH) has identified sexual minorities as a “health disparity population” to encourage and support research in this area. Health disparities in LGBT+ people may vary across population groups and may intersect with factors other than sexual orientation and gender identity, including race/ethnicity, class, nationality and age, and other aspects of identity.
While some significant progress has been made in studying these issues over the past decade, a recent study found that most population-based studies still do not include measures of sexual orientation and gender identity, limiting policymakers, policy implementers and researchers to assess national trends, differences, and identify needed interventions. We sought to enrich the knowledge base in this area by analyzing newly available nationally representative data from the 2020 Women’s Health Survey to compare the experiences of self-identified LGBT+ adults with those of non-LGBT+ adults.
The survey included measures of sexual orientation and gender identity, as well as other demographic characteristics, and asked questions ranging from general well-being to experiences of participation in the health system, HIV, reproductive health and more.
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