Sexual Minorities in England Have Poorer Health and Worse Health Care Experiences: A National Survey.

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  • Additional Information
    • Publication Year:
      2015
    • Author-Supplied Keywords:
      disparities
      health care experiences
      sexual orientation
    • NAICS/Industry Codes:
      NAICS/Industry Codes 525120 Health and Welfare Funds
    • Abstract:
      BACKGROUND: The health and healthcare of sexual minorities have recently been identified as priorities for health research and policy. OBJECTIVE: To compare the health and healthcare experiences of sexual minorities with heterosexual people of the same gender, adjusting for age, race/ethnicity, and socioeconomic status. DESIGN: Multivariate analyses of observational data from the 2009/2010 English General Practice Patient Survey. PARTICIPANTS: The survey was mailed to 5.56 million randomly sampled adults registered with a National Health Service general practice (representing 99 % of England's adult population). In all, 2,169,718 people responded (39 % response rate), including 27,497 people who described themselves as gay, lesbian, or bisexual. MAIN MEASURES: Two measures of health status (fair/poor overall self-rated health and self-reported presence of a longstanding psychological condition) and four measures of poor patient experiences (no trust or confidence in the doctor, poor/very poor doctor communication, poor/very poor nurse communication, fairly/very dissatisfied with care overall). KEY RESULTS: Sexual minorities were two to three times more likely to report having a longstanding psychological or emotional problem than heterosexual counterparts (age-adjusted for 5.2 % heterosexual, 10.9 % gay, 15.0 % bisexual for men; 6.0 % heterosexual, 12.3 % lesbian and 18.8 % bisexual for women; p < 0.001 for each). Sexual minorities were also more likely to report fair/poor health (adjusted 19.6 % heterosexual, 21.8 % gay, 26.4 % bisexual for men; 20.5 % heterosexual, 24.9 % lesbian and 31.6 % bisexual for women; p < 0.001 for each). Adjusted for sociodemographic characteristics and health status, sexual minorities were about one and one-half times more likely than heterosexual people to report unfavorable experiences with each of four aspects of primary care. Little of the overall disparity reflected concentration of sexual minorities in low-performing practices. CONCLUSIONS: Sexual minorities suffer both poorer health and worse healthcare experiences. Efforts should be made to recognize the needs and improve the experiences of sexual minorities. Examining patient experience disparities by sexual orientation can inform such efforts. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of JGIM: Journal of General Internal Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • ISSN:
      08848734
    • Accession Number:
      100255293
  • Citations
    • ABNT:
      ELLIOTT, M. et al. Sexual Minorities in England Have Poorer Health and Worse Health Care Experiences: A National Survey. JGIM: Journal of General Internal Medicine, [s. l.], v. 30, n. 1, p. 9, 2015. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=100255293. Acesso em: 24 out. 2020.
    • AMA:
      Elliott M, Kanouse D, Burkhart Q, et al. Sexual Minorities in England Have Poorer Health and Worse Health Care Experiences: A National Survey. JGIM: Journal of General Internal Medicine. 2015;30(1):9. Accessed October 24, 2020. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=100255293
    • APA:
      Elliott, M., Kanouse, D., Burkhart, Q., Abel, G., Lyratzopoulos, G., Beckett, M., Schuster, M., & Roland, M. (2015). Sexual Minorities in England Have Poorer Health and Worse Health Care Experiences: A National Survey. JGIM: Journal of General Internal Medicine, 30(1), 9.
    • Chicago/Turabian: Author-Date:
      Elliott, Marc, David Kanouse, Q Burkhart, Gary Abel, Georgios Lyratzopoulos, Megan Beckett, Mark Schuster, and Martin Roland. 2015. “Sexual Minorities in England Have Poorer Health and Worse Health Care Experiences: A National Survey.” JGIM: Journal of General Internal Medicine 30 (1): 9. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=100255293.
    • Harvard:
      Elliott, M. et al. (2015) ‘Sexual Minorities in England Have Poorer Health and Worse Health Care Experiences: A National Survey’, JGIM: Journal of General Internal Medicine, 30(1), p. 9. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=100255293 (Accessed: 24 October 2020).
    • Harvard: Australian:
      Elliott, M, Kanouse, D, Burkhart, Q, Abel, G, Lyratzopoulos, G, Beckett, M, Schuster, M & Roland, M 2015, ‘Sexual Minorities in England Have Poorer Health and Worse Health Care Experiences: A National Survey’, JGIM: Journal of General Internal Medicine, vol. 30, no. 1, p. 9, viewed 24 October 2020, .
    • MLA:
      Elliott, Marc, et al. “Sexual Minorities in England Have Poorer Health and Worse Health Care Experiences: A National Survey.” JGIM: Journal of General Internal Medicine, vol. 30, no. 1, Jan. 2015, p. 9. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=100255293.
    • Chicago/Turabian: Humanities:
      Elliott, Marc, David Kanouse, Q Burkhart, Gary Abel, Georgios Lyratzopoulos, Megan Beckett, Mark Schuster, and Martin Roland. “Sexual Minorities in England Have Poorer Health and Worse Health Care Experiences: A National Survey.” JGIM: Journal of General Internal Medicine 30, no. 1 (January 2015): 9. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=100255293.
    • Vancouver/ICMJE:
      Elliott M, Kanouse D, Burkhart Q, Abel G, Lyratzopoulos G, Beckett M, et al. Sexual Minorities in England Have Poorer Health and Worse Health Care Experiences: A National Survey. JGIM: Journal of General Internal Medicine [Internet]. 2015 Jan [cited 2020 Oct 24];30(1):9. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=100255293