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AJPH First Look, published online ahead of print May 2, 2006
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96/6/1111    most recent
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June 2006, Vol 96, No. 6 | American Journal of Public Health 1111-1118
© 2006 American Public Health Association
DOI: 10.2105/AJPH.2005.062661


RESEARCH AND PRACTICE

Health Care Access Among Individuals Involved in Same-Sex Relationships

Julia E. Heck, PhD, MPH, Randall L. Sell, ScD and Sherri Sheinfeld Gorin, PhD

At the time of the study, Julia E. Heck was a doctoral student in the Department of Epidemiology and a fellow with the Institute for Social and Economic Research and Policy, Columbia University, New York City. Randall L. Sell is with the Department of Sociomedical Sciences, Columbia University. Sherri Sheinfeld Gorin is with the Departments of Epidemiology and Sociomedical Sciences, Columbia University, and the Department of Health and Behavior Studies, Teacher’s College, Columbia University.

Correspondence: Requests for reprints should be sent to Sherri Sheinfeld Gorin, PhD, Department of Health and Behavior Studies, 525 W 120th St, Box 239, Thorndike 954, New York, NY 10027 (e-mail: ssg19{at}columbia.edu).

Objectives. We used data from the National Health Interview Survey to compare health care access among individuals involved in same-sex versus opposite-sex relationships.

Methods. We conducted descriptive and logistic regression analyses from pooled data on 614 individuals in same-sex relationships and 93418 individuals in opposite-sex relationships.

Results. Women in same-sex relationships (adjusted odds ratio [OR]=0.60; 95% confidence interval [CI]=0.39, 0.92) were significantly less likely than women in opposite-sex relationships to have health insurance coverage, to have seen a medical provider in the previous 12 months (OR=0.66; 95% CI=0.46, 0.95), and to have a usual source of health care (OR=0.50; 95% CI=0.35, 0.71); they were more likely to have unmet medical needs as a result of cost issues (OR=1.85; 95% CI=1.16, 2.96). In contrast, health care access among men in same-sex relationships was equivalent to or greater than that among men in opposite-sex relationships.

Conclusions. In this study involving a nationwide probability sample, we found some important differences in access to health care between individuals in same-sex and opposite-sex relationships, particularly women.







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