TABLE 4.
Prevalence of Protective Health Care Factors and Their Associations With Sexual Orientation, by Gender: Washington Behavioral Risk Factor Surveillance System, 2003–2006
| Men |
Women |
|||||||
| Indicator and Sexual Orientation | No. | Prevalence, % (95% CI) | AORa (95% CI) | P | No. | Prevalence, % (95% CI) | AORa (95% CI) | P |
| Current health insurance | ||||||||
| Heterosexual (Ref) | 30 021 | 83.9 (83.2, 84.5) | 1.00 | 47 431 | 88.0 (87.5, 88.4) | 1.00 | ||
| Gay or lesbian | 496 | 87.5 (83.3, 90.7) | 1.1 (0.8, 1.7) | .49 | 586 | 81.3 (76.7, 85.3) | 0.6 (0.4, 0.8) | .002 |
| Bisexual | 234 | 67.6 (57.1, 76.6) | 0.5 (0.3, 0.8) | .004 | 561 | 74.5 (69.3, 79.2) | 0.7 (0.5, 0.9) | .006 |
| Have a personal doctor | ||||||||
| Heterosexual (Ref) | 29 969 | 72.5 (71.8, 73.3) | 1.00 | 47 389 | 84.7 (84.3, 85.2) | 1.00 | ||
| Gay or lesbian | 496 | 82.5 (77.4, 86.7) | 1.8 (1.3, 2.5) | .001 | 587 | 79.1 (74.1, 83.4) | 0.8 (0.5, 1.0) | .07 |
| Bisexual | 234 | 62.1 (52.2, 71.1) | 0.9 (0.6, 1.4) | .58 | 558 | 75.5 (70.5, 79.9) | 0.9 (0.7, 1.2) | .50 |
| Received a flu shot in past y | ||||||||
| Heterosexual (Ref) | 30 023 | 30.1 (29.4, 30.8) | 1.00 | 47 391 | 33.6 (33.0, 34.1) | 1.00 | ||
| Gay or lesbian | 495 | 44.1 (38.4, 50.0) | 2.2 (1.7, 2.9) | < .001 | 587 | 26.5 (22.0, 31.5) | 1.0 (0.7, 1.2) | .72 |
| Bisexual | 235 | 19.0 (13.9, 25.5) | 0.8 (0.5, 1.1) | .14 | 559 | 18.0 (14.5, 22.2) | 0.8 (0.6, 1.1) | .18 |
| Pap test in past 3 y (women aged ≥ 18 y)b | ||||||||
| Heterosexual (Ref) | 17 329 | 85.3 (84.5, 86.0) | 1.00 | |||||
| Gay or lesbian | 252 | 76.3 (66.7, 83.8) | 0.5 (0.3, 0.7) | .001 | ||||
| Bisexual | 254 | 84.2 (77.1, 89.4) | 0.9 (0.6, 1.4) | .60 | ||||
| Mammogram in past 2 y (women aged ≥ 40 y)b | ||||||||
| Heterosexual (Ref) | 17 996 | 74.9 (74.0, 75.8) | 1.00 | |||||
| Gay or lesbian | 207 | 63.1 (54.1, 71.3) | 0.6 (0.4, 0.9) | .01 | ||||
| Bisexual | 105 | 52.6 (39.7, 65.1) | 0.4 (0.2, 0.7) | < .001 | ||||
| PSA test in past 2 y (men aged ≥ 40 y)b | ||||||||
| Heterosexual (Ref) | 10 503 | 46.8 (45.6, 48.1) | 1.00 | |||||
| Gay or lesbian | 150 | 34.6 (25.8, 44.6) | 0.8 (0.5, 1.3) | .41 | ||||
| Bisexual | 66 | 20.2 (11.1, 33.9) | 0.3 (0.2, 0.6) | .002 | ||||
| Ever had colonoscopy/sigmoidoscopy (aged ≥ 50 y)b | ||||||||
| Heterosexual (Ref) | 8384 | 61.8 (60.4, 63.2) | 1.00 | 13 520 | 60.3 (59.2, 61.5) | 1.00 | ||
| Gay or lesbian | 87 | 56.4 (43.0, 68.9) | 0.9 (0.5, 1.6) | .77 | 105 | 56.6 (44.1, 68.4) | 1.0 (0.6, 1.7) | .91 |
| Bisexual | 44 | 66.2 (48.4, 80.3) | 1.2 (0.6, 2.7) | .61 | 56 | 66.5 (50.3, 79.6) | 1.5 (0.8, 3.0) | .24 |
Note. CI = confidence interval; OR = odds ratio; PSA = prostate-specific antigen.
a
From a logistic model that includes sexual orientation, age, and education (less than high school, high school/general equivalency diploma, some college, college graduate).
b
Question asked in 2004 and 2006 only.