Exhibit 4.

Access to Care Among Aging LGB Men and Women, and Risk Ratios Comparing Aging Gay/Bisexual Men and Lesbian/Bisexual Women to Aging Heterosexual Men and Women, Controlling for Age, Race/Ethnicity, Insurance, Low-Income and Education, California, 2003–2007

Access and Utilization in Past Year	Unadjusted Rate Among Gay/Bisexual (GB) Men, Ages 50–70	Aging GB Men Compared to Aging Heterosexual Men After Adjusting for Population Differences (Relative Risk)	Unadjusted Rate Among Lesbian/Bisexual (LB) Women, Ages 50–70	Aging LB Women Compared to Aging Heterosexual Women After Adjusting for Population Differences (Relative Risk)
Delay of Care (CHIS 2003 & CHIS 2007)	14.8%	1.04 times higher, not significant	25.8%	1.28* times higher
Delay of Prescriptions (CHIS 2003 & CHIS 2007)	14.1%	1.21 times higher, not significant	19.5%	1.13 times higher, not significant
ER Visit	18.6%	1.07 times higher, not significant	19.1%	1.10 times higher, not significant
3+ Doctor Visits	63.2%	1.19* times higher	64.3%	1.09* times higher
No Usual Source of Care (CHIS 2003 & CHIS 2005)	6.7%	0.97 times higher, not significant	6.7%	1.49 times higher, not significant

^*Statistically significant at p ≤ .05.

Sources: 2003, 2005 and 2007 California Health Interview Surveys unless otherwise noted