Table 3.
Patient Experience by Sexual Orientation: Adjusted Percentages (Heterosexual as Comparison Group)*
| Men† | |||||
| Heterosexual (Reference) | Gay | Bisexual | Other | Prefer Not to Say/Missing | |
| Trust and confidence in doctor = Not at all | 3.6 (3.5, 3.7) | 5.6 (5.1, 6.0) p < 0.001 | 4.3 (3.7, 4.8) p = 0.06 | 5.0 (4.5, 5.5) p < 0.001 | 3.9 (3.7, 4.1) p = 0.002 |
| Doctor communication: Any item = Poor or very poor | 9.0 (8.9, 9.1) | 13.5 (12.8, 14.2) p < 0.001 | 12.5 (11.2, 13.8) p < 0.001 | 10.4 (9.3, 11.4) p = 0.007 | 9.0 (8.8, 9.3) p = 0.93 |
| Nurse communication: Any item = Poor or very poor | 4.2 (4.1, 4.3) | 7.0 (6.4, 7.6) p < 0.001 | 7.3 (6.2, 8.5) p < 0.001 | 6.7 (5.9, 7.5) p < 0.001 | 5.2 (5.0, 5.5) p < 0.001 |
| Overall satisfaction = Fairly or very dissatisfied | 3.8 (3.7, 3.8) | 5.9 (5.4, 6.4) p < 0.001 | 4.9 (4.3, 5.5) p = 0.002 | 3.8 (3.3, 4.3) p = 0.95 | 3.7 (3.6, 3.9) p = 0.73 |
| Women‡ | |||||
| Heterosexual (Reference) | Lesbian | Bisexual | Other | Prefer Not to Say/Missing | |
| Trust and confidence in doctor = Not at all | 3.9 (3.8, 3.9) | 5.3 (4.7, 5.9) p < 0.001 | 5.3 (4.6, 6.0) p < 0.001 | 4.3 (3.8, 4.8) p = 0.17 | 4.0 (3.8, 4.1) p = 0.20 |
| Doctor communication: Any item = Poor or very poor | 9.3 (9.2, 9.4) | 11.7 (10.8, 12.5) p < 0.001 | 12.8 (11.9, 13.7) p < 0.001 | 9.2 (8.5, 9.9) p = 0.83 | 9.1 (8.9, 9.4) p = 0.23 |
| Nurse communication: Any item = Poor or very poor | 4.5 (4.5, 4.6) | 7.8 (7.1, 8.4) p < 0.001 | 6.7 (5.9, 7.5) p < 0.001 | 5.3 (4.6, 6.1) p = 0.02 | 5.1 (4.9, 5.3) p < 0.001 |
| Overall satisfaction = Fairly or very dissatisfied | 3.9 (3.8, 3.9) | 4.9 (4.3, 5.5) p < 0.001 | 4.2 (3.6, 4.8) p = 0.31 | 2.9 (2.6, 3.2) p < 0.001 | 3.7 (3.6, 3.8) p = 0.04 |
*from Model 1, which also includes controls for age, race/ethnicity, self-rated health, and deprivation quintiles
†Sample sizes for men: confidence and trust in doctor n = 827,959; doctor communication n = 838,022; nurse communication n = 699,365; and satisfaction with care n = 856,453
‡Sample sizes for women: confidence and trust in doctor n = 1,127,664; doctor communication n = 1,139,857; nurse communication n = 1,035,380; and satisfaction with care n = 1,161,213
Cells for which p < 0.01 appear in boldface