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. 2016 Jun;106(6):1116–1122. doi: 10.2105/AJPH.2016.303049

TABLE 3—

Associations of Sexual Orientation and Barriers to Care Among US Men and Women Aged 18–64 Years: National Health Interview Survey, 2013 (n = 25 885)

Barrier and Group Men, AORa (95% CI) Women, AORa (95% CI)
Delayed/did not receive care because of cost
 Straight (Ref) 1 1
 Gay/lesbian 1.7 (1.1, 2.6) 1.7 (1.1, 2.7)
 Bisexual 2.4 (1.2, 4.7) 2.3 (1.2, 4.2)
 Bisexual vs gay/lesbianb 1.4 (0.6, 3.1) 1.4 (0.6, 2.9)
Did not receive specific services because of cost
 Straight (Ref) 1 1
 Gay/lesbian 1.4 (0.9, 2.0) 1.0 (0.7, 1.6)
 Bisexual 1.7 (0.8, 3.3) 2.2 (1.3, 3.7)
 Bisexual vs gay/lesbianb 1.2 (0.6, 2.7) 2.2 (1.1, 4.2)
Delayed care for noncost reasons
 Straight (Ref) 1 1
 Gay/lesbian 1.5 (0.9, 2.4) 0.5 (0.3, 0.8)
 Bisexual 2.3 (1.1, 5.0) 2.2 (1.2, 4.0)
 Bisexual vs gay/lesbianb 1.6 (0.7, 3.9) 4.4 (2.0, 9.5)
Trouble finding a provider
 Straight (Ref) 1 1
 Gay/lesbian 2.3 (1.3, 4.1) 0.6 (0.3, 1.2)
 Bisexual 1.0 (0.3, 3.7) 1.8 (1.0, 3.3)
 Bisexual vs gay/lesbianb 0.4 (0.1, 1.8) 3.0 (1.2, 7.5)
No usual source of care when sick or need medical advice
 Straight (Ref) 1 1
 Gay/lesbian 0.8 (0.5, 1.4) 2.1 (1.3, 3.4)
 Bisexual 1.1 (0.5, 2.4) 1.5 (0.7, 3.3)
 Bisexual vs gay/lesbianb 1.4 (0.6, 3.6) 0.7 (0.3, 1.8)

Note. AOR = adjusted odds ratio; CI = confidence interval.

a

The following covariates were included in the model: sociodemographic characteristics (age, race/ethnicity, marital status, not US born, neighborhood tenure, US region of residence, and place of residence), socioeconomic characteristics (education, work status, poverty status, and health insurance coverage), and health status measures (reported health status, activity limitation, and serious psychological distress).

b

AORs and 95% CIs for comparisons between the bisexual and gay/lesbian groups are based on the same model used in other analyses with gay/lesbian designated as the reference category.