Table 3. Parent-Reported Delay in Needed Care and Youth-Reported Unmet Medical Care Needs: Type of Medical Care Needed and Reasons for Not Seeking Care by Sexual Orientation in 10th Gradersa.
| Variable | LGB | Non-LGB | Total sample | Multivariable models: LGB vs non-LGB, aOR (95% CI) | |||
|---|---|---|---|---|---|---|---|
| % (95% CI) | No. | % (95% CI) | No. | % (95% CI) | No. | ||
| Parent-reported delayed needed care: parent reported delaying needed health care for childb | |||||||
| No. | 4252 | ||||||
| During the past 12 mo | 10.9 (10.8-11.0) | 70 | 9.7 (9.6-9.8) | 349 | 10.1 (10.1-10.2) | 419 | 1.13 (0.84-1.51) |
| Serious health problem went untreated: had a serious health problem that went untreated | |||||||
| No. | 4238 | ||||||
| During the past 12 mo | 8.3 (8.2-8.4) | 58 | 3.7 (3.7-3.7) | 136 | 5.5 (5.4-5.5) | 194 | 2.36 (1.65-3.37) |
| Did not get medical care when needed: thought you should get medical care (eg, a regular checkup visit for illness or a visit for another reason) but you did not? | |||||||
| No. | 4233 | ||||||
| During the past 12 mo | 42.4 (42.2-42.6) | 277 | 30.2 (30.1-30.4) | 1081 | 34.9 (34.7-35.0) | 1358 | 1.68 (1.38-2.05) |
| Type of medical care needed: what type of medical care did you think you needed? | |||||||
| Regular checkup or routine physical exam | 57.3 (56.9-57.6) | 175 | 67.6 (67.3-67.8) | 728 | 63.6 (63.4-63.9) | 903 | 0.61 (0.45-0.83) |
| Visit for illness other than for STIs | 23.1 (22.8-23.4) | 63 | 21.4 (21.2-21.6) | 226 | 22.1 (21.9-22.2) | 289 | 1.12 (0.76-1.66) |
| Visit for STIs | 10.2 (10.1-10.3) | 33 | 5.5 (5.5-5.6) | 60 | 7.3 (7.2-7.4) | 93 | 1.92 (1.15-3.19) |
| Visit for contraception | 3.9 (3.8-4.0) | 17 | 1.2 (1.2-1.3) | 18 | 2.3 (2.2-2.3) | 35 | 3.00 (1.29-6.94) |
| Visit for substance use | 5.1 (4.8-5.3) | 7 | 1.1 (1.1-1.2) | 11 | 2.6 (2.5-2.7) | 18 | 5.25 (2.08-13.29) |
| Other type of visit | 28.6 (28.4-28.9) | 84 | 23.7 (23.5-23.9) | 257 | 25.6 (25.4-25.7) | 341 | 1.29 (0.88-1.89) |
| Reasons for not seeking medical care: what kept you from seeing a health clinician when you really needed to? | |||||||
| Did not know whom to see | 15.3 (15.1-15.4) | 38 | 17.2 (17.1-17.4) | 181 | 16.5 (16.4,16.6) | 219 | 0.87 (0.55-1.35) |
| Had no transportation | 19.9 (19.7-20.0) | 59 | 14.7 (14.6-14.8) | 156 | 16.6 (16.5-16.8) | 215 | 1.42 (0.97-2.07) |
| No one available to go along | 7.7 (7.6-7.9) | 20 | 5.5 (5.5-5.6) | 59 | 6.4 (6.3-6.5) | 79 | 1.40 (0.76-2.58) |
| Parent or guardian would not go | 12.7 (12.5-12.9) | 41 | 9.4 (9.2-9.5) | 98 | 10.6 (10.5-10.7) | 139 | 1.40 (0.87-2.25) |
| Did not want parents to know | 14.5 (14.4-14.7) | 48 | 7.1 (7.0-7.2) | 78 | 9.9 (9.8-10.0) | 126 | 2.22 (1.46-3.38) |
| Afraid the visit would not be confidential | 3.9 (3.8-4.0) | 15 | 2.8 (2.7-2.8) | 28 | 3.2 (3.1-3.2) | 43 | 1.38 (0.69-2.75) |
| Difficult to make appointment | 8.6 (8.5-8.7) | 29 | 13.0 (12.9-13.1) | 130 | 11.3 (11.2-11.4) | 159 | 0.62 (0.39-0.99) |
| Afraid of what physician would say or do | 7.6 (7.5-7.7) | 27 | 4.8 (4.7-4.8) | 51 | 5.8 (5.8-5.9) | 78 | 1.59 (0.90-2.82) |
| Thought the problem would go away | 27.8 (27.4-28.2) | 77 | 26.3 (26.0-26.6) | 270 | 26.8 (26.6-27.0) | 347 | 1.11 (0.78-1.59) |
| Could not pay for a visit | 9.8 (9.7-10.0) | 30 | 7.0 (6.9-7.1) | 68 | 8.1 (8.0-8.2) | 98 | 1.42 (0.81-2.49) |
| Other | 25.2 (25.1-25.3) | 60 | 21.5 (21.5-21.6) | 228 | 22.9 (22.9-23.0) | 288 | 1.22 (0.84-1.75) |
Abbreviations: aOR, adjusted odds ratio; LGB, lesbian, gay, bisexual, and other sexual minority youth; non-LGB, heterosexual or straight youth; STIs, sexually transmitted infections.
Weighted percentage and unweighted number are presented. Covariate-adjusted proportions are presented which were derived using a recycled predictions approach. Separate multivariable logistic regression models adjusting for complex survey design (proc survey with weights, cluster, and strata) were fit regressing each health care indicator on LGB status controlling for child age in years, youth gender, youth race and ethnicity, household education, household income, and marital status.
Parent-reported delayed needed care variable; all other variables were self-reported by youth.