Differences in Health Insurance and Usual Source of Care Among Racial/Ethnic and Sexual Orientation Subgroups of U.S. Women and Men

Madina Agénor (), J. Wyatt Koma (), Ashley E. Pérez (), Alex McDowell () and Gilbert Gonzales ()
Additional contact information
Madina Agénor: Brown University School of Public Health
J. Wyatt Koma: Harvard University
Ashley E. Pérez: University of California
Alex McDowell: Mongan Institute Health Policy Center, Massachusetts General Hospital
Gilbert Gonzales: Vanderbilt University

Population Research and Policy Review, 2023, vol. 42, issue 3, No 4, 26 pages

Abstract: Abstract Researchers have identified inequities in health insurance and usual source of care in relation to either race/ethnicity or sexual orientation among U.S. women and men. However, intersectionality suggests that racism and heterosexism may have a compounding negative impact on health care outcomes in relation to both race/ethnicity and sexual orientation. Using 2013–2018 National Health Interview Survey data, we used multivariable logistic regression to examine differences in health insurance and usual source of care among U.S. women (N = 70,855) and men (N = 61,032) aged 18–64 years in relation to both race/ethnicity and sexual orientation. Compared to white heterosexual women, Black ([odds ratio =]0.89; [95% confidence interval:] 0.80–0.98) and Latina (OR = 0.42; 0.38–0.46) heterosexual women and white (0.78; 0.64–0.95), Black (0.51; 0.35–0.73), and Latina (0.53; 0.36–0.78) sexual minority women (SMW) had significantly lower adjusted odds of having health insurance. Latina heterosexual women (0.80; 0.73–0.88) and white (0.79; 0.65- 0.95), Black (0.56; 0.37–0.83), and Latina (0.60; 0.41–0.88) SMW also had significantly lower adjusted odds of having a usual source of care. Compared to white heterosexual men, Black (0.74; 0.67–0.81) and Latino (0.42; 0.39–0.46) heterosexual men had significantly lower adjusted odds of health insurance coverage, and Latino heterosexual men (0.73; 0.67–0.80) had significantly lower adjusted odds of having a usual source of care. Some observed disparities were attenuated upon adjustment for socioeconomic factors. Additional research is needed to identify and address the other structural and social factors that contribute to health insurance disparities among marginalized populations at diverse intersections of race/ethnicity, sexual orientation, and gender identity.

Keywords: Health insurance; Usual source of care; Health care disparities; Sexual orientation; Race/ethnicity; LGBTQ health (search for similar items in EconPapers)
Date: 2023
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
http://link.springer.com/10.1007/s11113-023-09774-2 Abstract (text/html)
Access to full text is restricted to subscribers.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:kap:poprpr:v:42:y:2023:i:3:d:10.1007_s11113-023-09774-2

Ordering information: This journal article can be ordered from
http://www.springer. ... es/journal/11113/PS2

DOI: 10.1007/s11113-023-09774-2

Access Statistics for this article

Population Research and Policy Review is currently edited by D.A. Swanson

More articles in Population Research and Policy Review from Springer, Southern Demographic Association (SDA)
Bibliographic data for series maintained by Sonal Shukla () and Springer Nature Abstracting and Indexing ().