Evidence map›Paper›PMID 27726496›Full record

ArticleLGBT health2016

Differences in Healthcare Access, Use, and Experiences Within a Community Sample of Racially Diverse Lesbian, Gay, Bisexual, Transgender, and Questioning Emerging Adults.

Kathryn Macapagal, Ramona Bhatia, George J Greene

Abstract read
In one paragraph

Article in LGBT health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 156 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
156citing papers in PubMed, 2 pooled it
24.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

156 citing papers in PubMed, 2 syntheses or guidelines pooled it, 339 citations in OpenAlex.

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96 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Kathryn Macapagal1 Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, and Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University , Chicago, Illinois.
Ramona Bhatia2 Department of Preventive Medicine, Northwestern University Feinberg School of Medicine , Chicago, Illinois.
George J Greene1 Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, and Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University , Chicago, Illinois.
Northwestern University · US

Funding

Relationships as a Context for HIV Prevention in Vulnerable YouthR21MH095413 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MUSTANSKI, BRIAN · 2011 to 2012
$417k
AHRQ HHS T32 HS000078NIMH NIH HHS R21 MH095413
6 · The paper itself

Abstract

purposeHealth services research involving lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) individuals has focused on differences in healthcare access, use, and experiences between cisgender, heterosexual adults and LGBTQ adults. Yet these factors may differ within the LGBTQ community and have not been well-studied among emerging adults (18-29 years), a group with unique barriers to healthcare. We sought to characterize healthcare challenges within a sample of LGBTQ emerging adults.

methodsFrom 2012 to 2013, 206 participants aged 18-27 (86% racial/ethnic minority, 10% transgender) completed questionnaires assessing healthcare access, use, and experiences during a longitudinal study. Descriptive statistics established patterns of healthcare access, use, and experiences, and nonparametric tests examined differences related to sociodemographic variables, HIV status, sexual orientation identity, and gender identity.

resultsOverall, 68% of participants reported relatively easy access to care. White and bisexual participants reported higher rates of insurance than racial/ethnic minority (P = 0.01) and gay or lesbian participants (P = 0.005), respectively. Although most participants did not report having negative experiences in healthcare settings related to their LGBTQ identity, transgender participants were more likely to delay care (P < 0.001) and report negative effects of disclosure to their provider (P < 0.001) compared with cisgender participants. Participants who identified as queer or were questioning their sexual orientation identity reported negative healthcare experiences more frequently than LGB-identified participants (P = 0.001).

conclusionsAlthough LGBTQ emerging adults experienced fewer barriers to care than observed in previous studies on LGBTQ adults, the results suggest that queer, questioning, and transgender individuals may face additional healthcare challenges compared with their LGB and cisgender counterparts.

Indexed as

Health Services AccessibilitySexual and Gender MinoritiesAdolescentAdultFemaleFollow-Up StudiesGender IdentityHealthcare DisparitiesHumansLongitudinal StudiesMalePatient Acceptance of Health CareSexual BehaviorSocioeconomic FactorsYoung Adultdiscriminationhealthcare disparitieshealth servicesminority healthyoung adult

Identifiers

PMID27726496
PMCPMC5165667
OpenAlexW2552069940

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.