ArticleBMJ open2018
Sexual orientation-related disparities in employment, health insurance, healthcare access and health-related quality of life: a cohort study of US male and female adolescents and young adults.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers.
What it found
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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.
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Who cites it
57 citing papers in PubMed, 121 citations in OpenAlex.
- Experiences of peer navigators implementing a bilingual multilevel intervention to address sexually transmitted infection and HIV disparities and social determinants of health.Health expectations : an international journal of public participation in health care and health policy · 2023Trial
- Pregnancy intentions by sexual orientation among pregnancies across the life course.American journal of epidemiology · 2026Article
- Dental Care Utilization Among Sexual and Gender Minority Individuals.Journal of public health dentistry · 2026Article
- Homelessness and HIV Treatment Among Men Who Have Sex With Men Across US Funding Contexts.JAMA network open · 2026Article
- Examining the Impact of Patient Demographics on Outreach Efforts for a Student-Run LGBTQIA + Free Clinic.Journal of community health · 2026Article
- Health among sexual and gender minority people affected by armed conflict and forced displacement: Call for a biocultural and minority stress framework.Social science & medicine (1982) · 2026Review
- Disproportionate use of polysubstance combinations varies by sexual identity among US adults.PloS one · 2026Article
- Health Outcomes, Discrimination, and Stigma Among Sexual and Gender Minority People With Inflammatory Bowel Disease.Inflammatory bowel diseases · 2025Article
- Mammography screening and risk factor prevalence by sexual identity: A comparison of two national surveys.Cancer · 2025Article
- Differences in Abortion Use by Sexual Orientation in 3 National Cohorts.JAMA network open · 2025Article
- Health conditions, health literacy, access to care, and health care experiences among lesbian, gay, bisexual, transgender and queer adults in Lebanon.International journal for equity in health · 2025Article
- Material hardship and use of social safety net programs among LGBT adults and their families.Analyses of social issues and public policy : ASAP · 2025Article
- Mediating roles of social support in lives of men who have sex with men living with HIV.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025Article
- Body count- distribution, determinants and geographical mapping of lifetime sexual partners among Gen-X, Millennial and Gen-Z: hierarchical regression modelling study of nationally representative Indian survey.Journal of health, population, and nutrition · 2025Article
- Mixed evidence for the relationship between HIV stigma and Pain in two studies of people with HIV in Florida.The journal of pain · 2025Article
- Association between homelessness and PrEP uptake among men who have sex with men: Results from the American Men's Internet Survey, 2017-2021.Social science & medicine (1982) · 2025Article
- The relationship of race, ethnicity, gender identity, sex assigned at birth, sexual orientation, parental education, financial hardship and comorbid mental disorders with quality of life in college students with anxiety, depression or eating disorders.Journal of affective disorders · 2024Article
- Structural Determinants of Health and Markers of Immune Activation and Systemic Inflammation in Sexual Minority Men With and Without HIV.Journal of urban health : bulletin of the New York Academy of Medicine · 2024Article
- Improving Access to Care Through Youth-Focused Virtual Sexual Health Navigation.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
- Barriers to Cervical Cancer Screening by Sexual Orientation Among Low-Income Women in North Carolina.Archives of sexual behavior · 2024Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo investigate sexual orientation-related disparities in employment and healthcare, including potential contributions to health-related quality of life (HRQL).
settingGrowing Up Today Study, a USA-based longitudinal cohort that began in 1996; predominantly composed of participants who are white and of middle-to-high socioeconomic positions.
participants9914 participants 18-32 years old at the most recent follow-up questionnaire. PRIMARY OUTCOME MEASURE: In 2013, participants reported if, in the last year, they had been unemployed, uninsured or lacked healthcare access (routine physical exam). Participants completed the EQ-5D-5L, a validated, preference-weighted measurement of HRQL. After adjusting for potential confounders, we used sex-stratified, log-binomial models to calculate the association of sexual orientation with employment, health insurance and healthcare access, while examining if these variables attenuated the sexual orientation-related HRQL disparities.
resultsSexual minority women and men were about twice as likely as their respective heterosexual counterparts to have been unemployed and uninsured. For example, the risk ratio (95% CI) of uninsured bisexual women was 3.76 (2.42 to 5.85) and of unemployed mostly heterosexual men was 1.82 (1.30 to 2.54). Routine physical examination was not different across sexual orientation groups (p>0.05). All sexual minority subgroups had worse HRQL than heterosexuals (p<0.05) across the five EQ-5D-5L dimensions (mobility, self-care, usual activities, pain/discomfort and anxiety/depression). Controlling for employment and health insurance did not substantially attenuate the existing sexual orientation-related HRQL disparities.
conclusionsResearch on sexual orientation-related disparities in employment and healthcare has often been limited to comparisons between cohabitating different-sex and same-sex adult couples, overlooking sexual minority subgroups (eg, bisexuals vs lesbians), non-cohabitating populations and young people. Less is known about sexual orientation-related disparities in HRQL including potential contributions from employment and healthcare. The current study documents that disparities in employment, health insurance and various HRQL dimensions are pervasive across sexual minority subgroups, non-cohabitating couples and youth in families of middle-to-high socioeconomic positions.
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