ArticlePreventive medicine2020
Sexual orientation-related disparities in healthcare access in three cohorts of U.S. adults.
Article in Preventive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
46 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.
- Guideline
- Does the approach used to measure sexual identity affect estimates of health disparities differently by race? A randomized experiment from the National Survey of Family Growth.Social science & medicine (1982) · 2024Trial
- Social Media Misinformation, Contraceptive Literacy, and Psychological Well-Being Among Romanian Adolescents and Young Adults.Healthcare (Basel, Switzerland) · 2026Article
- Unmet Healthcare Needs as a Mechanism of Rural-Urban Medical Cannabis Use Disparities Among Sexual Minority Young Adults.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Initial Suicide-Related Disclosure Characteristics, Motivations, and Outcomes Based on Sexual Orientation.Journal of clinical psychology · 2026Article
- Disparities in multidimensional psychosocial stressors by sexual identity among cancer survivors from the All of Us Research Program.Cancer causes & control : CCC · 2026Article
- Person-level health factors partially mediate the association between lesbian, gay, or bisexual (LGB) identity, allostatic load, and cancer mortality in NHANES.Cancer causes & control : CCC · 2026Article
- Caring for the LGBTQIA+ Patient: A Best-Practices Primer on Language, Sexual Function Considerations, and Health Disparities in Gynecologic Care.Journal of minimally invasive gynecology · 2026Review
- Examining the Intersectional and Structural Issues of Routine Healthcare Utilization and Access Inequities for LGB People with Chronic Diseases.International journal of environmental research and public health · 2025Article
- Contraceptive care and method use by sexual and gender minority status: insights from a longitudinal panel of sexual and reproductive healthcare patients in Wisconsin.Sexual and reproductive health matters · 2025Article
- Recommendations for healthcare organization websites: towards demonstrating LGBTQ+ inclusivity in oncology care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Sexual minority populations and disparities in cardiovascular healthcare.European heart journal · 2025Review
- Observing Types and Successes of Alcohol Cessation Attempts Among Young Sexual and Gender Minority People Assigned Male at Birth in The RADAR Cohort Study.Psychology of sexual orientation and gender diversity · 2025Article
- Mammography screening and risk factor prevalence by sexual identity: A comparison of two national surveys.Cancer · 2025Article
- Cervical cancer screening and risk factor prevalence by sexual identity: A comparison across three national surveys in the United States.Preventive medicine · 2025Article
- An intersectional analysis of behavioral financial hardship and healthcare utilization among lesbian, gay, bisexual, transgender, queer, plus cancer survivors.Journal of the National Cancer Institute · 2025Article
- Sexual identity differences in ideal cardiovascular health among cisgender adults in the All of Us Research Program.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025Article
- Development of a multidimensional measure of health care access among LGBTQ midlife and older adults in the United States.SSM - health systems · 2024Article
- The Impact of Stigma and Sexual Identity on PrEP Awareness and Use Among At-Risk Men Who Have Sex With Men in Four U.S. Cities (HPTN 078).Stigma and health · 2024Article
- "It's another gay disease": an intersectional qualitative approach contextualizing the lived experiences of young gay, bisexual, and other sexual minoritized men in the United States during the mpox outbreak.BMC public health · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
The objective of this study was to quantify sexual orientation differences in insurance access, healthcare utilization, and unmet needs for care. We analyzed cross-sectional data from three longitudinal U.S.-based cohorts (N = 31,172) of adults ages 20-54 years in the Growing Up Today Studies 1 and 2 and the Nurses' Health Study 3 from 2015 to 2019. Adjusted log-binomial models examined sexual orientation differences (reference: completely heterosexual) in insurance access, healthcare utilization, and unmet needs for care. Compared to completely heterosexuals, mostly heterosexual and bisexual adults were more likely to report emergency departments as a usual source of care and less likely to be privately insured. Sexual minorities (mostly heterosexual, bisexual, gay/lesbian) were also more likely than completely heterosexuals to delay needed care for reasons of not wanting to bother a healthcare provider, concerns over cost/insurance, bad prior healthcare experiences, and being unable to get an appointment. Differences by sex and sexual orientation also emerged for healthcare utilization and unmet needs. For example, mostly heterosexual women were more likely than completely heterosexual women to delay care due to perceiving symptoms as not serious enough, while gay men were less likely than lesbian women to delay for this reason. Findings indicate that sexual minorities experience disparities in unmet needs for and continuity of care. Provider education should be attentive to how perceptions, like perceived severity, can shape healthcare access in tandem with socioeconomic barriers.
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What OpenQuestion holds
Registered trials
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.