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Blosnich JR. Sexual Orientation Differences in Satisfaction with Healthcare: Findings from the Behavioral Risk Factor Surveillance System, 2014. LGBT health. 2017 Jun 1; 4(3):227-231.
PURPOSE: In the United States, the Affordable Care Act and marriage equality may have eased sexual orientation-based differences in access to healthcare coverage, but limited research has investigated sexual orientation-based differences in healthcare satisfaction. The purpose of this study was to examine whether satisfaction with healthcare varied by sexual orientation in a large population-based sample of adults. METHODS: Data are from the 2014 Behavioral Risk Factor Surveillance System, including items about sexual orientation and healthcare (n? = 113,317). Healthcare coverage included employer-based insurance; individually purchased insurance; Medicare; Medicaid; or TRICARE, VA, or military care. Respondents indicated whether they were "very satisfied, somewhat satisfied, or not at all satisfied" with healthcare. RESULTS: After adjusting for several sociodemographic covariates, lesbian, gay, and bisexual status was associated with lower satisfaction with healthcare with individually purchased insurance (adjusted odds ratio? = 1.49, 95% confidence interval? = 1.24-1.80). CONCLUSION: Efforts are needed to examine and reduce sexual orientation differences in satisfaction with healthcare.