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Health Care Disparities Among Autistic LGBTQ+ People
Anna Wallisch1, Brian A Boyd2, Jean P Hall3
1Juniper Gardens Children's Project, University of Kansas, Kansas City, Kansas, USA.
Autism in Adulthood : Challenges and Management
|June 22, 2023
Summary
LGBTQ+ autistic adults face greater health disparities and unmet health care needs. Protective state laws may improve access to care for this population.
Area of Science:
- Health disparities research
- Autism research
- LGBTQ+ health
Background:
- LGBTQ+ people and disabled individuals experience health care disparities.
- The intersection of LGBTQ+ identity and autism may exacerbate these disparities.
- Understanding these intersecting needs is crucial for equitable healthcare.
Purpose of the Study:
- To compare unmet health care needs and health status between LGBTQ+ autistic individuals and straight/cisgender autistic individuals.
- To investigate how state policies and demographics influence the unmet health care needs of LGBTQ+ autistic people.
Main Methods:
- Cross-sectional analysis of the 2019 National Survey on Health and Disability.
- Included a subsample of autistic participants (62 LGBTQ+ adults, 58 straight/cisgender adults).
- Used independent samples t-test and Poisson regression to analyze data.
Main Results:
- LGBTQ+ autistic adults reported more poor health days and unmet health care needs than their straight/cisgender counterparts.
- Higher income and protective state laws correlated with more met health care needs for LGBTQ+ individuals.
- LGBTQ+ individuals experienced more co-occurring diagnoses.
Conclusions:
- The intersection of LGBTQ+ identity and autism is linked to significant health disparities and unmet health care needs.
- State-level anti-discrimination policies may serve as a protective factor, improving health care access.
- Further research is needed to identify structural factors mitigating health inequities for autistic LGBTQ+ individuals.
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