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Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index

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Double Disparity of Sexual Minority Status and Rurality in Cardiometabolic Hospitalization Risk: A Secondary Analysis

Neeru Gupta¹, Samuel R Cookson¹

¹Department of Sociology, University of New Brunswick, Fredericton, NB E3B 5A3, Canada.

Healthcare (Basel, Switzerland)

|November 14, 2023

Summary

Sexual minorities in rural areas face higher hospitalization risks for cardiometabolic conditions. This highlights disparities in healthcare access and outcomes for lesbian, gay, or bisexual (LGB) individuals in remote Canadian communities.

Keywords:

applied health statistics data linkage health services research healthcare inequalities preventable hospitalization rural health sexual minorities

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Area of Science:

Public Health
Health Services Research
Sociology of Health

Background:

Sexual minority populations often experience worse chronic health outcomes than heterosexual individuals.
Rural populations also face health disparities compared to urban dwellers.
The intersection of sexual minority status and rurality on health is under-researched.

Purpose of the Study:

To investigate healthcare patterns at the intersection of lesbian, gay, or bisexual (LGB) identity and rural/remote residence.
To examine the risk of potentially avoidable cardiometabolic-related hospitalization among working-age adults.

Main Methods:

Secondary analysis of linked Canadian national health surveys, hospital records, and remoteness index.
Logistic regression models were used to assess hospitalization risk.
Adjustments were made for sociodemographic factors, behavioral risks, and primary healthcare access.

Main Results:

Adults with cardiometabolic conditions in rural/remote areas had higher hospitalization risk if LGB-identified (OR: 4.2; 95% CI: 1.5-11.7).
This association was significant for gay and bisexual men (OR: 5.6; CI: 1.3-24.4).
The association was not statistically significant for lesbian and bisexual women (OR: 3.5; CI: 0.9-13.6).

Conclusions:

LGB individuals residing in rural and remote areas face elevated risks for cardiometabolic hospitalization.
Healthcare disparities exist for sexual minorities in rural settings.
Further research is needed to understand and address these intersecting influences on health.