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The Relationship Between State Level Policy, Insurance and Health Care Engagement for LGBTQ+ Foster Alumni
Micki Washburn1, Catherine LaBrenz1, De'an Roper2
1Social Work, University of Texas at Arlington, Arlington, Texas, USA.
Journal of Homosexuality
|December 13, 2023
Summary
State policies impact LGBTQ+ foster care alumni
Area of Science:
- Health Services Research
- Sociology
- Public Health
Background:
- Minority stress theory highlights how external factors, like state policies, affect LGBTQ+ individuals' health and healthcare access.
- Foster care alumni, particularly LGBTQ+ youth, face unique challenges in accessing healthcare.
- Understanding the influence of state-level policies is crucial for improving health outcomes in this population.
Purpose of the Study:
- To examine the association between state policies promoting LGBTQ+ equity and inclusion and healthcare engagement among foster care alumni.
- To investigate how factors like health insurance and specific state policies influence physical and mental healthcare utilization.
Main Methods:
- Secondary data analysis of the Jim Casey Opportunity Passport Survey (n=2,420).
- Longitudinal analysis of healthcare engagement (physical and mental health care).
- Inclusion of sociodemographic characteristics and state-level policies (Medicaid expansion, LGBTQ+ protections) as predictors.
Main Results:
- Securing health insurance significantly increased the likelihood of seeking physical healthcare.
- LGBTQ+ young adults assigned female at birth experienced higher rates of unmet physical healthcare needs.
- LGBTQ+ youth reported greater unmet needs for mental health professionals compared to non-LGBTQ+ peers.
Conclusions:
- State-level policies significantly influence healthcare access and utilization for LGBTQ+ foster care alumni.
- Targeted interventions and policy changes are needed to address disparities in physical and mental healthcare access for LGBTQ+ youth.
- Advocacy for inclusive policies and expanded insurance coverage is essential to improve health and wellness outcomes.
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