自闭症LGBTQ+人群中的医疗保健差异
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
概括
LGBTQ+自闭症成年人面临着更大的健康差距和未满足的医疗保健需求. 保护性的州法律可能会改善这种人群获得护理的机会.
科学领域:
- 健康差异研究 研究健康差异研究
- 自闭症研究自闭症研究
- 在LGBTQ+健康方面.
背景情况:
- LGBTQ+群体和残疾人经历了医疗保健的差距.
- LGBTQ+身份和自闭症的交集可能会加剧这些差异.
- 了解这些交叉需求对于公平的医疗保健至关重要.
研究的目的:
- 为了比较未满足的医疗保健需求和LGBTQ+自闭症个体和直人/cisgender自闭症个体之间的健康状况.
- 调查国家政策和人口统计如何影响LGBTQ+自闭症患者未得到满足的医疗保健需求.
主要方法:
- 2019年国家健康和残疾调查的横截面分析.
- 包括自闭症参与者的子样本 (62名LGBTQ+成年人,58名异性恋/异性恋成年人).
- 使用独立样本t-test和Poisson回归来分析数据.
主要成果:
- LGBTQ+自闭症成年人报告的健康状况不佳的日子和未满足的医疗保健需求比他们的异性恋/cisgender同行更多.
- 更高的收入和保护性的州法律与LGBTQ+个体更满足的医疗保健需求相关.
- LGBTQ+个体经历了更多的同时发生的诊断.
结论:
- LGBTQ+身份和自闭症的交集与显著的健康差异和未满足的医疗保健需求有关.
- 国家一级的反歧视政策可以作为一个保护因素,改善医疗保健的获取.
- 需要进一步的研究来确定减轻自闭症LGBTQ+个体健康不平等的结构因素.
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