同性伴侣与异性伴侣之间的健康保险覆盖范围
Benjamin J Harrell1, Nicole E Jones2, Gabe H Miller3,4
1Department of Economics, Trinity University, San Antonio, Texas.
JAMA network open
|September 19, 2025
概括
同性伴侣的医疗保险覆盖率有所改善,与异性伴侣的医疗保险覆盖率达到平衡. 然而,如果没有医疗补助扩张,这些收益在所有收入水平或州之间都不公平.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 社会学 社会学 社会学
- 公共卫生政策 公共卫生政策
背景情况:
- 患者保护和负担得起的医疗保健法案和奥伯格菲尔诉霍奇斯裁决旨在减少健康差异.
- 从历史上看,女同性恋,男同性恋,双性恋和/或跨性别者 (LGBT) 个人面临着严重的医疗保险差异.
- 最近的趋势表明,这些差异可能会被扭转,但公平获取仍然是一个问题.
研究的目的:
- 分析同性伴侣和异性伴侣之间的医疗保险覆盖率差异.
- 调查婚姻状况,性别,保险公司,居住州和收入如何影响保险范围.
- 评估最近政策变化对LGBT医疗保险平等性的影响.
主要方法:
- 2008-2022年美国社区调查 (ACS) 的二次数据分析的横截面研究.
- 在同居关系中包括18-64岁的成年人.
- 线性概率模型用于评估同性伴侣身份与保险覆盖之间的关联.
主要成果:
- 同性伴侣中的个人更有可能拥有雇主赞助的保险,但不太可能拥有公共保险.
- 同性伴侣的低收入五分之一显示,与高收入五分之一相比,保险可能性降低.
- 在没有扩大医疗补助计划的州,同性伴侣的覆盖率较低.
结论:
- 同性伴侣的医疗保险覆盖率有所改善,扭转了历史上的差距.
- 覆盖率的增长集中在社会经济地位较高的人群中.
- 需要进一步努力,确保所有收入水平和各州都能平等获得保险,特别是那些尚未扩大医疗补助计划的国家.
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