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检查常规医疗保健利用和LGB患有慢性疾病的人获得不平等的交叉和结构性问题
Shiya Cao1, Mehreen Mirza1, Sophia Silovsky1
1Statistical and Data Sciences, Smith College, 10 Elm Street, Northampton, MA 01063, USA.
International journal of environmental research and public health
|December 30, 2025
概括
歧视对女同性恋,男同性恋,双性恋 (LGB) 个人获得医疗保健有负面影响,特别是LGB女性需要检查,LGB男性需要药物. 结构性问题加剧了这些不平等.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 尽管有进展,但女同性恋,男同性恋,双性恋 (LGB) 个人面临着医疗保健获取和利用差异.
- 现有的研究往往侧重于成本障碍,忽视了歧视等非成本因素.
- 结构性歧视对LGB人群获得医疗保健的影响仍未得到充分研究.
研究的目的:
- 调查结构性歧视与LGB个人获得医疗保健的不平等之间的联系.
- 检查性取向与出生时分配的性别 (男性/女性) 在医疗保健利用中的交叉方式.
- 分析在获得常规检查和处方药的差异.
主要方法:
- 使用2023年国家健康访谈调查 (加权N = 136,231,053) 的复杂调查数据进行定量交叉分析.
- 后勤回归模型与性取向-性别交互术语.
- 计算平均边际预测和风险比率以解释类别间的群体差异.
主要成果:
- 较高的歧视水平与定期检查的不足利用和处方药的减少联系在一起,特别是在LGB人群中.
- 据报道,LGB女性定期检查的使用率最低.
- 据报道,LGB男性获得处方药的机会最低.
结论:
- 结构性歧视是导致LGB人使用医疗保健和获得不平等的重要因素.
- 交叉分析揭示了LGB女性和LGB男性的特定弱点.
- 政策干预应解决结构性障碍,并针对特定的跨类别群体,以改善LGB获得医疗保健.
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