SECOND CLASS CARE: PATTERNS OF LGBTQ+ PATIENT EXPERIENCES AND RECEIPT OF PREVENTIVE CARE IN MIDLIFE AND OLDER AGE
2024
LGBTQ+ Patient Experiences and Preventive Care
Sample size: 954
publication
Evidence: moderate
Author Information
Author(s): Tran Nathaniel, McKay Tara, Gonzales Gilbert, Fry Carrie, Dusetzina Stacie
Primary Institution: Vanderbilt University Medical Center
Hypothesis
LGBTQ+ patient experiences are associated with the receipt of preventive care.
Conclusion
LGBTQ+ patients with affirming healthcare experiences are more likely to receive timely preventive services.
Supporting Evidence
- 34% of participants were in the Affirming class, 60% in the Neutral class, and 6% in the Discriminatory class.
- Individuals in the Neutral class were 12.4pp less likely to have ever been tested for HIV.
- Individuals in the Neutral class were 17.1pp less likely to have been recently tested for HIV.
- Those in the Discriminatory class were 12.2pp less likely to have recently received an influenza vaccination.
- Those in the Discriminatory class were 14.8pp less likely to have recently completed a colorectal cancer screening.
Takeaway
This study found that LGBTQ+ people who feel supported by their doctors are more likely to get important health check-ups.
Methodology
Latent class analysis and logistic regression were used to identify patient experience patterns and their association with preventive care.
Participant Demographics
LGBTQ+ adults aged 50-76.
Statistical Information
P-Value
p<0.001
Statistical Significance
p<0.01
Digital Object Identifier (DOI)
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