Sexual minority people in the United States are less likely to have access to health services when compared to their heterosexual counterparts. Less is known about the within-group sociodemographic memberships among sexual minority people regarding access to health services. Using data from a nationally representative sample, a series of univariate and bivariate analyses were used to determine associations between sociodemographic group membership and access to health services. Results suggest there are significant differences in access to health services within the sexual minority population. Differences in access to health services when considering sex-at-birth, sexual identity, age, race/ethnicity, urbanicity, education level and income status were found. These findings offer insight into the role sociodemographic group membership has on the equity of access to health services. Specifically, results indicated that disproportionate access to health services among sexual minority people were more pronounced among those with group membership who experience social marginalisation. This was particularly true for sexual minority people who were bisexual, younger, Black and Latinx, lower-income earners and sexual minority people with less education attainment. Results from this study may be used to inform policies and practices aimed at improving access to health services including, but not limited to, the expansion of the Affordable Care Act and continued development of Federally Qualified Health Centers, while acknowledging the role of within-group differences among sexual minority people.

中文翻译：

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美国性少数人群获得医疗服务的情况

与异性恋者相比，美国的性少数群体获得医疗服务的可能性较小。性少数人群在获得医疗服务方面的群体内社会人口统计学成员身份知之甚少。使用来自全国代表性样本的数据，使用一系列单变量和双变量分析来确定社会人口群体成员身份与获得医疗服务之间的关联。结果表明，性少数人群在获得医疗服务方面存在显着差异。在考虑出生性别、性认同、年龄、种族/族裔、城市化程度、教育水平和收入状况时，发现了获得医疗服务的差异。这些调查结果提供了对社会人口群体成员资格对获得卫生服务公平性的作用的深入了解。具体而言，结果表明，性少数群体中不成比例地获得医疗服务的情况在那些经历过社会边缘化的群体成员中更为明显。对于双性恋、年轻、黑人和拉丁裔、低收入者和受教育程度较低的性少数群体来说尤其如此。本研究的结果可用于为旨在改善获得医疗服务的政策和实践提供信息，包括但不限于扩大平价医疗法案和继续发展联邦合格医疗中心，同时承认群体内的作用性少数人群之间的差异。