title: Sexual Orientation Differences in Satisfaction with Healthcare: Findings from the Behavioral Risk Factor Surveillance System, 2014.
abstract: In the United States, the Affordable Care Act and marriage equality may have eased sexual orientation-based differences in access to healthcare coverage, but limited research has investigated sexual orientation-based differences in healthcare satisfaction. The purpose of this study was to examine whether satisfaction with healthcare varied by sexual orientation in a large population-based sample of adults.
  
  
  
  Data are from the 2014 Behavioral Risk Factor Surveillance System, including items about sexual orientation and healthcare (n = 113,317). Healthcare coverage included employer-based insurance; individually purchased insurance; Medicare; Medicaid; or TRICARE, VA, or military care. Respondents indicated whether they were "very satisfied, somewhat satisfied, or not at all satisfied" with healthcare.
  
  
  
  After adjusting for several sociodemographic covariates, lesbian, gay, and bisexual status was associated with lower satisfaction with healthcare with individually purchased insurance (adjusted odds ratio = 1.49, 95% confidence interval = 1.24-1.80).
  
  
  
  Efforts are needed to examine and reduce sexual orientation differences in satisfaction with healthcare.
authors.affiliation: Center for Health Equity Research and Promotion , VA Pittsburgh Healthcare System, Department of Veterans Affairs, Pittsburgh, Pennsylvania.
authors.forename: John R
authors.initials: JR
authors.lastname: Blosnich
mesh_terms: D000328:Adult; D000368:Aged; D040343:Behavioral Risk Factor Surveillance System; D005260:Female; D006801:Humans; D007348:Insurance, Health; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D016017:Odds Ratio; D017060:Patient Satisfaction; D000072339:Sexual and Gender Minorities / Q000523:psychology; D019529:Sexuality / Q000523:psychology; D012959:Socioeconomic Factors; D014481:United States; D055815:Young Adult
keywords: insurance; minority health; patient satisfaction; sexual orientation