UCLA: UCLA Study Spotlights Gaps In Health Care Access Among California's LGBT Community

Press release from UCLA:

Elaiza Torralba

February 28, 2022

Difficulty finding providers, getting timely care particularly acute among bisexual women, transgender adults Difficulty finding providers, getting timely care particularly acute among bisexual women, transgender adults Lesbian, gay, bisexual and transgender adults in California face significant barriers in accessing health care despite having similar or better rates of health insurance coverage than heterosexual or cisgender adults, a new UCLA report shows. Lesbian, gay, bisexual and transgender adults in California face significant barriers in accessing health care despite having similar or better rates of health insurance coverage than heterosexual or cisgender adults, a new UCLA report shows. These barriers include a lack of timely access to needed care, not having a usual source of care, having trouble finding providers and experiencing unfair treatment, according to researchers from UCLA’s Center for Health Policy Research and Williams Institute who conducted the study. These barriers include a lack of timely access to needed care, not having a usual source of care, having trouble finding providers and experiencing unfair treatment, according to researchers from UCLA’s Center for Health Policy Research and Williams Institute who conducted the study. Using data from the health policy center’s California Health Interview Survey from 2015 to 2020, the researchers tracked health care access and insurance coverage by sexual orientation and gender identity. They found that bisexual men and women were the most likely of all groups to report not having a usual source of health care (27% and 24%, respectively) and that rates of delaying or not getting needed medical care were considerably higher among bisexual women (33%) and lesbian women (23%) than straight women (16%). Using data from the health policy center’s California Health Interview Survey from 2015 to 2020, the researchers tracked health care access and insurance coverage by sexual orientation and gender identity. They found that bisexual men and women were the most likely of all groups to report not having a usual source of health care (27% and 24%, respectively) and that rates of delaying or not getting needed medical care were considerably higher among bisexual women (33%) and lesbian women (23%) than straight women (16%). The study also found that transgender adults experienced greater barriers to care than cisgender adults (those whose gender identity matches the sex they were assigned at birth) in a number of areas. Rates of delaying or not getting needed medical care, for example, were more than twice as high among transgender adults (33%) as cisgender adults (14%). The study also found that transgender adults experienced greater barriers to care than cisgender adults (those whose gender identity matches the sex they were assigned at birth) in a number of areas. Rates of delaying or not getting needed medical care, for example, were more than twice as high among transgender adults (33%) as cisgender adults (14%). “Our study points out several of the health care access barriers the LGBT community in California faces, including greater difficulty finding providers who will see them and having to delay necessary health care,” said the study’s lead author, Susan Babey, a senior research scientist at the Center for Health Policy Research. “These findings emphasize the importance of looking more closely at differences within LGBT populations so that actions may be taken to close gaps in health care access and improve health outcomes for sexual and gender minorities.” “Our study points out several of the health care access barriers the LGBT community in California faces, including greater difficulty finding providers who will see them and having to delay necessary health care,” said the study’s lead author, Susan Babey, a senior research scientist at the Center for Health Policy Research. “These findings emphasize the importance of looking more closely at differences within LGBT populations so that actions may be taken to close gaps in health care access and improve health outcomes for sexual and gender minorities.” ► The researchers will share their findings at a webinar today, Feb. 28, at noon PST. ► The researchers will today, Feb. 28, at noon PST. Other key findings from the report: Other key findings from the report: Among transgender adults, transportation problems and their insurance not being accepted or not covering the care were cited as the main reasons for delaying or not getting needed care, the researchers noted. Among transgender adults, transportation problems and their insurance not being accepted or not covering the care were cited as the main reasons for delaying or not getting needed care, the researchers noted. Members of the LGBT community were also more likely to experience unfair treatment when getting medical care, with higher rates of lesbian women (44%), bisexual women (45%) and gay men (32%) reporting such experiences than straight women (32%) and men (23%). Previous negative experiences or discrimination may add to some of the barriers reported by LGBT adults, the study authors said. Members of the LGBT community were also more likely to experience unfair treatment when getting medical care, with higher rates of lesbian women (44%), bisexual women (45%) and gay men (32%) reporting such experiences than straight women (32%) and men (23%). Previous negative experiences or discrimination may add to some of the barriers reported by LGBT adults, the study authors said. “The findings show that LGBT Californians remain in need of clinical and structural interventions to improve access to health care. We also need more data to assess the different needs of the various communities within the LGBT population,” said study co-author Jody Herman, a senior scholar of public policy at the Williams Institute, which is based at UCLA School of Law. “The report also provides further evidence that barriers remain to receiving gender-affirming care, and continued advocacy and support is needed to increase access.” “The findings show that LGBT Californians remain in need of clinical and structural interventions to improve access to health care. We also need more data to assess the different needs of the various communities within the LGBT population,” said study co-author Jody Herman, a senior scholar of public policy at the Williams Institute, which is based at UCLA School of Law. “The report also provides further evidence that barriers remain to receiving gender-affirming care, and continued advocacy and support is needed to increase access.”

This press release was produced by UCLA. The views expressed here are the author’s own.