平价医疗法案》实施前后性少数群体成年人无保险的模式和原因。

IF 4.3 3区材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC

ACS Applied Electronic Materials Pub Date : 2024-04-24 DOI:10.1089/lgbt.2023.0166

Zhigang Xie, K. Terrell, Juhan Lee, Ryan Suk, Young-Rock Hong

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引用次数: 0

摘要

目的：我们旨在确定在《平价医疗法案》（ACA）实施前后，女同性恋、男同性恋或双性恋（LGB）成年人自我报告的未参保原因以及与未参保相关的社会人口因素。方法：我们使用多变量逻辑回归模型分析了 2013-2018 年全国健康访谈调查数据，以估计 18-64 岁 LGB 成年人中未投保的几率以及自我报告的未投保原因的流行率。研究结果该研究包括 2124 名男女同性恋、双性恋和变性者成年人。加权未投保率从2013年的19.6%大幅降至2017-2018年的13.2%（几率比0.61；95%置信区间0.47-0.78）。ACA后没有保险的主要原因与ACA前相似，成本相关因素是最常见的报告原因（31.5%）。结论：从 2013 年到 2018 年，女同性恋、男同性恋、双性恋和变性者成年人的总体无保险率有所下降，但各亚人群之间的差异依然存在。与费用相关的因素仍然是获得保险的重大障碍。

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Patterns and Reasons for Being Uninsured Among Sexual Minority Adults Before and After the Affordable Care Act Implementation.

Purpose: We aimed to identify the self-reported reasons for being uninsured and sociodemographic factors associated with uninsurance among lesbian, gay, or bisexual (LGB) adults before and after the Affordable Care Act (ACA). Methods: We analyzed the 2013-2018 National Health Interview Survey data using multivariable logistic regression models to estimate the odds of being uninsured and the prevalence of self-reported reasons for not having insurance among LGB adults aged 18-64 years. Results: The study included 2124 LGB adults. The weighted uninsured rate decreased significantly from 19.6% in 2013 to 13.2% in 2017-2018 (odds ratio 0.61; 95% confidence interval 0.47-0.78). The primary reason cited for not having insurance post-ACA was similar to pre-ACA, with cost-related factors being the most commonly reported (31.5%). Conclusion: The overall uninsured rate decreased among LGB adults from 2013 to 2018, whereas disparities across subpopulations remained. Cost-related factors remained significant barriers to obtaining insurance coverage.

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来源期刊

ACS Applied Electronic Materials Multiple-

CiteScore

7.20

自引率

4.30%

发文量

567

期刊介绍： ACS Applied Electronic Materials is an interdisciplinary journal publishing original research covering all aspects of electronic materials. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrate knowledge in the areas of materials science, engineering, optics, physics, and chemistry into important applications of electronic materials. Sample research topics that span the journal's scope are inorganic, organic, ionic and polymeric materials with properties that include conducting, semiconducting, superconducting, insulating, dielectric, magnetic, optoelectronic, piezoelectric, ferroelectric and thermoelectric. Indexed/Abstracted： Web of Science SCIE Scopus CAS INSPEC Portico