Care Avoidance Due to Patient-Clinician Identity Discordance Among Sexual and Gender Minority Adults
| Group | Care Avoidance Due to Patient-Clinician Identity Discordance | ||
|---|---|---|---|
| No. (%) | Adjusted Rate Ratio (95% CI) | P Value | |
| Sexual orientation | |||
| Heterosexual adults (n = 87,431) | 8,192 (9.4) | [Ref] | [Ref] |
| Sexual minority adults (n = 9,699) | 1,944 (20.0) | 1.58 (1.49-1.67) | <0.001 |
| Gay adults (n = 2,673) | 394 (14.7) | 1.79 (1.60-2.01) | <0.001 |
| Lesbian adults (n = 1,497) | 248 (16.6) | 1.47 (1.28-1.68) | <0.001 |
| Bisexual adults (n = 3,973) | 865 (21.8) | 1.43 (1.32-1.55) | <0.001 |
| Gender identity | |||
| Cisgender adults (n = 97,032) | 9,968 (10.3) | [Ref] | [Ref] |
| Gender minority adults (n = 1,277) | 438 (34.3) | 2.00 (1.79-2.21) | <0.001 |
| Transgender adults (n = 417) | 131 (31.4) | 2.03 (1.67-2.43) | <0.001 |
| Non-binary adults (n = 626) | 206 (32.9) | 1.79 (1.54-2.07) | <0.001 |
Note: Adjusted rate ratios are from robust Poisson regression models adjusting for age, sex assigned at birth, race and ethnicity, annual household income, educational attainment, insurance status, relationship status, birthplace, and survey year.