Access to Health Services Among Young Adult Gay Men in New York City

Marybec Griffin-Tomas, Sean Cahill, Farzana Kapadia, Perry N. Halkitis

Research output: Contribution to journalArticlepeer-review


This research is a cross-sectional study of young adult gay men (YAGM), ages 18 to 29, that aims to understand their health-care access including: having a primary care provider (PCP), frequency of health-care visits, and instances of foregone health care. Surveys were conducted with a modified time-space sample of 800 YAGM in New York City (NYC). Surveys were conducted between November 2015 and June 2016. This study examined associations between sociodemographic characteristics and health-care access using multivariable logistic regression models. In multivariable logistic regression models, there were higher odds of having a PCP among participants enrolled in school (Adjusted Odds Ratio [AOR] = 1.85, 95% CI [1.18, 2.91], p <.01) and covered by insurance (AOR = 21.29, 95% CI [11.77, 38.53], p <.001). Modeling indicated higher odds of more than one health visit in the past 12 months for non-White participants (AOR = 2.27, 95% CI [1.43, 3.63], p <.001), those covered by insurance (AOR = 3.10, 95% CI [1.06, 9.04], p <.05), and those who disclosed their sexual orientation to their PCP (AOR = 2.99, 95% CI [1.58, 5.69], p <.001). Participants with insurance were less likely to report instances of foregone care (AOR = 0.21, 95% CI [0.21, 0.13], p <.001). Understanding the facilitators and barriers to health-care access among YAGM populations is of critical importance, as many YAGM between the ages of 18 and 29 are establishing their access to health care without parental guidance. Health-care access, including the decision to forego care, can represent a missed opportunity for primary prevention and early diagnosis of health issues, as well as more effective, less invasive, and less costly treatments.

Original languageEnglish (US)
JournalAmerican Journal of Men's Health
Issue number1
StatePublished - Jan 1 2019


  • barriers
  • facilitators
  • foregone care
  • gay men
  • health-care access

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health


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