TY - JOUR
T1 - Access to Health Services Among Young Adult Gay Men in New York City
AU - Griffin-Tomas, Marybec
AU - Cahill, Sean
AU - Kapadia, Farzana
AU - Halkitis, Perry N.
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was funded by The New York State Department of Health AIDS Institute (Contract Number T030337). The New York University Committee on Activities Involving Human Subjects approved the study protocol (IRB Number 10-6802).
Publisher Copyright:
© The Author(s) 2019.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - 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.
AB - 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.
KW - barriers
KW - facilitators
KW - foregone care
KW - gay men
KW - health-care access
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U2 - 10.1177/1557988318818683
DO - 10.1177/1557988318818683
M3 - Article
C2 - 30569800
AN - SCOPUS:85062282795
SN - 1557-9883
VL - 13
JO - American Journal of Men's Health
JF - American Journal of Men's Health
IS - 1
ER -