Self-Reported Barriers to Care Among Sexual and Gender Minority People With Disabilities: Findings From The PRIDE Study, 2019-2020.

Abstract

<b>Objectives.</b> To examine the associations of self-reported disability status with health care access barriers for sexual and gender minority (SGM) people. <b>Methods.</b> The Population Research in Identity and Disparities for Equality (PRIDE) Study participants lived in the United States or its territories, completed the 2019 annual questionnaire (n = 4961), and self-reported their disability and health care access experiences, including whether they had a primary care provider, were uninsured, delayed care, and were unable to obtain care. We classified disabilities as physical, mental, intellectual, and other; compared participants to those without disabilities; and performed logistic regression to determine the associations of disability status and health care access barriers. <b>Results.</b> SGM people with disabilities were less likely to have a usual place to seek health care (69.0% vs 75.3%; <i>P</i> ≤ .001) and more often reported being mistreated or disrespected as reasons to delay care (29.0% vs 10.2%; <i>P</i> ≤ .001). SGM people with disabilities were more likely to delay care (adjusted odds ratio [AOR] = 3.28; 95% confidence interval [CI] = 2.83, 3.81) and be unable to obtain care (AOR = 3.10; 95% CI = 2.59, 3.71). <b>Conclusions.</b> Future work should address culturally competent health care to ameliorate disparities for the SGM disability community. (<i>Am J Public Health.</i> 2023;113(9):1009-1018. https://doi.org/10.2105/AJPH.2023.307333).