A recent Rutgers School of Public Health Center for Health, Identity, Behavior and Prevention Studies (CHIBPS) found that social and structural factors such as being enrolled in school, having insurance, and disclosing sexual orientation to a primary care provider (PCP), increased the likelihood of accessing healthcare services among young adult gay men (YAGM) ages 18 to 29.
CHIBPS researchers, who include Dr. Marybec Griffen, Dr. Sean Cahill, Dr. Farzana Kapadia, and Rutgers School of Public Health Dean, Dr. Perry N. Halkitis, undertook a cross-sectional study that aims to understand YAGM health-care access including: having a PCP, frequency of health-care visits, and instances of foregone health care.
Access to healthcare among young adults in the United States has been limited due to developmental changes in health-care needs and increasing independence from parents and guardians.
The CHIBPS team surveyed 800 YAGM in New York City between November 2015 and June 2016. Using multivariable logistic regression models, they found that YAGM who are enrolled in school are more likely to have a PCP and health insurance; non-white YAGM and those who disclosed their sexual orientation to the PCP were more likely to have more than one health visit over the course of 12 months; and YAGM with insurance were less likely to report forgoing health care services.
“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,” comments Dean Perry N. Halkitis. “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.”
“Access to Health Services Among Young Adult Gay Men in New York City,” was recently published in the American Journal of Men’s Health.