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Table 2 Fully-Adjusted Prevalence Ratios for Health Behaviors and Healthcare Access and Utilization Indicators in Relation to Sexual Orientation Identity among U.S. Men and Women, National Health Interview Survey, 2013 and 2014 (N = 69,270)

From: Sexual orientation identity disparities in health behaviors, outcomes, and services use among men and women in the United States: a cross-sectional study

 

Men (n = 30,961) (reference: heterosexual)

Women (n = 38,309) (reference: heterosexual)

Gay PR (95 % CI)

Bisexual PR (95 % CI)

“Something else”/Do not know PR (95 % CI)

Lesbian PR (95 % CI)

Bisexual PR (95 % CI)

“Something else”/Do not know PR (95 % CI)

Sample size

n = 624

n = 162

n = 208

n = 525

n = 353

n = 246

Health Behavior

 Alcohol consumption (reference: never)

  Current

1.09 (1.06–1.13)

1.09 (1.03–1.16)

0.94 (0.80–1.11)

1.14 (1.08–1.20)

1.03 (0.93–1.14)

0.86 (0.70–1.06)

  Former

1.23 (0.99–1.53)

1.07 (0.71–1.61)

0.88 (0.63–1.23)

1.30 (1.05–1.60)

0.65 (0.37–1.16)

0.88 (0.57–1.35)

  Heavy drinkinga

0.89 (0.58–1.38)

1.81 (0.98–3.33)

0.95 (0.44–2.02)

1.65 (1.14–2.37)

2.16 (1.46–3.18)

1.92 (1.08–3.39)

  5+ drinks on at least 2 daysb

0.97 (0.82–1.15)

1.29 (1.05–1.57)

0.95 (0.65–1.38)

1.22 (0.98–1.52)

1.34 (1.08–1.66)

1.37 (0.94–1.98)

 Leisure-time physical activity (reference: high)

  Low

0.89 (0.76–1.04)

0.99 (0.75–1.29)

0.88 (0.66–1.18)

1.05 (0.91–1.20)

0.92 (0.75–1.13)

0.97 (0.75–1.26)

  Never/Unable

0.89 (0.73–1.09)

0.94 (0.68–1.32)

0.78 (0.59–1.05)

1.01 (0.85–1.19)

0.56 (0.42–0.75)

0.74 (0.55–0.99)

 Smoking status (reference: never)

  Current

1.39 (1.14–1.70)

1.17 (0.91–1.51)

1.32 (0.95–1.82)

1.47 (1.21–1.80)

1.26 (0.98–1.61)

0.87 (0.54–1.40)

  Former

1.11 (0.94–1.32)

0.90 (0.94–1.32)

0.85 (0.62–1.17)

1.49 (1.22–1.82)

1.43 (1.09–1.86)

0.82 (0.56–1.20)

 Sleep duration (reference: 7 h)

  <7 h

1.09 (0.95–1.24)

0.78 (0.50–1.20)

0.93 (0.63–1.36)

1.00 (0.86–1.15)

1.02 (0.86–1.22)

1.20 (0.97–1.48)

  >7 h

1.08 (0.96–1.22)

0.95 (0.74–1.23)

0.99 (0.80–1.21)

0.87 (0.75–1.01)

1.04 (0.89–1.22)

1.16 (0.99–1.36)

Healthcare access and utilization

 Health insurance (no)

1.12 (0.86–1.45)

1.05 (0.68–1.62)

1.24 (0.82–1.62)

1.05 (0.80–1.38)

1.09 (0.81–1.48)

1.12 (0.66–1.90)

 Usual place for care (yes)

1.06 (1.01–1.11)

1.04 (0.94–1.14)

0.94 (0.82–1.08)

0.94 (0.90–0.99)

0.92 (0.84–1.01)

0.96 (0.89–1.05)

 ER visits (≥2 in past year)

1.04 (0.71–1.52)

1.28 (0.69–2.38)

1.36 (0.82–2.24)

1.01 (0.79–1.30)

0.92 (0.69–1.22)

1.22 (0.83–1.79)

 Delay healthcare because of costs (yes)

1.40 (1.08–1.81)

2.00 (1.44–2.79)

0.98 (0.57–1.68)

1.47 (1.15–1.88)

1.65 (1.28–2.13)

0.95 (0.60–1.51)

 HPV vaccine (initiation)

2.45 (1.53–3.92)

2.31 (1.00–5.35)

1.77 (0.67–4.68)

1.10 (0.81–1.50)

1.46 (1.16–1.84)

0.55 (0.26–1.17)

 HIV test (ever)

2.25 (2.12–2.40)

1.67 (1.41–1.97)

1.24 (0.97–1.58)

1.22 (1.09–1.36)

1.17 (1.02–1.34)

0.82 (0.62–1.07)

  1. PR prevalence ratio, CI confidence interval; aheavy drinking= > 2 drinks per day for men and >1 drink per day for women; b5+ drinks on at least 2 days among men and women in 2013 and 4+ drinks on at least 2 days among women in 2014 only; h hours, ER emergency room, HPV human papillomavirus, HIV human immunodeficiency virus. Adjusted for age, race/ethnicity, educational attainment, income, occupational class, health status, and region of residence. Note. All estimates are weighted for the survey’s complex sampling design. Boldface indicates statistically significant results at the 0.05 level