Table 4 Prevalence and adjusted odds ratios of barriers to care among LGBTQ college students, 18 years and older

All Sampled LGBTQ College Students

20.6

N/A

39.5

N/A

28.3

N/A

Sexual Orientation

 Gay/Lesbian

18.4

1.00 [Reference]

33.6

1.00 [Reference]

23.3

1.00 [Reference]

 Bisexual

13.4

0.71 (0.31–1.60)

42.3

1.15 (0.62–2.16)

20.5

0.80 (0.36–1.78)

 Queer

18.8

0.98 (0.49–1.98)

35.3

0.95 (0.53–1.70)

32.3

1.12 (0.56–2.22)

 Pansexual

28.8

1.62 (0.77–3.42)

45.0

1.32 (0.69–2.55)

31.1

0.87 (0.40–1.91)

 Asexual

25.4

1.37 (0.60–3.13)

47.6

1.46 (0.72–2.96)

28.1

0.75 (0.31–1.81)

 Questioning

23.1

1.05 (0.40–2.76)

35.9

0.89 (0.39–2.05)

30.3

0.72 (0.26–1.98)

 Other

24.4

0.89 (0.34–2.30)

43.9

1.58 (0.69–3.61)

45.2

1.07 (0.38–3.03)

Gender Identity

 Cisgender Man

15.3

1.00 [Reference]

27.6

1.00 [Reference]

12.5

1.00 [Reference]

 Cisgender Woman

16.4

1.25 (0.60–2.59)

40.8

1.58 (0.87–2.86)

15.4

1.48 (0.66–3.33)

 Transgender

32.7

2.91 (1.17–7.22)**

38.8

1.44 (0.64–3.24)

68.2

21.66 (7.96–58.92)**

 Non-Binary

27.3

2.60 (1.07–6.29)**

37.9

1.48 (0.69–3.18)

47.7

7.47 (3.01–18.54)**

 Gender Non-Conforming

27.6

2.07 (0.69–6.20)

55.2

3.11 (1.20–8.06)**

34.6

3.88 (1.24–12.18)**

 Agender

36.4

3.25 (1.04–10.20)**

59.1

2.63 (0.90–7.69)

60.0

15.13 (4.40–52.01)**

 Genderqueer

15.1

1.05 (0.37–2.92)

45.3

2.28 (1.03–5.05)**

28.9

3.22 (1.22–8.53)**

 Other

30.4

3.41 (1.05–11.05)**

30.4

1.05 (0.35–3.16)

42.9

7.69 (2.22–26.67)**

Age, in years

 18–20

17.9

0.44 (0.24–0.81)**

39.2

1.08 (0.62–1.89)

28.4

0.73 (0.39–1.39)

 21–24

20.9

0.56 (0.30–1.03)

45.0

1.44 (0.82–2.50)

26.8

0.70 (0.36–1.34)

 25–29

29.6

1.00 [Reference]

33.0

1.00 [Reference]

30.2

1.00 [Reference]

  ≥ 30

15.4

0.34 (0.12–0.96)**

25.6

0.62 (0.25–1.54)

30.6

0.94 (0.36–2.45)

Race/Ethnicity

 White

17.4

1.00 [Reference]

35.6

1.00 [Reference]

25.3

1.00 [Reference]

 Black or African American

28.3

2.12 (1.03–4.38)**

45.3

1.16 (0.61–2.19)

28.6

1.18 (0.55–2.56)

 Hispanic/Latinx

30.3

2.48 (1.33–4.61)**

46.1

1.45 (0.83–2.51)

37.3

2.18 (1.13–4.21)**

 Asian or Pacific Islander

18.9

1.49 (0.73–3.03)

47.3

1.43 (0.82–2.52)

30.0

1.65 (0.84–3.26)

 Other

30.8

2.26 (0.60–8.48)

38.5

1.07 (0.30–3.81)

50.0

3.38 (0.85–13.48)

Life Disrupted by COVID-19

 Not at all or not much

19.7

1.00 [Reference]

36.8

1.00 [Reference]

22.1

1.00 [Reference]

 A fair amount

21.3

1.10 (0.56–2.19)

38.3

0.96 (0.54–1.70)

25.4

1.01 (0.49–2.08)

 A great deal

20.0

0.90 (0.44–1.86)

41.8

1.11 (0.62–2.03)

34.2

1.35 (0.64–2.84)

Concerned About COVID-19

 Not concerned or moderately concerned

17.4

1.00 [Reference]

40.9

1.00 [Reference]

23.9

1.00 [Reference]

 Very or extremely concerned

23.3

1.41 (0.90–2.23)

38.2

0.85 (0.59–1.23)

32.1

1.39 (0.89–2.18)

Participant, family or friend tested positive for COVID-19

 No

19.4

1.00 [Reference]

36.6

1.00 [Reference]

27.8

1.00 [Reference]

 Yes

26.2

1.39 (0.82–2.38)

52.4

1.66 (1.05–2.63)**

30.5

1.30 (0.74–2.29)

Immediately Family Supportive of Participant's LGBTQ Identity

 Supportive

16.8

1.00 [Reference]

26.3

1.00 [Reference]

27.1

1.00 [Reference]

 Neither supportive nor unsupportive

25.8

1.48 (0.79–2.78)

52.7

2.84 (1.67–4.84)**

23.3

0.66 (0.33–1.30)

 Unsupportive or family does not know

22.1

1.17 (0.71–1.96)

46.6

2.05 (1.35–3.12)**

31.3

1.20 (0.73–1.98)

Feels Supported by their College or University LGBTQ Office

 Yes

16.7

1.00 [Reference]

36.7

1.00 [Reference]

29.4

1.00 [Reference]

 No, not much or no support

25.8

1.92 (1.16–3.17)**

46.6

1.63 (1.07–2.50)**

30.5

1.02 (0.62–1.68)

 No opinion or missing data

21.6

1.44 (0.79–2.62)

35.2

0.93 (0.57–1.53)

21.4

0.64 (0.33–1.24)