The Doctor is In – Who is Left Out? Disparities in Healthcare Access among Older Adults by Gender and Sexual Orientation

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dc.contributor.advisorGorman, Bridgeten_US
dc.creatorSmith-Johnson, Madelineen_US
dc.date.accessioned2022-10-05T21:17:46Zen_US
dc.date.available2022-10-05T21:17:46Zen_US
dc.date.created2022-05en_US
dc.date.issued2022-03-29en_US
dc.date.submittedMay 2022en_US
dc.date.updated2022-10-05T21:17:46Zen_US
dc.description.abstractAccess to healthcare is key to aging well. Prior research demonstrates disparities in access over the lifecourse, but few include sexual and gender diverse (SGD) groups. Problematizing the exclusion of gender minorities, this study examines data from a probability-based sample of adults 65 and older, living in 43 U.S. states from 2014-2020 and asks whether gender identity and sexual orientation shape healthcare access. I test four outcomes––having insurance, a doctor, a recent checkup, and care affordability––presenting predicted probabilities from logistic regression models. I progressively complicate how identity is measured, stratifying results by gender and sexual orientation, revealing variation depending on measurement. Comparing “trans” to “cisgender” obscures vulnerabilities. Gender nonconforming elders had worse healthcare access if they reported female sex. Transgender elders had the lowest rates of access if they were also bisexual. Findings demonstrate the utility of combining gender and sexual identity in describing patterns of disadvantage.en_US
dc.format.mimetypeapplication/pdfen_US
dc.identifier.citationSmith-Johnson, Madeline. "The Doctor is In – Who is Left Out? Disparities in Healthcare Access among Older Adults by Gender and Sexual Orientation." (2022) Master’s Thesis, Rice University. <a href="https://hdl.handle.net/1911/113519">https://hdl.handle.net/1911/113519</a>.en_US
dc.identifier.urihttps://hdl.handle.net/1911/113519en_US
dc.language.isoengen_US
dc.rightsCopyright is held by the author, unless otherwise indicated. Permission to reuse, publish, or reproduce the work beyond the bounds of fair use or other exemptions to copyright law must be obtained from the copyright holder.en_US
dc.subjectgender identityen_US
dc.subjectsexual orientationen_US
dc.subjectpopulation healthen_US
dc.subjecthealthcareen_US
dc.subjectLGBTen_US
dc.subjecttransgenderen_US
dc.subjectgender nonconformingen_US
dc.subjectlesbianen_US
dc.subjectgayen_US
dc.subjectbisexualen_US
dc.subjectolder adultsen_US
dc.subjectagingen_US
dc.subjectsexual minorityen_US
dc.subjectgender minorityen_US
dc.subjecthealthcare accessen_US
dc.subjectinsuranceen_US
dc.titleThe Doctor is In – Who is Left Out? Disparities in Healthcare Access among Older Adults by Gender and Sexual Orientationen_US
dc.typeThesisen_US
dc.type.materialTexten_US
thesis.degree.departmentSociologyen_US
thesis.degree.disciplineSocial Sciencesen_US
thesis.degree.grantorRice Universityen_US
thesis.degree.levelMastersen_US
thesis.degree.nameMaster of Artsen_US
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