The Relationship Between State Level Policy, Insurance and Health Care Engagement for LGBTQ+ Foster Alumni
Bibliographic Data
| ID | 3660520 |
|---|---|
| Authors | Micki Washburn (0000-0003-1486-2501, Social Work, University of Texas at Arlington, Arlington, Texas, USA, corresponding author), Catherine A Labrenz (0000-0001-7494-5486, Social Work, University of Texas at Arlington, Arlington, Texas, USA), Donald Roper (0000-0003-2740-1691, Social Work Practice, University of Texas at Arlington, Arlington, Texas, USA), Miao Yu (0000-0002-7625-6315, Social Work, University of Texas at Arlington, Arlington, Texas, USA) |
| Year | 2024 |
| Volume | 71 |
| Issue | 13 |
| Pages | 3147-3173 |
| Publication date | 2024-11-09 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Journal of Homosexuality (JOURNAL) |
| Journal identifiers | ISSN: 0091-8369 • E-ISSN: 1540-3602 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/00918369.2023.2283850 |
| PMID | 38088559 |
| OpenAlex | W4389673167 |
| Language | EN |
| References cited | 46 |
Minority stress theory posits that external environmental factors such as state level policies around equity and inclusion of LGBTQ+ people can have a significant impact on the health and wellness of those identifying as part of the larger LGBTQ+ community, as well as on their decisions to seek needed physical or mental health care. This secondary data analysis explored the relationship between state level policies related to LGBTQ+ equity and inclusion and physical and mental health care engagement for foster care alumni. Using data from the Jim Casey Opportunity Passport Survey (n = 2,420), the research team conducted a longitudinal analysis of youth's engagement with healthcare professional as needed physical and mental health care, using sociodemographic characteristics of the respondents and state level policies, such as Medicaid expansion and state level protections for LGBTQ+ citizens as predictors. Results indicate obtaining health insurance increased the likelihood that the youth would seek physical health care. LGBTQ+ young adults assigned female at birth had higher odds of not receiving physical health care relative to non-LGBTQ+ peers. Compared with non-LGBTQ+ youth, LGBTQ+ youth showed higher odds of not seeing mental health professionals when they needed to. Implications for practice, policy and advocacy are presented
Equity (law · Health care · Health equity · Inclusion (mineral · Logistic regression · Medicaid · Mental health · Odds · Political science · Psychiatry · Child Welfare and Adoption · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Reproductive Health and Technologies · Social Psychology · Gerontology
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| Citation velocity | historical |
|---|---|
| Highly cited | No |