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Queer Out Here: Inequities in Healthcare Access, Utilization, and Health Insurance for Rural Lesbian, Gay and Bisexual Populations
Queer Out Here: Inequities in Healthcare Access, Utilization, and Health Insurance for Rural Lesbian, Gay and Bisexual Populations
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202105313
- ISBN
- 9798265458698
- DDC
- 614
- 서명/저자
- Queer Out Here: Inequities in Healthcare Access, Utilization, and Health Insurance for Rural Lesbian, Gay and Bisexual Populations
- 발행사항
- [Sl] : Arizona State University, 2025
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2025
- 형태사항
- 199 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 87-06, Section: A.
- 주기사항
- Advisor: Kulis, Stephen.
- 학위논문주기
- Thesis (Ph.D.)--Arizona State University, 2025.
- 초록/해제
- 요약Queer individuals in rural communities encounter distinct challenges in healthcare access and utilization due to compounded interpersonal and institutional factors. Using pooled data from the 2019-2024 National Health Interview Survey and drawing on Conflict Theory, Fundamental Causes Theory, and Queer Theory, this study examines disparities across rural queer, rural non-queer, and urban queer populations. Measures of healthcare barriers, access, and utilization were analyzed using survey weights, ANOVAs, and multivariate regression models to account for socioeconomic and regional variation. Findings indicate that rural queer individuals face the most substantial structural and financial barriers. Compared to rural non-queer peers, they were significantly more likely to delay care due to cost (OR = 2.28, p .001) and to report fair or poor health (OR = 1.43, p = .001). Relative to urban queer peers, they had 41% lower odds of reporting a usual source of care (RR = 0.59, p = .003) and were 54% more likely to report poor health (RR = 1.54, p .001). Mediation models revealed that poverty explained most of the rural-urban disparity in delayed care, while both insurance and poverty produced suppression effects for usual source of care and health status, masking the full extent of rural disadvantage. These results underscore the compounded impact of queerness and rurality on healthcare inequities. The findings highlight the need for targeted, place-based, and identity-affirming interventions and provide actionable evidence for policymakers and practitioners seeking to reduce disparities and expand equitable healthcare access for rural queer populations.
- 일반주제명
- Health sciences
- 일반주제명
- Public health
- 일반주제명
- LGBTQ studies
- 키워드
- Queer theory
- 기타저자
- Arizona State University Sociology
- 기본자료저록
- Dissertations Abstracts International. 87-06A.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
008260126s2025 us c eng d■001000017360158
■00520260202105313
■006m o d
■007cr#unu||||||||
■020 ▼a9798265458698
■035 ▼a(MiAaPQ)AAI32285082
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a614
■1001 ▼aGresenz, Kyle Evan.
■24510▼aQueer Out Here: Inequities in Healthcare Access, Utilization, and Health Insurance for Rural Lesbian, Gay and Bisexual Populations
■260 ▼a[Sl]▼bArizona State University▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a199 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 87-06, Section: A.
■500 ▼aAdvisor: Kulis, Stephen.
■5021 ▼aThesis (Ph.D.)--Arizona State University, 2025.
■520 ▼aQueer individuals in rural communities encounter distinct challenges in healthcare access and utilization due to compounded interpersonal and institutional factors. Using pooled data from the 2019-2024 National Health Interview Survey and drawing on Conflict Theory, Fundamental Causes Theory, and Queer Theory, this study examines disparities across rural queer, rural non-queer, and urban queer populations. Measures of healthcare barriers, access, and utilization were analyzed using survey weights, ANOVAs, and multivariate regression models to account for socioeconomic and regional variation. Findings indicate that rural queer individuals face the most substantial structural and financial barriers. Compared to rural non-queer peers, they were significantly more likely to delay care due to cost (OR = 2.28, p .001) and to report fair or poor health (OR = 1.43, p = .001). Relative to urban queer peers, they had 41% lower odds of reporting a usual source of care (RR = 0.59, p = .003) and were 54% more likely to report poor health (RR = 1.54, p .001). Mediation models revealed that poverty explained most of the rural-urban disparity in delayed care, while both insurance and poverty produced suppression effects for usual source of care and health status, masking the full extent of rural disadvantage. These results underscore the compounded impact of queerness and rurality on healthcare inequities. The findings highlight the need for targeted, place-based, and identity-affirming interventions and provide actionable evidence for policymakers and practitioners seeking to reduce disparities and expand equitable healthcare access for rural queer populations.
■590 ▼aSchool code: 0010.
■650 4▼aHealth sciences
■650 4▼aPublic health
■650 4▼aLGBTQ studies
■653 ▼aHealthcare inequities
■653 ▼aQueer theory
■653 ▼aRural communities
■690 ▼a0566
■690 ▼a0573
■690 ▼a0492
■71020▼aArizona State University▼bSociology.
■7730 ▼tDissertations Abstracts International▼g87-06A.
■790 ▼a0010
■791 ▼aPh.D.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17360158▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
