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A comparative assessment of access to healthcare between homeless bisexual young adult men and homeless gay young adult men in New York City
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Title
A comparative assessment of access to healthcare between homeless bisexual young adult men and homeless gay young adult men in New York City
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Gunness
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Harlem J.
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1974-
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Harlem J. Gunness
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author
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Sabrina
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Sabrina Chase
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Advisory Committee
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chair
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Powell
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Authur Powell
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internal member
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Qureshi
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Rubab
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Rubab Qureshi
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Edelson
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Paul
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Paul Edelson
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Advisory Committee
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Rutgers University
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Graduate School - Newark
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Text
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theses
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2019
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2019-01
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2019
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xx
Language
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eng
Abstract
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Background: In recent years, attention to homeless lesbian, gay, bisexual, transgender and questioning (LGBTQ) youth has grown. Studies show that they are disproportionately homeless when compared to non-LGBTQ youth. As a result of homelessness, they face unprecedented health disparities. However, few studies have examined access to and utilization of healthcare by the LGBTQ youth, particularly among subgroups like homeless bisexual and gay youth.
Purpose: The purpose of the study was to conduct a comparative assessment of access to healthcare and to compare access between homeless bisexual and homeless gay young adult men in New York City. Methods: The purposive sample of 30 subjects aged 18 and older was asked to answer a brief survey questionnaire and undergo semi-structured interviews. Subjects were recruited from a drop-in homeless youth center in New York City. Content analysis methods and Andersen’s Behavioral Model of Health Services (of vulnerable population) theory were employed to critically analyze and investigate access to healthcare in this community. Verbal informed consent was obtained.
Findings: Of the 30 participants, 56.6 % (17) were bisexual and 43.3% (13) gay. Homeless bisexual young adult men had more physical and mental health problems than homeless young adult gay men. Additionally, bisexual young adult men were disproportionately affected by barriers to healthcare than gay men. Bisexuals used hospital emergency departments more frequently than gays alongside using fewer LGBTQ-specific healthcare services than gays. The underlying structural barriers to healthcare between the two groups included the fragmentation of healthcare, interruptions in government benefits, lack of access to transportation, geographic concentration of healthcare services, and limitation in LGBTQ-homeless shelters. Facilitators of healthcare included comprehensive medical care, provision of incentives (like food and transportation fare), rapport with healthcare providers, and social support.
Conclusion: Accessing hospital ERs were found to be more frequent among bisexual men than gay men. Conversely, more gay men accessed LGBTQ-specific healthcare services than bisexual men. Bisexual men described more physical and mental/behavioral health disease burdens than their counterparts. More largescale research is needed to examine the behavioral characteristics between the two groups, especially to investigate why they access healthcare services differently.
Purpose: The purpose of the study was to conduct a comparative assessment of access to healthcare and to compare access between homeless bisexual and homeless gay young adult men in New York City. Methods: The purposive sample of 30 subjects aged 18 and older was asked to answer a brief survey questionnaire and undergo semi-structured interviews. Subjects were recruited from a drop-in homeless youth center in New York City. Content analysis methods and Andersen’s Behavioral Model of Health Services (of vulnerable population) theory were employed to critically analyze and investigate access to healthcare in this community. Verbal informed consent was obtained.
Findings: Of the 30 participants, 56.6 % (17) were bisexual and 43.3% (13) gay. Homeless bisexual young adult men had more physical and mental health problems than homeless young adult gay men. Additionally, bisexual young adult men were disproportionately affected by barriers to healthcare than gay men. Bisexuals used hospital emergency departments more frequently than gays alongside using fewer LGBTQ-specific healthcare services than gays. The underlying structural barriers to healthcare between the two groups included the fragmentation of healthcare, interruptions in government benefits, lack of access to transportation, geographic concentration of healthcare services, and limitation in LGBTQ-homeless shelters. Facilitators of healthcare included comprehensive medical care, provision of incentives (like food and transportation fare), rapport with healthcare providers, and social support.
Conclusion: Accessing hospital ERs were found to be more frequent among bisexual men than gay men. Conversely, more gay men accessed LGBTQ-specific healthcare services than bisexual men. Bisexual men described more physical and mental/behavioral health disease burdens than their counterparts. More largescale research is needed to examine the behavioral characteristics between the two groups, especially to investigate why they access healthcare services differently.
Subject
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Topic
Urban Systems
Subject
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Topic
Health services accessibility
Subject
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Topic
Bisexual men
Subject
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Topic
Gay men
Subject
(authority = ETD-LCSH)
Topic
Homeless men
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Rutgers University Electronic Theses and Dissertations
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ETD_9415
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electronic resource
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1 online resource (334 pages : illustrations)
Note
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Ph.D.
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Includes bibliographical references
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by Harlem J. Gunness
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Graduate School - Newark Electronic Theses and Dissertations
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rucore10002600001
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NjNbRU
Identifier
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doi:10.7282/t3-9nxf-7r09
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(authority = ExL-Esploro)
ETD doctoral
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Rights
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The author owns the copyright to this work.
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Name
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Gunness
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Harlem
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J.
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2018-12-10 22:07:09
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Harlem Gunness
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Rutgers University. Graduate School - Newark
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Author Agreement License
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
Copyright
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Copyright protected
Availability
Status
Open
Reason
Permission or license
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