1. Health-care disparities stemming from sexual orientation of Italian patients with Multiple Sclerosis: A cross-sectional web-based study
- Author
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Luigi, Lavorgna, MOCCIA, MARCELLO, Russo, Antonio, PALLADINO, RAFFAELE, Riccio, Lucia, LANZILLO, ROBERTA, BRESCIA MORRA, VINCENZO, Tedeschi, Gioacchino, Bonavita, Simona, Palladino, R., Lavorgna, Luigi, Moccia, Marcello, Russo, Antonio, Palladino, Raffaele, Riccio, Lucia, Lanzillo, Roberta, Brescia Morra, Vincenzo, Tedeschi, Gioacchino, Bonavita, Simona, Luigi, Lavorgna, BRESCIA MORRA, Vincenzo, and Palladino, R.
- Subjects
Adult ,Male ,PEOPLES EXPERIENCES ,Multiple Sclerosis ,Clinical Neurology ,Affect (psychology) ,03 medical and health sciences ,Sexual and Gender Minorities ,0302 clinical medicine ,Quality of life (healthcare) ,PHYSICIANS ,QUALITY-OF-LIFE ,Surveys and Questionnaires ,Transgender ,Health care ,medicine ,Humans ,030212 general & internal medicine ,Healthcare Disparities ,Internet ,Science & Technology ,LGBT ,business.industry ,Multiple sclerosis ,Gender ,General Medicine ,Health Status Disparities ,medicine.disease ,Inequalitie ,CENTERS ,Cross-Sectional Studies ,GAY ,Neurology ,Italy ,Sexual orientation ,PAPER ,Female ,Neurology (clinical) ,Neurosciences & Neurology ,Lesbian ,Inequalities ,Lifestyle habits ,business ,Attitude to Health ,Sexuality ,Life Sciences & Biomedicine ,030217 neurology & neurosurgery ,Clinical psychology - Abstract
Lesbian, gay, bisexual and transgender (LGBT) patients might experience unique difficulties and barriers to treatment of chronic diseases related to their sexual orientation. Thus, we investigated concerns experienced by LGBT patients with multiple sclerosis (MS). We conducted a web-based survey using a multi-choice questionnaire published in an Italian social-network (www.smsocialnetwork.com) for MS patients. The survey investigated: socio-demographic factors, lifestyle habits, MS-related health status and LGBT specific issues (e.g. friendliness to their sexual orientation and eventual homophobic behaviors in the MS Center). Among MS patients willing to use psychological services, LGBT patients were associated with a smaller number of psychological consultations, compared to heterosexuals (Coeff.=-0.449; p < 0.001; 95% CI=-0.682 to -0. 217). LGBT patients were more likely to change MS Center, compared to heterosexuals (OR=2.064; p=0.046; 95% CI=1.011-4.212). The number of MS Center changes was associated with MS Center friendliness (p=0.037; rho=-0.229) and with the occurrence of homophobic behaviors (p=0.036; rho=0.234). LGBT MS patients more frequently changed MS Center and had a reduced use of psychological services, compared to heterosexuals. The attitude towards LGBT MS patients might affect resource utilizations and LGBTs health status.
- Published
- 2017