Who are the remaining uninsured sexual minority adults under the Affordable Care Act?

Abstract

Purpose: The study objectives were to estimate the size of and to describe the population that remains uninsured in the United States by sexual orientation.

Methods: Data on nonelderly adults came from the 2016 and 2017 National Health Interview Survey. We used descriptive statistics and multivariable logistic regression to identify the risk factors for uninsurance by sexual orientation.

Results: Uninsured sexual minority adults were significantly more likely to be 26–34 years, female, noncitizens, living with an unmarried partner, and living in the Midwest and southern United States.

Conclusions: Health insurance enrollment campaigns should target specific subgroups to close coverage gaps for sexual minority individuals.