Barriers to Accessing Mental Healthcare for Gay and Bisexual Men Living in Oklahoma

  • Joseph M. Currin
  • Randolph D. Hubach
  • Hugh C. Crethar
  • Tonya R. Hammer
  • Hang-Shim Lee
  • Mary Larson
Article

Abstract

The American College of Physicians has recently called for research to understand the potential causes of LGBT health disparities that exist when compared to their heterosexual counterparts. Barriers to accessing mental health care can be a cause of this disparity. To address this, the current study asked participants (N = 209) if they had received mental health care (MHC) over the past year and during their lifetime. Andersen’s (1967) behavioral health model was used to predict healthcare utilization. A hierarchical logistic regression was conducted to predict MHC, in the past year (12) and during their lifetime (L). Both models were significant: for MHC-L, (χ 2 (6) = 41.57, p < .001), and for MHC-12 (χ 2 (6) = 53.26, p < .001). Both models had previous mental health diagnosis and disclosure of sexual orientation status as significant predictors. Individuals who more openly disclosed sexual orientation status were more likely to have used mental health services. Implications and limitations to the study are discussed.

Keywords

LGBT mental health LGBT health disparities Stigmatization and mental health Sexual orientation disclosure and mental health LGBT rural health 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare they have no conflict of interests.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Joseph M. Currin
    • 1
    • 2
  • Randolph D. Hubach
    • 3
  • Hugh C. Crethar
    • 1
  • Tonya R. Hammer
    • 4
  • Hang-Shim Lee
    • 1
  • Mary Larson
    • 5
  1. 1.School of Community Health Sciences, Counseling, and Counseling PsychologyOklahoma State UniversityStillwaterUSA
  2. 2.Department of Psychological SciencesTexas Tech UniversityLubbockUSA
  3. 3.Rural HealthOklahoma State University Center for Health SciencesTulsaUSA
  4. 4.School of Community Health Sciences, Counseling, and Counseling PsychologyOklahoma State University-TulsaTulsaUSA
  5. 5.Edmon Low LibraryOklahoma State UniversityStillwaterUSA

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