Barriers to Accessing Mental Healthcare for Gay and Bisexual Men Living in Oklahoma
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.
KeywordsLGBT mental health LGBT health disparities Stigmatization and mental health Sexual orientation disclosure and mental health LGBT rural health
Compliance with Ethical Standards
Conflict of Interest
The authors declare they have no conflict of interests.
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 was obtained from all individual participants included in the study.
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