Expectation of Rejection and Its Association with Health Care Avoidance and Delay Among 2175 Korean Lesbian, Gay, and Bisexual Adults: A Nationwide Cross-Sectional Survey

Sungsub Choo; Hyemin Lee; Horim Yi; Seung Sup Kim

doi:10.1089/lgbt.2021.0269

Expectation of Rejection and Its Association with Health Care Avoidance and Delay Among 2175 Korean Lesbian, Gay, and Bisexual Adults: A Nationwide Cross-Sectional Survey

Sungsub Choo, Hyemin Lee, Horim Yi, Seung Sup Kim

Department of Public Health Sciences

Research output: Contribution to journal › Article › peer-review

Abstract

Purpose: The study examined an association between expectation of rejection and health care avoidance and delay (HAD) among lesbian, gay, and bisexual (LGB) adults in South Korea. Methods: We analyzed data from a nationwide cross-sectional survey of 2175 South Korean LGB adults, which was approved by the Korea University Institutional Review Board. We categorized expectation of rejection into tertiles ("low,""medium,"and "high"levels) and investigated its association with past 12-month HAD using multivariate modified Poisson regression. Results: After adjusting for covariates, including experiences of discrimination, participants with high levels of expectation of rejection had 1.38-times (95% confidence interval: 1.16-1.65) higher prevalence of HAD compared with those with low levels. Conclusion: Living in anticipation of rejection can negatively impact LGB adults' health care utilization.

Original language	English
Pages (from-to)	282-286
Number of pages	5
Journal	LGBT Health
Volume	9
Issue number	4
DOIs	https://doi.org/10.1089/lgbt.2021.0269
Publication status	Published - 2022 Jun 1

Keywords

LGB
South Korea
health care avoidance and delay
sexual minority
stigma

ASJC Scopus subject areas

Dermatology
Obstetrics and Gynaecology
Public Health, Environmental and Occupational Health
Psychiatry and Mental health
Urology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1089/lgbt.2021.0269

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title = "Expectation of Rejection and Its Association with Health Care Avoidance and Delay Among 2175 Korean Lesbian, Gay, and Bisexual Adults: A Nationwide Cross-Sectional Survey",

abstract = "Purpose: The study examined an association between expectation of rejection and health care avoidance and delay (HAD) among lesbian, gay, and bisexual (LGB) adults in South Korea. Methods: We analyzed data from a nationwide cross-sectional survey of 2175 South Korean LGB adults, which was approved by the Korea University Institutional Review Board. We categorized expectation of rejection into tertiles ({"}low,{"}{"}medium,{"}and {"}high{"}levels) and investigated its association with past 12-month HAD using multivariate modified Poisson regression. Results: After adjusting for covariates, including experiences of discrimination, participants with high levels of expectation of rejection had 1.38-times (95% confidence interval: 1.16-1.65) higher prevalence of HAD compared with those with low levels. Conclusion: Living in anticipation of rejection can negatively impact LGB adults' health care utilization. ",

keywords = "LGB, South Korea, health care avoidance and delay, sexual minority, stigma",

author = "Sungsub Choo and Hyemin Lee and Horim Yi and Kim, {Seung Sup}",

note = "Funding Information: The study was partially funded by the Korean Gay Men{\textquoteright}s Human Rights Group Chingusai and the Beautiful Foundation. Funding Information: The study was partially funded by the Korean Gay Men's Human RightsGroup Chingusai and the Beautiful Foundation. Publisher Copyright: {\textcopyright} Copyright 2022, Mary Ann Liebert, Inc., publishers 2022.",

year = "2022",

month = jun,

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doi = "10.1089/lgbt.2021.0269",

language = "English",

volume = "9",

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T2 - A Nationwide Cross-Sectional Survey

AU - Choo, Sungsub

AU - Lee, Hyemin

AU - Yi, Horim

AU - Kim, Seung Sup

N1 - Funding Information: The study was partially funded by the Korean Gay Men’s Human Rights Group Chingusai and the Beautiful Foundation. Funding Information: The study was partially funded by the Korean Gay Men's Human RightsGroup Chingusai and the Beautiful Foundation. Publisher Copyright: © Copyright 2022, Mary Ann Liebert, Inc., publishers 2022.

PY - 2022/6/1

Y1 - 2022/6/1

N2 - Purpose: The study examined an association between expectation of rejection and health care avoidance and delay (HAD) among lesbian, gay, and bisexual (LGB) adults in South Korea. Methods: We analyzed data from a nationwide cross-sectional survey of 2175 South Korean LGB adults, which was approved by the Korea University Institutional Review Board. We categorized expectation of rejection into tertiles ("low,""medium,"and "high"levels) and investigated its association with past 12-month HAD using multivariate modified Poisson regression. Results: After adjusting for covariates, including experiences of discrimination, participants with high levels of expectation of rejection had 1.38-times (95% confidence interval: 1.16-1.65) higher prevalence of HAD compared with those with low levels. Conclusion: Living in anticipation of rejection can negatively impact LGB adults' health care utilization.

AB - Purpose: The study examined an association between expectation of rejection and health care avoidance and delay (HAD) among lesbian, gay, and bisexual (LGB) adults in South Korea. Methods: We analyzed data from a nationwide cross-sectional survey of 2175 South Korean LGB adults, which was approved by the Korea University Institutional Review Board. We categorized expectation of rejection into tertiles ("low,""medium,"and "high"levels) and investigated its association with past 12-month HAD using multivariate modified Poisson regression. Results: After adjusting for covariates, including experiences of discrimination, participants with high levels of expectation of rejection had 1.38-times (95% confidence interval: 1.16-1.65) higher prevalence of HAD compared with those with low levels. Conclusion: Living in anticipation of rejection can negatively impact LGB adults' health care utilization.

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KW - stigma

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Expectation of Rejection and Its Association with Health Care Avoidance and Delay Among 2175 Korean Lesbian, Gay, and Bisexual Adults: A Nationwide Cross-Sectional Survey

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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