Characterizing state-level structural cisheterosexism trajectories using sequence and cluster analysis, 1996-2016, 50 US states and Washington, DC, and associations with health status and health care outcomes.

ABSTRACT: Structural cisheterosexism is a root cause of lesbian, gay, bisexual, transgender, and queer (LGBTQ) health inequities. Amidst ongoing legal attacks on LGBTQ populations' rights, research is needed to examine changes in policy contexts over time and associated implications for population health and inequities. To address this gap, we constructed state-level structural cisheterosexism trajectories for each US state and Washington, DC, for the period 1996 to 2016. We used sequence analysis to quantify differences between trajectories and cluster analysis to group similar trajectories. We evaluated associations between trajectory clusters and individual-level health outcomes (ie, self-rated health, frequent mental distress, lacking insurance, lacking a doctor, avoiding care due to cost) from

SUBMITTER: Zubizarreta D 

PROVIDER: S-EPMC12409125 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature