Table 5
Unadjusted and adjusted odds ratios comparing lesbian and bisexual women with heterosexual women for selected health care provider consultations, lack of regular doctor, report of unmet health care need and use of preventive screening, household population aged 18 to 59, Canada, 2003 and 2005 combined

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  Lesbian Bisexual
Unadjusted Adjusted Unadjusted Adjusted
Odds ratio 95% confidence interval Odds ratio 95% confidence interval Odds ratio 95% confidence interval Odds ratio 95% confidence interval
Consultation in past 12 months
Family doctor or general practitioner 0.70* 0.54 to 0.90 0.70* 0.53 to 0.92 0.94 0.71 to 1.24 0.97 0.70 to 1.34
Medical specialist 1.21 0.97 to 1.52 1.13 0.90 to 1.41 1.24 0.99 to 1.57 1.04 0.80 to 1.34
Nurse 0.91 0.69 to 1.20 0.90 0.67 to 1.21 1.69* 1.32 to 2.17 1.16 0.90 to 1.50
Social worker or counsellor 1.56* 1.04 to 2.35 1.36 0.85 to 2.18 3.29* 2.50 to 4.32 1.56* 1.14 to 2.15
Psychologist 2.65* 1.76 to 3.97 2.09* 1.32 to 3.31 2.86* 1.92 to 4.24 1.57* 1.05 to 2.35
Alternative care provider 1.91* 1.53 to 2.38 1.66* 1.32 to 2.09 1.47* 1.16 to 1.86 1.56* 1.24 to 1.96
Self-help group 2.24* 1.27 to 3.95 2.00* 1.10 to 3.64 3.34* 2.41 to 4.62 2.48* 1.76 to 3.48
No regular doctor 1.78* 1.36 to 2.33 1.68* 1.28 to 2.21 2.44* 1.86 to 3.19 2.04* 1.55 to 2.70
Unmet health care need in past 12 months 1.41* 1.07 to 1.85 1.24 0.92 to 1.68 2.32* 1.84 to 2.92 1.36* 1.04 to 1.78
Preventive screening
Mammogram in past 2 years (aged 50 to 59) 1.03 0.67 to 1.60 1.20 0.78 to1.84 0.41* 0.22 to 0.76 0.46* 0.24 to 0.90
Pap test in past 3 years 0.52* 0.42 to 0.66 0.60* 0.47 to 0.77 0.96 0.73 to 1.25 1.32* 1.01 to 1.74
* significantly different from estimate for heterosexual women (p < 0.05)
Notes: The following variables were controlled in the adjusted model: age (continuous), marital status, child(ren) under 12 in household, education (including missing values), income quintile (including missing values), place of residence,racial or cultural group, self-rated general health, number of chronic conditions, two- week physical disability day, self-rated mental health, anxiety disorder, mood disorder, two-week mental health disability day, having a regular doctor (except for regression models where not having a regular doctor is the outcome), and survey cycle.
Data sources: 2003 and 2005 Canadian Community Health Survey (combined data).
Table source: Statistics Canada, 2008, " Health care use among gay, lesbian and bisexual Canadians", Health Reports, Vol. 19, No. 1, catalogue number 82-003-XWE.