Gay men report unique health disparities and service utilization trends compared to their
heterosexual peers including a lack of health-care participation which may lead to chronic
health conditions. Limited research has been conducted analyzing group differences among
gay men such as the influence of one’s age cohort on disparities. The aim of this study
was to examine the association age cohort has on health service utilization among gay men.
A sample of 383 self-identified gay men was collected by the San Francisco Department of
Public Health. Older men were less likely to have visited a medical provider in the past
12 months compared to middle-aged men (OR = 0.10; 95% CI [2.47, 39.8]) and younger men (OR
= 0.35; 95% CI [1.28, 10.42]). However, older men were more likely to have a usual source
of medical care compared to younger men (OR = 4.0; 95% CI [.05, .84]). Age cohort
differences in health-care service utilization appear to exist among gay men. This study
highlights additional areas for exploration including the impact HIV and socioeconomic
status have on health-seeking behavior and health service utilization.
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