Sexual minorities in the United States have often reported a higher likelihood of forgoing healthcare than heterosexuals, but whether this occurred during the COVID-19 pandemic remains underexplored. This study applies and extends the Andersen model to examine different-sex and same-sex families’ likelihood of forgoing healthcare during the pandemic using nationally representative data from the 2020 (May–October) Current Population Survey (N = 139,636). Results are that during the early stage of the pandemic (1) same-sex families overall are more likely than different-sex families to forgo medical care, (2) cohabitating same-sex families were less likely to forgo healthcare than their married counterparts, and (3) state policy environments will moderate only some of the differences in healthcare utilization by family types. Findings provide partial support for hypotheses and suggest a more careful consideration of the role of partnership and state policy in the Andersen model. Policy implications are also discussed.

美国的性少数群体经常报告比异性恋者放弃医疗保健的可能性更高，但这种情况是否发生在 COVID-19 大流行期间仍有待探索。本研究应用并扩展了安德森模型，利用 2020 年（5 月至 10 月）当前人口调查（N = 139,636）的全国代表性数据，研究不同性别和同性家庭在大流行期间放弃医疗保健的可能性。结果是，在大流行的早期阶段（1）同性家庭总体上比异性家庭更有可能放弃医疗保健，（2）同居同性家庭比已婚家庭放弃医疗保健的可能性更小， (3) 国家政策环境只会缓和家庭类型在医疗保健利用方面的部分差异。研究结果为假设提供了部分支持，并建议更仔细地考虑安徒生模型中伙伴关系和国家政策的作用。还讨论了政策影响。