Health and Wellness for LGBTQ

Hunt, Lynn; Vennat, Maryjane; Waters, Joseph H.

doi:10.1016/j.yapd.2018.04.002

Cited by 21 publications

(13 citation statements)

References 15 publications

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“…The UK National LGBT survey reported that 24% of participants had accessed mental health services in the previous 12 months [9]. Furthermore, LGBT people have higher incidences of substance use, family rejection, homelessness and isolation; all social determinants of health [10]. Minority stress theory hypothesises that long term discrimination and stigma can lead to chronic stress, potentially resulting in long-term physical and mental health problems [11].…”

Section: Introductionmentioning

confidence: 99%

“…However, LGBT patients face many barriers to healthcare. Systemic barriers include insensitive or lack of screening invitations, a lack of specialised services such as gender identity clinics, or deliberate withholding of treatment [3,7,10,12,13]. Communication barriers can arise in situations where a clinician lacks awareness or has negative views towards LGBT patients.…”

Section: Introductionmentioning

confidence: 99%

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Medical students’ awareness of health issues, attitudes, and confidence about caring for lesbian, gay, bisexual and transgender patients: a cross-sectional survey

et al. 2021

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Background Lesbian, gay, bisexual and transgender (LGBT) patients have an increased incidence of a range of health problems, and face many barriers to accessing healthcare. Our research aimed to explore the awareness of health issues and attitudes of medical students towards LGBT patients’ health including barriers to health services, their attitudes towards inclusion of LGBT content in the curriculum and their confidence with providing care for their LGBT patients in the future. Methods Medical students were recruited to take part in a cross-sectional survey. We used a 28-item survey to explore views about the undergraduate medical curriculum. Results 252 surveys were analysed from 776 eligible participants. Attitudes towards LGBT patients were positive but awareness and confidence with respect to LGBT patients were variable. Confidence discussing sexual orientation with a patient significantly increased with year of study but confidence discussing patient gender identity did not. The majority of participants (n = 160; 69%) had not received specific training on LGBT health needs, and 85% (n = 197) wanted to receive more training. Conclusions Increasing the amount of LGBT teaching in undergraduate medical curricula could help to increase the quality of doctor-patient interactions, to facilitate patients’ disclosure of sexual orientation and gender identity in healthcare and increase the quality of healthcare.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Medical students’ awareness of health issues, attitudes, and confidence about caring for lesbian, gay, bisexual and transgender patients: a cross-sectional survey

et al. 2021

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“…There is also considerable diversity between sexual identity, attraction and behaviours within individuals adding to the complexity when disclosing and consequently monitoring (5). As same-sex attraction becomes less stigmatised, it is important that barriers to disclosure are also eradicated in healthcare so that inequities in health outcomes, for example increased rates of: depression; anxiety; selfharm, suicide, sexually transmitted infections and HIV; substance use; family rejection; homelessness and isolation (6,7,8), and inequities in healthcare experiences can be properly monitored and evaluated.…”

Section: Introductionmentioning

confidence: 99%

A decline in patient disclosure of heterosexuality in the English General Practice Patient Survey: a longitudinal analysis of cross-sectional data

Cross

Llewellyn

2020

Family Practice

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Background Persistent health inequalities in relation to both health care experiences and health outcomes continue to exist among patients identifying with a marginalized sexual orientation (MSO). Objective To compare the patterns of sexual orientation disclosure within primary care in England over a 5-year period. Methods Descriptive analysis of cross-sectional, repeat measure, fully anonymized survey data of adults responding to the General Practice Patient Survey (GPPS) January 2012 to 2017. Participants from each year varied between 808 332 (2017) and 1 037 946 (2011/2012). Results The analysis samples comprised between 396 963 and 770 091 individuals with valid sexual orientation data depending on the year. For males, heterosexual disclosure decreased consistently from 92.3% to 91.2% from 2012 to 2017. Male patients reporting gay, bisexual and/or ‘other’ sexual orientations increased from 3.1% to 3.9%. For females, a larger reduction in heterosexual disclosure was recorded from 94% to 92.5%. Those reporting as lesbian, bisexual and/or ‘other’ increased from 1.82% to 2.68%, with the largest increase seen in the reporting of bisexuality, which nearly doubled from 2012 until 2017 (0.56–0.99%). Conclusion We found a year-on-year decline in patients reporting a heterosexual identity and an increase in the proportions of people reporting being either gay, bisexual, ‘other sexual orientation’ or preferring not to say. Heteronormative environments extend to health care settings, which may put increased stress on MSO individuals attending a GP practice. The introduction of environmental signs/symbols to show that a practice is inclusive of MSOs could reduce the potential stress experienced by patients.

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“…Sexual and gender minorities often face social stigma early, beginning in school, that affects their global health and well-being. The disparities in mental and physical health among SGMs are often attributed to structural discrimination including increased rates of poverty, homelessness, depression, anxiety, suicidality, interpersonal violence, and sexually transmitted infections (Durso & Gates, 2012;CDC, 2013;National Institute of Allergy and Infectious Diseases, 2016;Mullaney, 2016;Coulter & Miller, 2018;Hunt,, et al, 2018;Lim et al, 2018). Sexual and gender minorities are confronted not only by social stigma and health disparities, but also by the many professionals who do not have the education, training, or field-related knowledge necessary to provide adequate, appropriate guidance and services.…”

mentioning

confidence: 99%

“…Fortunately, researchers are beginning to identify concrete steps that can be taken to maximize wellness of SGM populations (CDC, 2013;Coulter & Miller, 2018;Gahagan & Subirana-Malaret, 2018;Harvard Opinion Research Program, 2017;Hunt, et al, 2018;Lim, et al, 2018;Mullaney, 2016). This acts as a reminder that, as Lim et al asserted, identifying as LGBTQ[IA+] is not biologically hazardous to health, enduring social stigma and homophobia is (2018).…”

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confidence: 99%

Evaluating social inclusion: An adaptable measure for use on college campuses

Bird

Island

2020

IJURCA

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Gender and sexual identity discrimination are commonly reported among persons of non-heterosexual or non-cisgender identities. Sexual and gender minority (SGM) students are more likely to experience discrimination, hate crimes, poverty, sexually transmitted infections, anxiety, and depression compared to heterosexual and cisgender individuals. These marginalized experiences create a unique need for education, resources, support, and community. Greater awareness of sexual and gender minorities encourages college students to feel comfortable sharing their experiences, and openly identifying as a sexual and/or gender minority. Consequently, to retain the full breadth of diversity within university communities, centers on campus that provide programming, education, and advocacy for minority students are essential for an inclusive campus climate that nurtures diverse student populations. Given the dearth in empirical instruments to support social inclusion among Sexual and Gender Minorities on college campuses, the purpose of this research was to, 1.) Develop a meaningful measure for use in the evaluation of gender identity and sexuality among college students and their perceived social inclusion through the lens of a social inclusion center; and 2.) Include questions addressing efficacy of relevant social inclusion centers for SGM students, staff, faculty, and their allies. This research focuses on self-report data collected through the Gender and Sexual Inclusion, Knowledge, and Attitude Survey from staff, faculty, and undergraduate students from a small liberal arts college in the Pacific Northwest (N = 218).

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Health and Wellness for LGBTQ

Cited by 21 publications

References 15 publications

Medical students’ awareness of health issues, attitudes, and confidence about caring for lesbian, gay, bisexual and transgender patients: a cross-sectional survey

Medical students’ awareness of health issues, attitudes, and confidence about caring for lesbian, gay, bisexual and transgender patients: a cross-sectional survey

A decline in patient disclosure of heterosexuality in the English General Practice Patient Survey: a longitudinal analysis of cross-sectional data

Evaluating social inclusion: An adaptable measure for use on college campuses

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