Inequities in the lgbtq community
Studies Deepen Understanding of LGBTQ Health Disparities
The impact of a hostile political environment on mental health
A recent study in JAMA Internal Medicine led by HMS MD student Michael Liu and Keuroghlian found significant increases in poor health outcomes for non-binary and gender diverse adults compared to cisgender adults from 2014 to 2022, a time marked by escalating attacks on transgender health care and access to public accommodations in many states in the U.S. The worsening health disparities were especially apparent in self-reported mental distress and depression.
While they did not collect any control evidence linking these policy changes to increasing disparities, the researchers said that they are an obvious source of stress, which has been shown to be a major driver of health disparities in multiple studies.
“Our findings certainly hint that this antagonistic environment is eroding the health of an already very vulnerable population,” Liu said.
For example, the percentage of transgender and gender diverse adults experiencing frequent mental distress more than doubled from 18.8 percent in 2014 to 38.9 percent in 2022, while rates amon
Hidden Figures: LGBT Health Inequalities in the UK
What is Hidden Figures?
Hidden Figures is a document that presents our assessment of the health inequalities faced by LGBT communities. Health inequalities arise at different stages of people’s lives, and LGBT people often life specific further discrimination and marginalisation when accessing services to address these health inequalities. This report therefore uses a life course approach to highlight the importance of these stages and their cumulative impact on health and wellbeing. It also attempts to showcase the unique inequalities faced by LGBT people throughout the entirety of their lives, from cradle to grave.
As such, this report is designed to showcase how multiple health inequalities across a lifespan can impact sequentially and can lead to significantly worse health outcomes. It also touches on the wider determinants of health as well as some of the persistent causes of poor health experienced by LGBT people.
Who is it for?
This document is intended for commissioners and decision makers, those functional with and supporting LGBT people, and those conducting research or writing media articles abou
LGBT Adults’ Experiences with Discrimination and Health Care Disparities: Findings from the KFF Survey of Racism, Discrimination, and Health
Introduction
LGBT adults in the U.S. are a growing population who have historically experienced health disparities. Past research shows that LGBT adults confront increased challenges when it comes to mental health outcomes and access to care, experiences with serious mental health issues (particularly among trans adults), their physical health (including higher rates of disability among younger LGBT adults), and barriers to accessing and affording needed care. These negative experiences often occur at higher rates among LGBT adults who are younger, lower income, women, or report chronic illness or disability (for more detail on the demographics of LGBT adults, see Appendix). The Biden administration has issued recent executive orders aimed at combatting discrimination and disparities affecting LGBT adults, however, an increasing number of states have enacted policies seeking to restrict access to certain types of care for LGBT people, with youth access to gender affirming care existence particularly impacted.
This describe focuses on LGBT adults’
Review of current 2SLGBTQIA+ inequities in the Canadian health care system
1. Introduction
The determinants of health encompass personal, social, economic, and environmental factors that determine health, such as income and social status, employment and working conditions, education and literacy, childhood experiences, access to health services, racism, culture, biology and genetic endowment, age, sexual orientation, and gender identity (1, 2). Certain health determinants can contribute to health inequities by inciting discriminatory and/or intolerant behaviors. The acronym 2SLGBTQIA+ (Two-Spirit, Female homosexual, Gay, Bisexual, Transgender/Trans, Queer/Questioning, Intersexual, Asexual/Aromantic/Agender and all others) is used to describe sexual and gender minorities (3). Individuals of sexual and/or gender minority are often faced with higher rates of adverse health outcomes when compared to the general population; this includes suicide, anxiety, cancer, obesity, and arthritis (4). They are also more likely to occupy in harmful health behaviors, such as substance employ and risky sexual manner (4).
2SLGBTQIA+ health disparities can be explained by minority stress theory (5) which pos
Evidence of inequalities
There is mighty epidemiological evidence that members of the lesbian, same-sex attracted, bisexual and trans (LGBT) community face significant health inequalities throughout their lives. These include:
- Increased risk of suicide and self-harm
- Increased peril of developing depression and anxiety
- Increased rates of smoking
- Increased rates of teenage conception
- Increased rates of sexually transmitted diseases
- Risk of domestic hostility and injury on a par with heterosexual females
- Less likely to report crimes due to possible negative reaction of services involved
- Increased rates of eating disorders and substance misuse
- Experiences of homophobia, aggression and violence.
- Increased isolation in older age and smaller support networks
- Increased difficulty during end of life and with bereavement
The evidence base suggests that inequalities are also experienced differently within the LGBT population. Bisexual and transgender people experience poorer health outcomes than their queer woman and gay counterparts, and LGBT people who are from ethnic minorities or disabled also experience higher levels of inequalities. However, all four groups tackle significantly worse physical and