Sexual and gender minority university students report distress due to discriminatory health care policies

Religious conscience" or "healthcare denial" policies allow healthcare providers and institutions to refuse to provide services in the name of religious freedom. Denial policies are a form of structural stigma that could impede access to healthcare for sexual and gender minority (SGM) populations, particularly SGM young adults. This study describes SGM university students' response to policies permitting healthcare providers to deny care based on their religious beliefs. Data were obtained from 8,322 SGM students at 38 colleges and universities who participated in the spring 2020 Healthy Minds Study. Descriptive statistics are reported for the level of distress due to the denial policies and likelihood to avoid identity disclosure. Over 90% of SGM students report distress knowing about denial policies (sexual minority: 6.95/10; gender minority: 8.05/10). Students also reported similarly high distress imagining that they had been denied care (sexual minority: 8.05/10; gender minority: 8.57/10). The majority of sexual (69.2%) and gender minority (82.2%) students agreed the policy would make them less likely to disclose their identity to a new provider. Experiencing, or even anticipating, discrimination in healthcare settings through denial policies has negative impacts on the health of SGM populations and has the potential to exacerbate existing mental health disparities for SGM young adults

Distress · Health care · Political science · Sexual minority · Sexual orientation · Clinical Psychology · Law · LGBTQ Health, Identity, and Policy · Psychology · Social Psychology

• Bridging the gap

  Open Access•Bozhidar T Chakalov, Clare E B Cannon et al.•Social Science & Medicine•2026

  Incluir item

• Healthcare Mistreatment is Associated With Psychological Distress, Suicidality, and Substance Use Among Transgender and Nonbinary Emerging Adults

  Open Access•Jordon D Bosse, Lane Z Kantor et al.•Emerging Adulthood•2024

  Incluir item

• Patient-provider communication and the role of PrEP coordinators

  Sarah Portle, Ji-Young Lee et al.•Culture Health & Sexuality•2026

  Incluir item