Health Care Stereotype Threat During the Covid-19 Pandemic Among Sexual and Gender Minority Individuals
Bibliographic Data
Objectives. To determine the levels and differentials in health care stereotype threat experienced during the COVID-19 pandemic by individuals with sexual or gender minority identities. Methods. The National Couples’ Health and Time Use Study is a national cross-sectional US population‒ based sample of partnered individuals interviewed during the pandemic between September 2020 and April 2021 with oversamples of sexual and gender minority individuals. The analytic sample consisted of 3614 individuals (n = 2043 heterosexual and n = 1571 sexual minority individuals along with 3489 cisgender and 125 noncisgender people). Results. Individuals with sexual minority identities experienced significantly more health care stereotype threat than heterosexual people. Cisgender women and those with another gender identity experienced significantly more health care stereotype threat than cisgender men. These results persisted after the inclusion of indicators of health conditions, insurance, COVID-19 experience, and sociodemographic factors. Conclusions. Gender and sexual minority‒identifying people reported high levels of worries about health discrimination. Our work suggests that providing positive health care experiences may reduce these worries and offer a potential antidote to sexual and gender minority health disparities that are driven by structural and interpersonal discrimination. These findings support calls for the further education and transformation of health care provision and systems. ( Am J Public Health. 2025;115(3):425–433. https://doi.org/10.2105/AJPH.2024.307926 )
2019-20 coronavirus outbreak · Coronavirus disease 2019 (COVID-19) · Coronavirus Infections · Disease · Outbreak · Pandemic · Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) · Sexual minority · Sexual orientation · Sociology · Stereotype (UML) · Stereotype threat · Demography · Gender Politics and Representation · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Racial and Ethnic Identity Research · Social Psychology · Virology
Discrimination in the United States
Understanding how discrimination can affect health
A Systematic Review of the Discrimination Against Sexual and Gender Minority in Health Care Settings
Comparison of Health and Health Risk Factors Between Lesbian, Gay, and Bisexual Adults and Heterosexual Adults in the United States
Sexual and Gender Minority Stress Amid the Covid-19 Pandemic
Perceived discrimination and health
Stereotype threat among Black and White women in health care settings
National Couples’ Health and Time Study
The Relationship Between Discrimination and Substance Use Disorders Among Lesbian, Gay, and Bisexual Adults in the United States
The Role of Healthcare Stereotype Threat and Social Identity Threat in LGB Health Disparities
Associations between discrimination and substance use among college students in the United States from 2015 to 2019
Stress and Mental Health
Mechanisms of Mental-Health Disparities Among Minoritized Groups
Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations
Racial Differences in Physical and Mental Health
Sexual Minority-related Discrimination across the Life Course
Covid-19 Stress and Sexual Identities
Health Care Stereotype Threat and Sexual and Gender Minority Well-Being
| Citations per year | 1 |
|---|---|
| Citation span | 2026 - 2026 (1) |
| Highly cited | No |