Access to healthcare among sexual and gender minority youth at risk for HIV

Barriers and experiences of discrimination

Bibliographic Data

ID19442786
AuthorsNeil Gleason (0000-0002-6076-5668, University of Washington, corresponding author), Pedro Alonso Serrano (0000-0001-9504-5647, Ruth M. Rothstein CORE Center), Alejandro Muñoz (0000-0003-0276-4111, Ruth M Rothstein CORE Center, Cook County Health, Chicago, IL, USA), Sybil Hosek (0000-0001-5230-0759, John H. Stroger, Jr. Hospital of Cook County), Sybil G Hosek (Ruth M Rothstein CORE Center, Cook County Health, Chicago, IL, USA), Audrey L French (0000-0002-9776-8934, Ruth M Rothstein CORE Center, Cook County Health, Chicago, IL, USA)
Year2023
Volume35
Issue10
Pages1480-1491
Publication date2023-10-03
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2023.2209303
PMID37245240
OpenAlexW4378590890
LanguageEN
Citations received5
References cited15

This study examined experiences of healthcare inaccessibility and lesbian, gay, bisexual, transgender, queer, plus (LGBTQ+) discrimination among sexual and gender minority youth at elevated risk for HIV in the United States. Participants for this cross-sectional survey study (N = 3330) were cisgender men, transgender men and women, and nonbinary individuals ages 18–34 recruited for a larger study examining HIV risk behavior between December 2017 and December 2019. Results indicated that 41.1% of participants had at least one lifetime experience of LGBTQ + healthcare discrimination, and 44.1% reported past 6-month experiences of discrimination or problems accessing healthcare. Transgender men and women were more likely than cisgender men and nonbinary participants to report experiences of discrimination, and transgender men were more likely to report problems accessing healthcare. A majority of participants (72.8%) reported that their most recent healthcare provider was aware of their sexual or gender identity. These results indicate a high prevalence of structural barriers in healthcare access for sexual and gender minority youth at elevated risk for HIV, including finical and logistical barriers as well as anticipated and experienced discrimination. We discuss these findings and highlight the importance of easily accessible and culturally competent care for this community

Family medicine · Gender identity · Health care · Homosexuality · Human sexuality · Lesbian · Political science · Queer · Sexual identity · Sexual minority · Sexual orientation · Sociology · Transgender · African Sexualities and LGBTQ+ Issues · Clinical Psychology · Gender Studies · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Social Psychology · Gerontology

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