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LGBTQ+ health: tackling potential health-care professionals’ bias

Nature Reviews Disease Primers volume 9, Article number: 1 (2023) Cite this article

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Sexual and gender minorities (SGM) people experience negative attitudes, stigma, denial of care or low-quality care from health-care providers, which contributes to health disparities. Increased awareness and adequate training of health-care professionals and students are required to reduce biases and barriers to timely and high-quality health care for SGM people.

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Fig. 1: Implicit bias and effects of anti-implicit bias training for health-care providers and medical students.

References

  1. World Health Organization Commission on Social Determinants of Health. Closing the Gap in a Generation: Health Equity Through Action on the Social Determinants of Health - Final Report of the Commission on Social Determinants of Health (World Health Organization, 2008).

  2. Institute of Medicine. The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better Understanding (National Academies Press, 2011).

  3. Case, P. et al. Sexual orientation, health risk factors, and physical functioning in the Nurses’ Health Study II. J. Womens Health (Larchmt) 13, 1033–1047 (2004).

    Article  Google Scholar 

  4. Werner, R. N., Gaskins, M., Nast, A. & Dressler, C. Incidence of sexually transmitted infections in men who have sex with men and who are at substantial risk of HIV infection - a meta-analysis of data from trials and observational studies of HIV pre-exposure prophylaxis. PLoS ONE 13, e0208107 (2018).

    Article  Google Scholar 

  5. Akré, E. R. et al. Depression, anxiety, and alcohol use among LGBTQ+ people during the COVID-19 pandemic. Am. J. Public Health 111, 1610–1619 (2021).

    Article  Google Scholar 

  6. Dahlhamer, J. M., Galinsky, A. M., Joestl, S. S. & Ward, B. W. Barriers to health care among adults identifying as sexual minorities: a US national study. Am. J. Public Health 106, 1116–1122 (2016).

    Article  Google Scholar 

  7. Morris, M. et al. Training to reduce LGBTQ-related bias among medical, nursing, and dental students and providers: a systematic review. BMC Med. Educ. 19, 325 (2019).

    Article  Google Scholar 

  8. Ayhan, C. H. B. et al. A systematic review of the discrimination against sexual and gender minority in health care settings. Int. J. Health Serv. 50, 44–61 (2020).

    Article  Google Scholar 

  9. Zestcott, C. A., Blair, I. V. & Stone, J. Examining the presence, consequences, and reduction of implicit bias in health care: a narrative review. Group Process Intergroup Relat. 19, 528–542 (2016).

    Article  Google Scholar 

  10. Stone, J. & Moskowitz, G. B. Non-conscious bias in medical decision making: what can be done to reduce it? Med. Educ. 45, 768–776 (2011).

    Article  Google Scholar 

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Authors and Affiliations

  1. Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario, Canada

    Monica Malta

  2. Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada

    Monica Malta

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  1. Monica Malta
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Correspondence to Monica Malta.

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The author declares no competing interests.

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LGBTQ Health, Diversity & Inclusion: https://edhub.ama-assn.org/course/265

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Malta, M. LGBTQ+ health: tackling potential health-care professionals’ bias. Nat Rev Dis Primers 9, 1 (2023). https://doi.org/10.1038/s41572-022-00413-2

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