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Neurological care for LGBT+ people

Nature Reviews Neurology (2024)Cite this article

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Abstract

Sexual and gender minority (LGBT+) people face unique health disparities that must be considered by health-care providers to ensure equitable and inclusive care. Although traditionally LGBT+ health has not been integrated into neurology training, sexual orientation and gender identity have direct relevance to neurological health, driven by both systemic and interpersonal factors. In this Review, we summarize the evidence for associations between sexual orientation and gender identity with the prevalence and outcomes of various neurological conditions, including neurodegenerative diseases, epilepsy, stroke and neurodevelopmental disorders, among others. We describe important clinical considerations pertaining to LGBT+ people and recommend language and practices to promote inclusive care, as well as highlight gaps in need of further research and possible strategies to minimize these, including systematic collection of sexual orientation and gender identity and use of inclusive language.

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Authors and Affiliations

  1. College of Medicine, SUNY Downstate Health Sciences University, New York City, NY, USA

    Salvatore Giovanni Volpe & Joya Ahmad

  2. Neurology Service, Jesse Brown VA Medical Center, Chicago, IL, USA

    Roshni Abee Patel

  3. Department of Neurological Sciences, Rush University Medical Center, Chicago, IL, USA

    Roshni Abee Patel

  4. Department of Neurology, University of California San Francisco, San Francisco, CA, USA

    Nicole Rosendale

  5. Weill Institute for Neurosciences, University of California San Francisco, San Francisco, CA, USA

    Nicole Rosendale

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  1. Salvatore Giovanni Volpe
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S.G.V. and J.A. researched data for the article. All authors contributed substantially to discussion of the content. S.G.V. and J.A. wrote the article. All authors reviewed and/or edited the manuscript before submission.

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Correspondence to Nicole Rosendale.

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NIH PhenX Toolkit: https://www.phenxtoolkit.org/collections/view/6

The Human Rights Campaign Foundations’ Healthcare Equality Index (HEI): https://www.thehrcfoundation.org/professional-resources/hei-scoring-criteria

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Volpe, S.G., Ahmad, J., Patel, R.A. et al. Neurological care for LGBT+ people. Nat Rev Neurol (2024). https://doi.org/10.1038/s41582-024-00944-0

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