Theses Master's

The Landscape of LGBTQ+ Health Care in the United States: Patient and Provider Perspectives

Clague, Madison

The history of discrimination against LGBTQ+ individuals, particularly adolescents, has impacted how these individuals experience health care and the quality of health care provided to this population. The experiences that adolescents have with the health system during their formative years will impact lifelong trajectories of health and self-esteem. This review aimed to investigate how LGBTQ+ adolescents in the United States experience discrimination and stigma in health care and the perspective of their providers on LGBTQ+ care and health needs. PubMed and Web of Science (core collection) were searched for articles that explored patient and provider health care experiences and perspectives between 2010 and 2021. The included articles were analyzed to highlight common themes. The findings of this review demonstrate that LGBTQ+ adolescents experience many forms of discrimination and bias in health care and face numerous barriers to accessing quality care. Providers additionally highlighted many of the same concerns and emphasized further barriers to care provision and access. Key takeaways from this review include the need for provider training on LGBTQ+ concepts, the need for more LGBTQ+ friendly providers, and the need for improvement in insurance coverage and care provision.

Geographic Areas


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More About This Work

Academic Units
Sociomedical Sciences
Thesis Advisors
Meunier, √Čtienne
M.P.H., Mailman School of Public Health, Columbia University
Published Here
May 23, 2022