Discovering and understanding under-served communities

Lesbian, gay, bisexual, transgender and queer (LGBTQ) communities

Individuals from LGBTQ communities are not a homogenous group of individuals and may identify themselves as belonging to one or several other under-served communities. For example they could be from Black, Asian and Minority Ethnic communities, have disability and come from different social classes or faith groups. They may also be asylum seekers, refugees or homeless.

Inequalities in health care

Individuals from the LGBTQ communities have higher rates of anxiety, depression, suicide and other mental illnesses when compared to the rest of the population. Studies suggest that up to 25% of health service staff have expressed negative or homophobic, transphobic or bi-phobic attitudes.

Discrimination impacts on the health of individuals from LGBTQ communities. Many people are reluctant to disclose their sexual orientation to a health care professional because they fear discrimination or poor treatment.

Fish J (2007) Reducing Health Inequalities for Lesbian, Gay, Bisexual and Trans People: Briefings for Health and Social Care Staff, London, Department of Health.

Williams H et al (2013) The lesbian, gay, bisexual and trans public health outcomes framework companion document. Public Health England.

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