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The Partners for Advancing Health Equity (P4HE) Resource Library is a virtual portal containing action-oriented health equity research, practice, and policies. The library aims to increase equity in health by offering free access to field-tested, evidence-informed and evidence-based programs strategies and high-quality research.
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- Transgender and gender-diverse (TGD) populations experience health disparities across all areas of health care due to issues of bias, discrimination, and structural barriers to care. Existing literature on cancer screening in TGD populations demonstrates significant gaps in care; for example, transgender men receive Pap smears at lower rates than cisgender women. Because of known disparities in…February 2025Cancer, Social/Structural Determinants
- Objectives:This qualitative study explored the beliefs and values influencing healthcare providers’ delivery of gender-affirming care (GAC) to transgender and gender-diverse (TGD) youth amidst current social and political dynamics.Methods:The study PI conducted 43 semi-structured interviews with providers across states with varying GAC legislation. Responses from 41 providers were analyzed in…January 2025Social/Structural Determinants
- Purpose of review: Global disparities in HIV infection, particularly among gay, bisexual, and other men who have sex with men (GBMSM), indicate the importance of exploring the multi-level processes that shape HIV’s spread. We used Complex Systems Theory and the PRISMA guidelines to conduct a systematic review of 63 global reviews to understand how HIV is socially patterned among GBMSM. The…July 2023HIV
- As the month of LGBTQ+ Pride approaches, it is worth noting the elevated and preventable health risks of those who are LGBTQ+. As two gay men who have been public health officials for a few decades, we see the health and well-being of LGBTQ+ people as being at a crossroads. On the one hand, notable progress has been made since we began our public health careers when the health of LGBTQ+…May 2023Advocacy
- Transgender, gender nonbinary, and genderqueer (henceforth, transgender) people are more likely to report adverse health outcomes than cisgender people. For example, an estimated 22% of transgender people estimate their health as fair or poor compared with 18% of the overall US population, and 39% of transgender people currently meet the criteria for severe psychological distress (SPD) compared…May 2023Transphobia
- We investigate the association neighborhood cohesion, as source of social support, has with psychological distress among white, Black, and Latinx lesbian, gay, and bisexual (LGB) individuals, compared to heterosexual individuals in the United States.Neighborhood cohesion has differing impact on psychological distress outcomes by racial/ethnic-sexual orientation groups, but in general provides a…May 2022Mental/Behavioral Health, Social/Structural Determinants
- A recent survey of large US employers found women of color and LGBTQ+ employees have the highest share of unmet basic needs. Employers may consider expanding the range of benefits offered. (author introduction) #P4HEwebinarMay2023December 2021Illness/Disease/Injury/Wellbeing, Social/Structural Determinants
- A growing body of research has identified health disparities among transgender and gender nonconforming (TGNC) adults in the United States, including substantial disparities in mental health, compared with their cisgender (heterosexual and sexual minority) counterparts. Differences in mental health may be influenced by the high levels of stress associated with being members of a marginalized…November 2021Mental/Behavioral Health
- Background: Lesbian, gay, bisexual, and transgender (LGBT) people present poorer mental and physical health results compared to the heterosexual and cisgender population. There are barriers in the healthcare system that increase these health inequities.Objective: To synthesise the available evidence on how nurses can intervene in reducing health inequities in LGBT people, identifying their…November 2021Chronic Disease, Mental/Behavioral Health, Health Reform, Social/Structural Determinants
- Population-based health studies demonstrate that sexual minorities (e.g., lesbian, gay, bisexual persons) have less access to health care services than their heterosexual counterparts. For example, sexual minorities are more likely than heterosexuals to delay or forgo necessary medical care and to not have a regular health care provider. Research suggests that these disparities can be attributed…November 2021Social Environment
- Individuals from sexual minority groups have elevated rates of depression, anxiety, substance use disorders, and suicidality relative to their heterosexual counterparts. These differences result from stress due to belonging to a sexual minority group: experiences of sexuality-based stigma that result in increased stress and adverse behavioral and mental health (BMH) outcomes. Research has…August 2021Mental/Behavioral Health
- This year will likely be remembered for important and positive moments for the United States, including passage of the Equality Act in the U.S. House of Representatives and the widespread distribution of COVID-19 vaccines that have provided nearly half of the population with full immunity. However, it also comes with a sobering statistic: 2021 is on track to become the deadliest year in history…July 2021Isms and Phobias
- Trans and gender non-conforming (TGNC) people experience poor health care and health outcomes. We conducted a qualitative scoping review of studies addressing TGNC people's experiences receiving physical health care to inform research and practice solutions. A systematic search resulted in 35 qualitative studies for analysis. Studies included 1,607 TGNC participants, ages 16–64 years. Analytic…February 2021Transphobia
- Lesbian, gay, bisexual and transgender (LGBT) individuals are often stigmatized and discriminated against. This population is expected to experience poorer mental health outcomes compared with heterosexual and cis-gendered people, a phenomenon healthcare providers need to take note of and act upon. This study aimed to explore and describe the mental health challenges of LGBT people. An…January 2021Isms and Phobias
- This study aims to examine how gender variation in trans identities shape exposure to bias and discrimination. The authors then examine how trans identities intersect with race/ethnicity, education and social class to shape exposure risk to bias, discrimination and harassment in the workplace. (author abstract) #HES4AOctober 2020Transphobia
- There is mounting evidence that lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) adults experience disparities across several cardiovascular risk factors compared with their cisgender heterosexual peers. These disparities are posited to be driven primarily by exposure to psychosocial stressors across the life span. This American Heart Association scientific statement reviews…October 2020Illness/Disease/Injury/Wellbeing
- The Journal of Gay & Lesbian Mental Health seeks out and publishes the most current clinical and research scholarship on LGBT mental health with a focus on clinical issues. The Journal strives to represent the full breadth of LGBTQ+ mental health treatment, including issues relevant to patients and mental health care providers in all types of settings. The Journal of Gay & Lesbian Mental…June 2020Mental/Behavioral Health
- Objective:The authors qualitatively examined how lesbian, gay, bisexual, transgender, and queer (LGBTQ) young adults with probable substance use disorders conceptualized their substance use vis-à-vis their LGBTQ identities.Methods:Individual, in-depth, semistructured interviews were conducted with 59 LGBTQ young adults (ages 21–34) who were participants in a larger longitudinal cohort study and…October 2019Substance Use and Misuse
- It is exactly a decade ago that Sexual and Relationship Therapy published a special issue entitled “Gender Variance and Transgender Identity”, which was guest edited by Walter Bockting, former Editor-in-Chief of International Journal of Transgenderism (IJT). In his editorial Bockting wrote “[this issue] is comprised of a collection of articles that reflect a transition in this growing field from…July 2019Genderism, Transphobia
- Background: A growing body of research continues to elucidate health inequities experienced by transgender individuals and further underscores the need for medical providers to be appropriately trained to deliver care to this population. Medical education in transgender health can empower physicians to identify and change the systemic barriers to care that cause transgender health inequities as…May 2018Services & Programs
- Background LGBT community organizations in the United States have been providing health services since at least the 1970s. However, available explanations for the origins of LGBT health services do not sufficiently explain why health in particular has been so closely and consistently linked to LGBT activism. Little is also known regarding how LGBT health services may have evolved over time with…July 2017Services & Programs
- About 3.5% Americans identify themselves as lesbian, gay, or bisexual while 0.3% identify themselves as transgender. The LGBT (lesbian, gay, bisexual, and transgender) community belongs to almost every race, ethnicity, religion, age, and socioeconomic group. The LGBT youth are at a higher risk for substance use, sexually transmitted diseases (STDs), cancers, cardiovascular diseases, obesity,…April 2017Chronic Disease
- The World Professional Association for Transgender Health (WPATH) standards of care for transsexual, transgender, and gender non-conforming people (version 7) represent international normative standards for clinical care for these populations. Standards for optimal individual clinical care are consistent around the world, although the implementation of services for transgender populations will…July 2016Reproductive/Sexual Health, Services & Programs
- Bodies of research pertaining to specific stigmatized statuses have typically developed in separate domains and have focused on single outcomes at 1 level of analysis, thereby obscuring the full significance of stigma as a fundamental driver of population health. Here we provide illustrative evidence on the health consequences of stigma and present a conceptual framework describing the…May 2013Environment/Context, Isms and Phobias
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