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Perceiving greater discrimination in health care, the LGBTQIA+ community delays seeking medical appointments

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Perceiving greater discrimination in health care, the LGBTQIA+ community delays seeking medical appointments

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People in the LGBTQ+ community face extra barriers in their daily lives due to their sexual orientation or gender identity. One of the areas where these individuals sometimes suffer discrimination is in health care. In fact, a survey by the State Federation of Lesbians, Gays, Trans, Bisexual, and Intersex People found that more than 20% of the trans people surveyed had felt discriminated against when visiting primary care providers.

In this context, researchers Andrea Miranda and Judith Velasco, along with their colleague Francisco Javier Sanmartín, with the Department of Psychology at the University of Córdoba (UCO), sought to conduct research on young LGBTQ+ individuals' perception of discrimination by exploring several questions: Do these individuals feel more discriminated against than cisgender individuals? Does this affect their trust in health care providers and cause them to attend appointments less often?

"We conducted a study combining both quantitative and qualitative approaches," explained researcher Sanmartín. "The quantitative data, gathered through closed-ended questionnaires, showed us that gay, bisexual, lesbian and trans individuals reported higher rates of perceived discrimination than cisgender individuals, although the latter also felt discriminated against," continued researcher Velasco. Specifically, 217 people between the ages of 18 and 40 took part in the study.

The paper is published in the journal Archives of Sexual Behavior.

It was in-depth qualitative interviews with 23 of these individuals that brought the issue to light: While cisgender people felt discriminated against because their explanations were overlooked or because of the clash between medical authority and their personal experiences, members of the LGBTQIA+ community perceived higher levels of discrimination, which they linked directly to their sexual orientation or gender identity.


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