Hafeez Hudaisa, Zeshan Muhammad, Tahir Muhammad A, Jahan Nusrat, Naveed Sadiq
Clinical Observer, St. Michael's Hospital.
Department of Psychiatry, Bronx Lebanon Hospital Icahn School of Medicine at Mount Sinai, Bronx, NY.
Cureus. 2017 Apr 20;9(4):e1184. doi: 10.7759/cureus.1184.
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, bullying, isolation, rejection, anxiety, depression, and suicide as compared to the general population. LGBT youth receive poor quality of care due to stigma, lack of healthcare providers' awareness, and insensitivity to the unique needs of this community. The main objective of this literature review is to highlight the challenges faced by the LGBT youth and to enhance the awareness among physicians about the existing disparities in order to provide a more comprehensive, evidence-based, and humane medical care to this community.
约3.5%的美国人认为自己是女同性恋、男同性恋或双性恋，而0.3%的人认为自己是跨性别者。LGBT（女同性恋、男同性恋、双性恋和跨性别者）群体几乎涵盖了每一个种族、民族、宗教、年龄和社会经济群体。与普通人群相比，LGBT青少年使用毒品、感染性传播疾病（STD）、患癌症、心血管疾病、肥胖症、遭受欺凌、孤立、排斥、焦虑、抑郁和自杀的风险更高。由于耻辱感、医疗服务提供者缺乏认识以及对该群体独特需求的冷漠，LGBT青少年获得的医疗服务质量很差。这篇文献综述的主要目的是突出LGBT青少年面临的挑战，并提高医生对现有差异的认识，以便为这个群体提供更全面、基于证据且人道的医疗服务。
