Attitudes toward health care needs and utilization of a university health center among LGBT and non-LGBT college students.

First, to examine general health care attitudes and health care utilization of a University Health Service (UHS) at a large university. Second, to identify differences between LGBT and non-LBGT students. 2,943 university students were surveyed in Spring 2013; 7.8% LGBT, 67% undergraduate and 65% female. A cross-sectional mixed-methods online survey to assess health care utilization and attitudes. A majority had utilized UHS and held positive attitudes in general. LGBT students were more likely to: use UHS for ongoing care, mental health, and preventive care; report concerns about utilization (e.g. confidentiality, sensitivity, and discrimination issues); report provider discomfort discussing sexuality; and hold positive attitudes toward the health care needs of LGBT students. University health centers have an important role in student health. Barriers to care should be removed, including perceived discrimination. Student health center staff should be trained on LGBT health issues.