Lund Emily M, Burgess Claire M
Department of Educational Studies in Psychology, Research Methodology, and Counseling, University of Alabama, PO Box 870231, Tuscaloosa, AL 35487, USA.
VA Boston Healthcare System, Harvard Medical School, 940 Belmont Street, Brockton, MA 02310, USA.
Prim Care. 2021 Jun;48(2):179-189. doi: 10.1016/j.pop.2021.02.007. Epub 2021 Apr 22.
Gender and sexual minority individuals face considerable physical and mental health disparities, health risk factors, and barriers to care. These disparities are rooted in systemic and interpersonal prejudice, discrimination, and violence toward lesbian, gay, bisexual, transgender, queer, and other (LGBTQ+) individuals and communities that place LGBTQ+ individuals at increased risk for negative social determinants of health. While also advocating for systemic change, individual providers and clinics have an ethical duty to promote an openly affirming, culturally competent health care environment that can help to address these disparities on an individual patient level.
性别和性少数群体个体面临着相当大的身心健康差异、健康风险因素以及医疗保健障碍。这些差异源于对女同性恋、男同性恋、双性恋、跨性别者、酷儿及其他（LGBTQ+）个体和群体的系统性及人际偏见、歧视和暴力，这些使得LGBTQ+个体面临负面健康社会决定因素的风险增加。在倡导系统性变革的同时，个体医疗服务提供者和诊所负有道德责任，去营造一个公开肯定、具备文化能力的医疗保健环境，这有助于在个体患者层面解决这些差异问题。
