College of Medicine, SUNY Downstate Health Sciences University, New York City, NY, USA.
Neurology Service, Jesse Brown VA Medical Center, Chicago, IL, USA.
Nat Rev Neurol. 2024 May;20(5):288-297. doi: 10.1038/s41582-024-00944-0. Epub 2024 Mar 18.
Sexual and gender minority (LGBT+) people face unique health disparities that must be considered by health-care providers to ensure equitable and inclusive care. Although traditionally LGBT+ health has not been integrated into neurology training, sexual orientation and gender identity have direct relevance to neurological health, driven by both systemic and interpersonal factors. In this Review, we summarize the evidence for associations between sexual orientation and gender identity with the prevalence and outcomes of various neurological conditions, including neurodegenerative diseases, epilepsy, stroke and neurodevelopmental disorders, among others. We describe important clinical considerations pertaining to LGBT+ people and recommend language and practices to promote inclusive care, as well as highlight gaps in need of further research and possible strategies to minimize these, including systematic collection of sexual orientation and gender identity and use of inclusive language.
性少数群体(LGBT+)面临着独特的健康差距,医疗保健提供者必须考虑这些差距,以确保公平和包容的护理。尽管传统上 LGBT+健康并未纳入神经病学培训,但性取向和性别认同与各种神经疾病的患病率和结果直接相关,这些疾病受到系统和人际因素的驱动。在这篇综述中,我们总结了性取向和性别认同与各种神经疾病(包括神经退行性疾病、癫痫、中风和神经发育障碍等)的患病率和结果之间关联的证据。我们描述了与 LGBT+人群相关的重要临床注意事项,并建议使用促进包容护理的语言和实践,同时强调需要进一步研究的差距和可能的策略来最小化这些差距,包括系统地收集性取向和性别认同以及使用包容性语言。