Failure of LGBT to use Health Care Services

Failure of LGBT to use Health Care Services

The Lesbian, gay, bisexual, and transgender communities experience a lot of challenges associated with how a majority of the society perceives them. The immense hardships that are associated with how they get treated, including getting discriminated against for their sexual preferences, making it challenging for them to use healthcare facilities. The high rate of LGBT discrimination in health care is what creates the fear in them to use public health facilities in the event that they get ill. The various factors that lead to the failure of the LGB to use facilities for health care are as follows.

The biological factor, the minority status of the LGBT individuals, makes it challenging for them to access health care in the sense that most health care service providers tend to see their sexual preferences as awkward and treat them differently when it comes to providing care to them. This leads to a psychological factor the LGBT experience, which is fear that gets brought about by the stigma that they face when seeking health services. The health system factors include the fact that there is not enough research on the issues of health care that are related to LGBT to help them understand what they can gain by using health care facilities, lack of training and education on LGBT issues for health care providers, discrimination, institutional bias, and the restrictions to access health benefits by the LGBT in that they have limited access to health insurance (Rowe et al., 2017). The behavioral factors include anxiety and mood disorders, and the high risk of substance abuse, which most of them end up in, prevents them from going to hospitals to use proper health services. The environmental factors are inclusive of the negative perception and treatment of LGBT people in most communities they live in, which makes them hide their identities and not disclose and access the right health care services when they acquire certain conditions. Failure of society to fully accept LGBT individuals is a significant socio-cultural factor as the fear of the stigma from both their communities and the health care providers creates fear of using public health facilities.

There are several population health nursing interventions that might help in promoting the effective use of health services by LGBT. The protections in section 1557 of the Affordable Care Act that provide for non-discrimination based on sex, including the LGBT, may help in promoting their use of health services effectively if adhered to (Baker, 2016). The intervention by Cigna insurance group where they have provided training that is specific on issues of health that get faced by the LGBT individuals to most of their clinicians, educating their employees on the disparities of health that the LGBT individuals face and participating in events and organizations that support LGBT health like the Philadelphia Transgender Health Conference and Gay and Lesbian Medical Association.


Baker, K. (2016). LGBT protections in the Affordable Care Act section 1557. Health Affairs Blog.

Rowe, D., Ng, Y. C., O’Keefe, L., & Crawford, D. (2017). Providers’ attitudes and knowledge of lesbian, gay, bisexual, and transgender health. Federal Practitioner, 34(11), 28.

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