Lesbian, Gay, and Bisexual (LGB)-Specific Healthcare Services in the United States: Multi-Method Findings on Access and Utilization Across Three Age Cohorts of LGB People

Featuring Alexander Martos, DrPH; Project Manager, Kaiser Permanente Los Angeles Medical Center; Research Analyst, The Williams Institute at the UCLA School of Law

Lunch will be provided to those who RSVP here before Thursday, March 14, 2019.

Lesbian, gay, bisexual, and transgender (LGBT) people in the United States have reported encounters of stigma and discrimination within the health and medical fields since first organizing as disparate communities in the mid-1900s. LGBT-specific clinics and providers have offered LGBT people an alternative source of care that is both attuned to their unique health needs and affirming of their identities. Three phases of research were carried out to further explore the relationship between LGBT people and LGBT-specific clinics and providers. A review of the LGBT communities and organizing provides valuable insight into the origins of health services within LGBT community organizations, the types of services provided, and the state of LGBT health services today. Following this, the Generations Study, a multi-method study of the health of lesbian, gay, and bisexual (LGB) people in the United States, provides qualitative and quantitative data for in-depth analyses across three age cohorts of LGB people (aged 18-25 years old, 34-41 years old, and 52-59 years old). Findings from a content analysis of 191 life history interviews highlight the factors influencing preferences for LGBT-specific care, including stigma, provider expertise, identity, service type, and access. Nationally-representative survey data is then analyzed  to assess patterns of LGBT-specific healthcare utilization. A minority of LGB participants report past utilization of LGBT-specific clinics and providers but a majority express an interest in future utilization. Factors influencing past utilization include age cohort, gender, sexual identity, income, proximity to LGBT community health centers, and health status.