Zeeman, Laetitia and Sherriff, Nigel and Browne, Kath and McGlynn, Nick and Mirandola, Massimo and Gios, Lorenzo and Davis, Ruth and Sanchez-Lambert, Juliette and Aujean, Sophie and Pinto, Nuno and Farinella, Francesco and Donisi, Valeria and Niedz´wiedzka-Stadnik, Marta and Rosinska, Magdalena and Pierson, Anne and Amaddeo, Francesco (2018) Systematic Review and Meta Analyses: A review of lesbian, gay, bisexual, trans and intersex (LGBTI) health and healthcare inequalities. European Journal of Public Health, 29 (5). pp. 974-980. ISSN 1101-1262

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Abstract

Background: Lesbian, gay, bisexual, trans and intersex (LGBTI) people experience significant health inequalities. Located within a European Commission funded pilot project, this paper presents a review of the health inequalities faced by LGBTI people and the barriers health professionals encounter when providing care. Methods: A narrative synthesis of 57 papers including systematic reviews, narrative reviews, meta-analyses and primary research. Literature was searched in Cochrane, Campbell Collaboration, Web of Science, CINAHL, PsychINFO and Medline. The review was undertaken to promote understanding of the causes and range of inequalities, as well as how to reduce inequalities. Results: LGBTI people are more likely to experience health inequalities due to heteronormativity or heterosexism, minority stress, experiences of victimization and discrimination, compounded by stigma. Inequalities pertaining to LGBTI health(care) vary depending on gender, age, income and disability as well as between LGBTI groupings. Gaps in the literature remain around how these factors intersect to influence health, with further large-scale research needed particularly regarding trans and intersex people. Conclusion: Health inequalities can be addressed via changes in policy, research and in practice through health services that accommodate the needs of LGBTI people. With improved training to address gaps in their knowledge of LGBTI health and healthcare, health professionals should work in collaboration with LGBTI people to address a range of barriers that prevent access to care. Through structural change combined with increased knowledge and understanding, services can potentially become more inclusive and equally accessible to all.

Item Type:	Article
Keywords:	systematic review; meta analyses; review; lesbian; gay; bisexual; trans; intersex; LGBTI; health; healthcare inequalities;
Academic Unit:	Faculty of Social Sciences > Geography Faculty of Social Sciences > Research Institutes > Maynooth University Social Sciences Institute, MUSSI
Item ID:	13257
Identification Number:	https://doi.org/10.1093/eurpub/cky226
Depositing User:	IR Editor
Date Deposited:	23 Sep 2020 11:16
Journal or Publication Title:	European Journal of Public Health
Publisher:	Oxford University Press
Refereed:	Yes
URI:	Publisher
Use Licence:	This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here

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