Caring for Lesbian, Gay, Bisexual, Transgender, and Questioning Youth in Inclusive and Affirmative Environments

Scott E Hadland; Baligh R Yehia; Harvey J Makadon

doi:10.1016/j.pcl.2016.07.001

Caring for Lesbian, Gay, Bisexual, Transgender, and Questioning Youth in Inclusive and Affirmative Environments

Pediatr Clin North Am. 2016 Dec;63(6):955-969. doi: 10.1016/j.pcl.2016.07.001.

Authors

Scott E Hadland¹, Baligh R Yehia², Harvey J Makadon³

Affiliations

¹ Division of Adolescent/Young Adult Medicine, Department of Medicine, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA; Department of Pediatrics, Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA. Electronic address: scott.hadland@childrens.harvard.edu.
² Department of Medicine, Perelman School of Medicine, University of Pennsylvania, 1021 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104, USA; Penn Medicine Program for LGBT Health, Perelman School of Medicine, University of Pennsylvania, 1021 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104, USA.
³ The Fenway Institute, Fenway Health, 1340 Boylston Street, Boston, MA 02215, USA; Department of Medicine, Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA.

Abstract

Lesbian, gay, bisexual, transgender, queer and questioning (LGBTQ) youth may experience interpersonal and structural stigma within the health care environment. This article begins by reviewing special considerations for the care of LGBTQ youth, then turns to systems-level principles underlying inclusive and affirming care. It then examines specific strategies that individual providers can use to provide more patient-centered care, and concludes with a discussion of how clinics and health systems can tailor clinical services to the needs of LGBTQ youth.

Keywords: Adolescents; Ambulatory care; Primary health care; Reproductive health services; Sexuality.

Publication types

Review
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, P.H.S.
Research Support, Non-U.S. Gov't

MeSH terms

Adolescent
Adolescent Health Services / organization & administration
Bisexuality / psychology*
Female
Health Services Accessibility / statistics & numerical data
Healthcare Disparities / statistics & numerical data*
Homosexuality / psychology*
Homosexuality, Female / psychology
Homosexuality, Male / psychology
Humans
Male
Patient-Centered Care / organization & administration*
Transgender Persons / psychology*

Grants and funding

T32 HD075727/HD/NICHD NIH HHS/United States