Decreasing Barriers to Sexual Health in the Lesbian, Gay, Bisexual, Transgender, and Queer Community

Nurs Clin North Am. 2020 Sep;55(3):393-402. doi: 10.1016/j.cnur.2020.06.003. Epub 2020 Jul 15.


There is a need to increase improve the delivery of health care for sexual minorities. The lesbian, gay, bisexual, transgender, and queer (LGBTQ) community has historically experienced bias, discrimination, and perceived inadequate or inappropriate care. Reduction of this barrier can begin by providers addressing implicit bias and creating a welcoming, safe environment for all persons seeking care. Using preferred name and pronouns and obtaining a sexual health history that is individualized and free from assumption is imperative. This article provides interventions to diminish barriers to care and foster provider preparedness for the care of LGBTQ individuals.

Keywords: Bisexual; Cultural awareness; Gay; Lesbian; Provider bias; Queer; Sexual health; Transgender.

Publication types

  • Review

MeSH terms

  • Cultural Competency*
  • Health Personnel / psychology
  • Healthcare Disparities*
  • Humans
  • Sexual Health*
  • Sexual and Gender Minorities*
  • Stereotyped Behavior