ArticleInternational journal for equity in health2018
Improving pathways to primary health care among LGBTQ populations and health care providers: key findings from Nova Scotia, Canada.
Article in International journal for equity in health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Sexual and Gender Minority Migrants' Experiences of Health Service Access and Utilisation: A Qualitative Meta-Synthesis.Journal of clinical nursing · 2025Pooled it
- Primary care providers' perspectives of experiences with transgender and gender diverse adults: A scoping review.The European journal of general practice · 2026Article
- A Focused Ethnography of a 2S/LGBTQIA+ Liaison Nurse Role in Acute Care: Advancing Equity Through Relational Practice.Nursing inquiry · 2026Article
- Racial and Social Disparities in Primary Healthcare Access and Wait Times in Canada: A Cross-Sectional Study.Journal of racial and ethnic health disparities · 2026Article
- Evaluating primary health care utilization among lesbian, gay, and bisexual individuals in Canada with a view to inform more equitable health measures.BMC public health · 2026Article
- Advancing Oral Health Workforce Equity in Gender and Sexual Orientation.Advances in dental research · 2026Review
- Healthcare professionals' experiences related LGBTQ+ patients and colleagues at their workplace: Descriptive research in Japan.Journal of general and family medicine · 2025Article
- Emergency department care experiences among 2SLGBTQQIA+ patients: a mixed methods study.BMC health services research · 2025Article
- Exploring parenthood intentions and perceptions of infertility and assisted reproductive technology among 2SLGBTQIA + young adults in Ontario, Canada: a mixed methods study.Journal of health, population, and nutrition · 2025Article
- Βarriers and Gaps to Medical Care for Transgender Individuals: A TRANSCARE Scoping Review with a Focus on Greece.Healthcare (Basel, Switzerland) · 2024Article
- HIV Prevention and Treatment Interventions for Black Men Who Have Sex With Men in Canada: Scoping Systematic Review.JMIR public health and surveillance · 2024Article
- Gender Identity Disclosure and Healthcare Services Uptake Among Chinese Transgender Individuals in China: Results from a Cross-Sectional Study.International journal of sexual health : official journal of the World Association for Sexual Health · 2024Article
- Nutrition and Health in the Lesbian, Gay, Bisexual, Transgender, Queer/Questioning Community: A Narrative Review.Advances in nutrition (Bethesda, Md.) · 2023Review
- Working Through Stigma: A Constructivist Grounded Theory of Delivering Health Services to Diverse 2SLGBTQ Populations.Qualitative health research · 2023Article
- When primary healthcare meets queerstory: community-based system dynamics influencing regional/rural LGBTQ + people's access to quality primary healthcare in Australia.BMC public health · 2023Article
- Review of current 2SLGBTQIA+ inequities in the Canadian health care system.Frontiers in public health · 2023Review
- Assessing equity and quality indicators for older people - Adaptation and validation of the Assessing Care of Vulnerable Elders (ACOVE) checklist for the Portuguese care context.BMC geriatrics · 2022Review
- A population-based study of the intersection of sexual identity and race/ethnicity on physiological risk factors for CVD among U.S. adults (ages 18-59).Ethnicity & health · 2022Article
- A rapid review of end-of-life needs in the LGBTQ+ community and recommendations for clinicians.Palliative medicine · 2022Review
- "What do you mean I can't have a doctor? this is Canada!" - a qualitative study of the myriad consequences for unattached patients awaiting primary care attachment.BMC primary care · 2022Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study explores the perceived barriers to primary health care as identified among a sample of Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) identified individuals and health care providers in Nova Scotia, Canada. These findings, based on a province-wide anonymous online survey, suggest that additional efforts are needed to improve pathways to primary health among LGBTQ populations and in deepening our understanding of how to advance the unique primary health needs of these populations.
methodsData were collected from the LGBTQ community through an online, closed-ended anonymous survey. Inclusion criteria for participation were self-identifying as LGBTQ, offering primary health care to LGBTQ patients, being able to understand English, being 16 years of age or older, and having lived in Nova Scotia for at least one year. A total of 283 LGBTQ respondents completed the online survey which included sociodemographic questions, perceptions of respondents' health status, and their primary health care experiences. In addition, a total of 109 health care providers completed the survey based on their experiences providing care in Nova Scotia, and in particular, their experiences and perceptions regarding LGBTQ access to primary health care and physician-patient interactions.
resultsOur results indicate that, in several key areas, the primary health care needs of LGBTQ populations in Nova Scotia are not being met and this may in turn contribute to their poor health outcomes across the life course.
conclusionA framework of intersectionality and health equity was used to interpret and analyze the survey data. The key findings indicate the need to continue improving pathways to primary health care among LGBTQ populations, specifically in relation to additional training and related supports for health care providers who work with these populations.
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