Evidence map›Paper›PMID 30380045›Full record

ReviewEuropean journal of public health2019

A review of lesbian, gay, bisexual, trans and intersex (LGBTI) health and healthcare inequalities.

Laetitia Zeeman, Nigel Sherriff, Kath Browne, Nick McGlynn, Massimo Mirandola, Lorenzo Gios, Ruth Davis, Juliette Sanchez-Lambert, Sophie Aujean, Nuno Pinto and 7 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in European journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 128 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
128citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

128 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  6. A Systematic Review of the Health and Healthcare Inequalities for People with Intersex Variance.International journal of environmental research and public health · 2020
    Pooled it
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68 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Laetitia ZeemanSchool of Health Sciences, University of Brighton, Brighton, UK.
Nigel SherriffSchool of Health Sciences, University of Brighton, Brighton, UK.
Kath BrowneDepartment of Geography, Maynooth University, Maynooth, Ireland.
Nick McGlynnCentre for Transforming Sexuality and Gender, University of Brighton, Brighton, UK.
Massimo MirandolaInfectious Diseases Section, Department of Diagnostics and Public Health, University of Verona, Verona, Italy.
Lorenzo GiosCReMPE-Regional Coordination Centre for European Project Management, Veneto Region-Department of Health, The Verona University Hospital, Verona, Italy.
Ruth DavisCReMPE-Regional Coordination Centre for European Project Management, Veneto Region-Department of Health, The Verona University Hospital, Verona, Italy.
Juliette Sanchez-LambertEuropean Parliament's Intergroup on LGBTI Rights, Brussels, Belgium.
Sophie AujeanILGA-Europe, Brussels, Belgium.
Nuno PintoILGA-Europe, Brussels, Belgium.
Francesco FarinellaDepartment of Neuroscience, Biomedicine and Movement, University of Verona, Verona, Italy.
Valeria DonisiDepartment of Neuroscience, Biomedicine and Movement, University of Verona, Verona, Italy.
Marta Niedźwiedzka-StadnikInstitute of Public Health - National Institute of Hygiene, Warsaw, Poland.
Magdalena RosińskaInstitute of Public Health - National Institute of Hygiene, Warsaw, Poland.
Anne PiersonEuroHealthNet, Brussels, Belgium.
Francesco AmaddeoDepartment of Neuroscience, Biomedicine and Movement, University of Verona, Verona, Italy.
Health4LGBTI Network

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLesbian, 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.

methodsA 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.

resultsLGBTI 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.

conclusionHealth 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.

Indexed as

Health Status DisparitiesFemaleHealthcare DisparitiesHealth Services AccessibilityHumansMaleSexual and Gender Minorities

Identifiers

PMID30380045
PMCPMC6761838

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.