Evidence map›Paper›PMID 31228361›Full record

ReviewHealth expectations : an international journal of public participation in health care and health policy2019

Co-producing knowledge of lesbian, gay, bisexual, trans and intersex (LGBTI) health-care inequalities via rapid reviews of grey literature in 27 EU Member States.

Nigel Sherriff, Laetitia Zeeman, Nick McGlynn, Nuno Pinto, Katrin Hugendubel, Massimo Mirandola, Lorenzo Gios, Ruth Davis, Valeria Donisi, Francesco Farinella and 4 more

Abstract readReview
In one paragraph

Review in Health expectations : an international journal of public participation in health care and health policy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. 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
  2. Article
  3. Article
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  10. Co-producing knowledge of lesbian, gay, bisexual, trans and intersex (LGBTI) health-care inequalities via rapid reviews of grey literature in 27 EU Member States.Health expectations : an international journal of public participation in health care and health policy · 2019
    Review
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

14 authors.

Nigel SherriffSchool of Health Sciences, University of Brighton, Brighton, UK.ORCID 0000-0001-5657-5047
Laetitia ZeemanSchool of Health Sciences, University of Brighton, Brighton, UK.ORCID 0000-0001-7094-4304
Nick McGlynnCentre for Transforming Sexuality and Gender, University of Brighton, Brighton, UK.
Nuno PintoILGA-Europe, Brussels, Belgium.
Katrin HugendubelILGA-Europe, Brussels, Belgium.
Massimo MirandolaDepartment of Diagnostics and Public Health, Infectious Diseases Section, University of Verona, Verona, Italy.
Lorenzo GiosDepartment of Diagnostics and Public Health, Infectious Diseases Section, University of Verona, Verona, Italy.
Ruth DavisDepartment of Neuroscience, Biomedicine and Movement, University of Verona, Verona, Italy.
Valeria DonisiDepartment of Neuroscience, Biomedicine and Movement, University of Verona, Verona, Italy.
Francesco FarinellaDepartment of Neuroscience, Biomedicine and Movement, University of Verona, Verona, Italy.
Francesco AmaddeoDepartment of Neuroscience, Biomedicine and Movement, University of Verona, Verona, Italy.
Caroline CostongsEuroHealthNet, Brussels, Belgium.
Kath BrowneDepartment of Geography, Maynooth University, Maynooth, Ireland.
Health4LGBTI Network

Funding

European Parliament and the European Commission's Health and Food Safety Directorate-General, Directorate C Health, Unit C4 Health determinants SANTE/2015/C4/035
6 · The paper itself

Abstract

backgroundThe health inequalities experienced by lesbian, gay, bisexual, trans and intersex (LGBTI) people are well documented with several reviews of global research summarizing key inequalities. These reviews also show how the health-care needs of LGBTI people are often poorly understood whilst suggesting that targeted initiatives to reduce inequalities should involve LGBTI people.

objectivesTo determine what is known about the health-care inequalities faced by LGBTI people? What are the barriers faced by LGBTI people whilst accessing health care, and health professionals when providing care? What examples of promising practice exist?

designRapid reviews of grey literature were co-produced with LGBTI people in 27 countries followed by a thematic analysis and synthesis across all data sets. The review included grey literature from each country that might not otherwise be accessible due to language barriers. MAIN

resultsRapid reviews showed that LGBTI people faced various inequalities and barriers whilst accessing health care. Where heterosexuality, binary gender and assumed male/female sex characteristics were upheld as the norm, and where LGBTI people differed from these norms, discrimination could result. In consultations where LGBTI people feared discrimination and did not disclose their LGBTI status, health professionals lacked the information required for appropriate assessments.

conclusionWith greater understanding of sexual orientation (LGB people), gender identity (trans people) and sex characteristics (intersex people), combined with access to contemporary knowledge and training, health professionals can work in collaboration with researchers, policymakers and LGBTI people to develop systems that are better attuned to the needs of all service users.

Indexed as

EuropeFemaleGray LiteratureHealthcare DisparitiesHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHumansMaleNeeds AssessmentSexual and Gender MinoritiesTransgender Personsco-productionEuropehealth careinequalitiesintersexLGBTIpublic healthrapid review

Identifiers

PMID31228361
PMCPMC6737757

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.