Evidence map›Paper›PMID 34831556›Full record

SynthesisInternational journal of environmental research and public health2021

Health Inequities in LGBT People and Nursing Interventions to Reduce Them: A Systematic Review.

Jorge Medina-Martínez, Carlos Saus-Ortega, María Montserrat Sánchez-Lorente, Eva María Sosa-Palanca, Pedro García-Martínez, María Isabel Mármol-López

Abstract readSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 3 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

78 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Gender diversity and cholesterol in early adolescence: Findings from the Adolescent Brain Cognitive Development Study.International journal of cardiology. Cardiovascular risk and prevention · 2026
    Article
  5. Authentic Allyship for Trans and Gender Diverse People: A Patterns of Knowing Perspective in Nursing.Nursing philosophy : an international journal for healthcare professionals · 2026
    Article
  6. Access to Supportive Care Among Australian Cancer Carers: Experiences of Priority Populations.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
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  16. Partners, Pride, and Prevention: Scaling Mpox Vaccination Access Across Minnesota.International journal of environmental research and public health · 2026
    Article
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  20. Review

18 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

6 authors.

Jorge Medina-MartínezNursing School La Fe, Adscript Centre, University of Valencia, 46026 Valencia, Spain.
Carlos Saus-OrtegaNursing School La Fe, Adscript Centre, University of Valencia, 46026 Valencia, Spain.ORCID 0000-0002-4972-8559
María Montserrat Sánchez-LorenteNursing School La Fe, Adscript Centre, University of Valencia, 46026 Valencia, Spain.
Eva María Sosa-PalancaNursing School La Fe, Adscript Centre, University of Valencia, 46026 Valencia, Spain.
Pedro García-MartínezNursing School La Fe, Adscript Centre, University of Valencia, 46026 Valencia, Spain.ORCID 0000-0001-7782-3556
María Isabel Mármol-LópezNursing School La Fe, Adscript Centre, University of Valencia, 46026 Valencia, Spain.ORCID 0000-0002-6859-6133

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLesbian, gay, bisexual, and transgender (LGBT) people present poorer mental and physical health results compared to the heterosexual and cisgender population. There are barriers in the healthcare system that increase these health inequities.

objectiveTo synthesise the available evidence on how nurses can intervene in reducing health inequities in LGBT people, identifying their specific health needs and describing their experiences and perceptions of the barriers they face in the healthcare system.

methodsSystematic review. Between March and April 2021, a bibliographic search was carried out in the Cuiden, LILACS, PubMed, Dialnet, SciELO, Trip Database, and Web of Science databases and metasearch engines. INCLUSION CRITERIA: Articles published in the last 5 years that address the specific health needs of LGBT people, their experiences and perceptions, or interventions in this group in which nurses may engage.

resultsA total of 16 articles were selected. Health disparities were detected in the LGBT community, which exhibited higher rates of mental health problems, substance abuse, risky sexual behaviours, self-harm, and suicide. These inequalities were related to minority stress, and each of them differently impacted individual populations within the broader LGBT community depending on their sexual orientations and gender identities. The impact of these factors was, in turn, modified by the intersections of race/ethnicity, geographic region, and socioeconomic factors. LGBT people described discriminatory experiences by health professionals, as well as their distrust and fear in this setting. Nurses can carry out interventions such as inclusive education about sex and sexual and gender diversity and bullying and suicide prevention programmes, and can provide gender-affirming and family-centred care.

conclusionsLGBT people experience health inequities and discrimination in the healthcare system. Nurses can implement diverse interventions to reduce these problems and, moreover, these health professionals are obliged to acquire cultural competence regarding LGBT health.

Indexed as

Homosexuality, FemaleSexual and Gender MinoritiesTransgender PersonsBisexualityFemaleHealth InequitiesHumansMaleLGBTminority stressnursesnursingsexual and gender minoritiessocial determinants of healthsystematic review

Identifiers

PMID34831556
PMCPMC8624572

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.