Evidence map›Paper›PMID 36460525›Full record

ArticleAmerican journal of preventive medicine2023

Association of Affirming Care with Chronic Disease and Preventive Care Outcomes among Lesbian, Gay, Bisexual, Transgender, and Queer Older Adults.

Tara McKay, Nathaniel M Tran, Harry Barbee, Judy K Min

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of preventive medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing 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

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

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  20. The lavender purge.Journal of the International AIDS Society · 2025
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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

4 authors.

Tara McKayDepartment of Medicine, Health, and Society, Vanderbilt University, Nashville, Tennessee; Department of Health Policy, Vanderbilt University, Nashville, Tennessee; Vanderbilt LGBT+ Policy Lab, Vanderbilt University, Nashville, Tennessee.. Electronic address: tara.mckay@vanderbilt.edu.
Nathaniel M TranDepartment of Health Policy, Vanderbilt University, Nashville, Tennessee; Vanderbilt LGBT+ Policy Lab, Vanderbilt University, Nashville, Tennessee.
Harry BarbeeDepartment of Medicine, Health, and Society, Vanderbilt University, Nashville, Tennessee; Vanderbilt LGBT+ Policy Lab, Vanderbilt University, Nashville, Tennessee.
Judy K MinDepartment of Medicine, Health, and Society, Vanderbilt University, Nashville, Tennessee.

Funding

Effects of Social Networks and Policy Context on Health among Older Sexual and Gender Minorities in the US SouthR01AG063771 · NIA · VANDERBILT UNIVERSITY · PI MCKAY, TARA · 2019 to 2023
$2.6M
NIA NIH HHS R01 AG063771
6 · The paper itself

Abstract

introductionExperiences of discrimination and bias in healthcare contribute to health disparities for lesbian, gay, bisexual, transgender, and queer populations. To avoid discrimination, many go to great lengths to find healthcare providers who they trust and who are knowledgeable about their health needs. This study examines whether access to an affirming provider improves health outcomes for lesbian, gay, bisexual, transgender, and queer populations across a range of preventive health and chronic disease management outcomes.

methodsThis cross-sectional study uses Poisson regression models to examine original survey data (n=1,120) from Wave 1 of the Vanderbilt University Social Networks, Aging, and Policy Study, a panel study examining older (aged 50-76 years) lesbian, gay, bisexual, transgender, and queer adults' health and aging, collected between April 2020 and September 2021.

resultsOverall, access to an affirming provider is associated with greater uptake of preventive health screenings and improved management of mental health conditions. Participants with an affirming provider are more likely to have ever and recently received several types of preventive care than participants reporting a usual source of care that is not affirming, including past year provider visit, influenza vaccination, colorectal cancer screening, and HIV test. Access to an affirming provider is also associated with better management of mental health conditions.

conclusionsInclusive care is essential for reducing health disparities among lesbian, gay, bisexual, transgender, and queer populations. Health systems can reduce disparities by expanding continuing education opportunities; adopting nondiscrimination policies for patients and employees; and ensuring that necessary care is covered by health insurance.

Indexed as

Sexual and Gender MinoritiesTransgender PersonsAgedBisexualityChronic DiseaseCross-Sectional StudiesFemaleHumansMale

Identifiers

PMID36460525
PMCPMC10251765

What OpenQuestion holds

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Registered trials

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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.