Evidence map›Paper›PMID 41254421›Full record

ArticleJournal of general internal medicine2026

LGBQ+ Veteran and Service Member Health and Health Care: A Scoping Review of Research from 1994 to 2023.

Kelly L Harper, Alex McConnell, Kim DeFiori, Ashley M Griffith, Taylor L Boyer, Cory J Cascalheira, John R Blosnich, Maria Ting, Michelle M Hilgeman, Nicholas A Livingston and 2 more

Abstract readScoping Review
In one paragraph

Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Kelly L HarperBehavioral Science Division, National Center for PTSD, VA Boston Healthcare System, 150 South Huntington Ave., Boston, MA, 02130, USA. kelly.harper@va.gov.
Alex McConnellLGBTQ+ Health Program, Office of Patient Care Services, Veterans Health Administration, Washington, DC, USA.
Kim DeFioriJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Ashley M GriffithVA Rocky Mountain Mental Illness Research, Education and Clinical Center (MIRECC) for Suicide Prevention, Aurora, CO, USA.
Taylor L BoyerCenter for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA.
Cory J CascalheiraVA Puget Sound Health Care System, Seattle, WA, USA.
John R BlosnichCenter for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA.
Maria TingBehavioral Science Division, National Center for PTSD, VA Boston Healthcare System, 150 South Huntington Ave., Boston, MA, 02130, USA.
Michelle M HilgemanResearch & Development Service, Tuscaloosa Veterans Affairs Medical Center, Tuscaloosa, AL, USA.
Nicholas A LivingstonBehavioral Science Division, National Center for PTSD, VA Boston Healthcare System, 150 South Huntington Ave., Boston, MA, 02130, USA.
Alison B HamiltonVA Center for the Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Tracy SimpsonVA Puget Sound Health Care System, Seattle, WA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople who are lesbian, gay, bisexual, queer, and other minoritized sexual orientations (LGBQ+) have served in the US military for generations. Despite well-documented health disparities between LGBQ+ and heterosexual individuals, research addressing the health of LGBQ+ veterans remains limited. This scoping review provides a map of the literature on LGBQ+ veteran health and health care from 1994 to 2023, identifying trends, gaps, and future directions.

methodsArticles were identified in PubMed, PsycINFO, CINAHL, EMBASE, Web of Science, Cochrane Library, and Google Scholar. Articles had to be available in English, be empirical studies, and include LGBQ+ veterans or service members and health or health care. Of 716 articles coded for eligibility, 106 articles were included. Articles were double coded; data were extracted for generation of disparities research (i.e., 1st: identifying disparities, 2nd: understanding drivers of disparities, and 3rd: intervening to reduce disparities), health or health care topics, sample demographics, and study design and quality.

resultsThe first article was published in 1999, and the quantity of published articles increased over time. Nearly half of the articles were first generation (48.1%), 45.5% were second generation, and 3.8% were third generation. Most research focused on mental health (e.g., substance use, depression, suicidality), with limited attention to physical health. Twenty-two percent of articles included samples composed solely of LGBQ+ participants. Most articles included quantitative (82.1%), retrospective, and/or cross-sectional (93.4%) study designs. Quality ratings were highest among articles with qualitative (85.7%) and mixed methods (58.0%) and lowest for quantitative (31.0%) methods. DISCUSSION: Research on LGBQ+ veterans and service members is nascent but growing. Gaps remain in addressing physical health outcomes, utilizing advanced study designs, and integrating sexual orientation as a central focus. Future research should prioritize interventional studies, implementation strategies, and expanded efforts to include physical health outcomes.

Indexed as

Healthcare DisparitiesMilitary PersonnelSexual and Gender MinoritiesVeteransHumansMaleUnited Stateshealth carehealth disparitiesLGBQ + service membersLGBQ + veteransmilitaryscoping review

Identifiers

PMID41254421
PMCPMC13125447

What OpenQuestion holds

Textmetadata
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.