Evidence map›Paper›PMID 41653090›Full record

ArticleJournal of traumatic stress2026

Associations between health care access and posttraumatic stress disorder symptoms among rural and urban lesbian, gay, bisexual, transgender, and queer adults.

Emily A Kenyon, Michelle A Stage, Reina Kiefer, Mollie A Ruben, Nicholas A Livingston, Danielle S Berke, Jillian C Shipherd

Abstract read
In one paragraph

Article in Journal of traumatic stress, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Emily A KenyonDepartment of Psychology, University of Rhode Island, Kingston, Rhode Island, USA.ORCID https://orcid.org/0000-0002-7650-5537
Michelle A StageDepartment of Psychology, University of Rhode Island, Kingston, Rhode Island, USA.
Reina KieferDepartment of Psychology, University of Rhode Island, Kingston, Rhode Island, USA.
Mollie A RubenDepartment of Psychology, University of Rhode Island, Kingston, Rhode Island, USA.
Nicholas A LivingstonDepartment of Psychiatry, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA.
Danielle S BerkeDepartment of Psychology, The Graduate Center, City University of New York, New York, New York, USA.ORCID https://orcid.org/0000-0003-2754-0683
Jillian C ShipherdDepartment of Psychiatry, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0001-6742-7912

Funding

Dismantling barriers in pain management through an intersectional multi-method examination of race and gender biasesK01MD020123 · NIMHD · UNIVERSITY OF RHODE ISLAND · PI Mollie Ruben · 2024 to 2026
$393k
National Institute on Alcohol Abuse and Alcoholism F31AA031163National Institute on Alcohol Abuse and Alcoholism F31AA031164National Institute on Minority Health and Health Disparities K01MD020123NIMHD NIH HHS K01 MD020123
6 · The paper itself

Abstract

Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) individuals experience elevated rates of trauma exposure, minority stress, and posttraumatic stress disorder (PTSD). Yet, research examining how geographic location and LGBTQ+ identity shape PTSD outcomes is scant, particularly studies considering structural facilitators and barriers, such as health care access. This cross-sectional, secondary study investigated associations between several individual- and structural-level factors and PTSD symptoms in LGBTQ+ adults (N = 131) recruited from urban and rural U.S. regions, most of whom identified as non-Hispanic White, bisexual, cisgender women. Analyses examined whether intersecting demographic characteristics, urban or rural location, perceived health care access, LGBTQ+ identity disclosure to providers, and experiences of LGBTQ+ discrimination were associated with PTSD symptom severity and probable PTSD diagnosis. Approximately 62% of participants reported experiencing a DSM-5 Criterion A traumatic event; of these individuals, 24.4% met the criteria for probable PTSD. General health care access, β = -.27, 95% CI [-.45, -.09], p = .003, and LGBTQ+ identity disclosure, β = -.19, 95% CI [-.31, -.07], p = .039, were significantly associated with PTSD symptom severity. Higher health care access was associated with 50.0% lower odds of probable PTSD, OR

Indexed as

Health Services AccessibilitySexual and Gender MinoritiesStress Disorders, Post-TraumaticAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedRural PopulationUnited StatesUrban PopulationYoung Adult

Identifiers

PMID41653090
PMCPMC12958394

What OpenQuestion holds

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LicenceCC BY-NC
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.