latimes.com/health/boostershots/la-heb-lgbt-health-20110331,0,6637601.story


latimes.com


BOOSTER SHOTS: Oddities, musings and news from the health world


Medical records and health studies should track sexual orientation and
gender identity, report says


By Amina Khan, Los Angeles Times

1:20 PM PDT, March 31, 2011


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Gay, lesbian, bisexual and transgender patients have unique healthcare needs
and concerns just as any minority does -- and those distinctions should be
taken into account in studies and health records, says a new report released
Thursday.

The Institute of Medicine report, meant as technical advice for the National
Institutes of Health, recommended that federally funded studies ask
participants about their sexual orientation and gender identity -- factors
that could affect a person's medical profile and health risks just as
aspects such as race and age do.

The institute also recommended that medical professionals start including
data on sexuality and gender identity in people's electronic health records.
But that will probably be more difficult information to collect: the study's
authors point out that this bit of information will probably be perceived as
"more sensitive" than others.

As it stands, there are very little data out there on the health needs of
LGBT patients, the paper's authors point out. There is even less information
about adolescent and elderly LGBT people than there is for LGBT adults, and
comparatively less for transgender and bisexual people than there is for gay
and lesbian patients.

And even with relatively little data available, says the report summary
<http://www.iom.edu/~/media/Files/Report%20Files/2011/The-Health-of-Lesbian-
Gay-Bisexual-and-Transgender-People/LGBT%20Health%202011%20Report%20Brief.pd
f> , there are already many observed differences between LGBT and other
patients:

"These include that LGBT youth may have an elevated risk for attempted
suicide and depression, and sexual minority youth may have higher rates of
substance use than heterosexual youth; that one of the barriers to accessing
quality health care for LGBT adults is a lack of providers who are
knowledgeable about LGBT health needs as well as a fear of discrimination in
health care settings; and that LGBT elders are more likely to rely on
friends and others as caregivers rather than biological family members, at
least in part because they are less likely to have children."

 



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