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Medical History

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Lesbian, Gay, Bisexual, and Transgender Healthcare

Abstract

To provide complete and appropriate care for patients requires an open dialogue built on trust. However, health care providers have an uphill climb to creating such a trusting relationship with their Lesbian, Gay, Bisexual, Transgender, and Intersex (LGBTI) patients. As with any clinical encounter for the seasoned health care provider, determining the patient’s agenda will allow both provider and patient to efficiently direct the visit and ensure the explicit needs of the patient are addressed. Though LGBTI patients have many of the same health concerns as the general population, there are particular issues of medical and surgical health that are distinct and should be considered when collecting the health history; we specifically make mention of issues related to cardiovascular disease, cancer, obesity, and surgical interventions. Additionally, topics of importance include Substance Use/Abuse, Socioeconomic Status, Support Systems, Sexual History, and Violence/Abuse. Given the extensive history of discrimination and abuse by the health care community, LGBTI patients have long been providing peer referrals to providers that have demonstrated culturally competent and compassionate care. If the encounter has provided for at least the beginning of an open dialogue, LGBTI patients will continue to seek care. The more positive encounters that occur between the health care professions and LGBTI population, the sooner disparities in health care outcomes in LGBTI patients will be understood and addressed.

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Notes

  1. 1.

    Lambda Legal (Lambda Legal Defense and Education Fund) is an American civil rights organization that focuses on lesbian, gay, bisexual, and transgender(LGBT) communities as well as people living with HIV/AIDS (PWAs) through impact, societal education, and public policy work.

  2. 2.

    The National Center for Transgender Equality (NCTE) is a social justice organization dedicated to advancing the equality of transgender people through advocacy, collaboration and empowerment.

  3. 3.

    Patients affected by differences in sex development were not explicitly included in this survey.

  4. 4.

    Causality should not be inferred from these case reports and there is a significant need to perform studies that determine prevalence of these conditions and risk/protection associated with these therapies.

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Authors and Affiliations

  1. School of Medicine, Johns Hopkins Bayview Medical Center, Baltimore, MD, USA

    Carl G. Streed Jr. M.D.

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Correspondence to Carl G. Streed Jr. M.D. .

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  1. Program for LGBTI Health, Vanderbilt University Medical Center, Nashville, Tennessee, USA

    Kristen Eckstrand

  2. Program for LGBTI Health, Vanderbilt University Medical Center, Nashville, Tennessee, USA

    Jesse M. Ehrenfeld

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Streed, C.G. (2016). Medical History. In: Eckstrand, K., Ehrenfeld, J. (eds) Lesbian, Gay, Bisexual, and Transgender Healthcare. Springer, Cham. https://doi.org/10.1007/978-3-319-19752-4_6

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