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Review Articles

Barriers in care pathways and unmet mental health needs in LGBTIQ + communities

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Pages 215-229 | Received 05 May 2022, Accepted 05 May 2022, Published online: 01 Jun 2022

References

  • Argyriou, A., Goldsmith, K. A., & Rimes, K. A. (2021). Mediators of the disparities in depression between sexual minority and heterosexual individuals: A systematic review. Archives of Sexual Behavior, 50(3), 925–959. https://doi.org/10.1007/s10508-020-01862-0
  • Baptiste-Roberts, K., Oranuba, E., Werts, N., & Edwards, L. V. (2017). Addressing health care disparities among sexual minorities. Obstetrics and Gynecology Clinics of North America, 44(1), 71–80. https://doi.org/10.1016/j.ogc.2016.11.003
  • Batchelder, A. W., Stanton, A. M., Kirakosian, N., King, D., Grasso, C., Potter, J., Mayer, K. H., & O'Cleirigh, C. (2021). Mental health and substance use diagnoses and treatment disparities by sexual orientation and gender in a community health center sample. LGBT Health, 8(4), 290–299. https://doi.org/10.1089/lgbt.2020.0293
  • Bauer, G. R., Braimoh, J., Scheim, A. I., & Dharma, C. (2017). Transgender-inclusive measures of sex/gender for population surveys: Mixed-methods evaluation and recommendations. PloS One, 12(5), e0178043. https://doi.org/10.1371/journal.pone.0178043
  • Beccia, A. L., Baek, J., Austin, S. B., Jesdale, W. M., & Lapane, K. L. (2021). Eating-related pathology at the intersection of gender identity and expression, sexual orientation, and weight status: An intersectional Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy (MAIHDA) of the Growing Up Today Study cohorts. Social Science & Medicine (1982), 281, 114092. https://doi.org/10.1016/j.socscimed.2021.114092
  • Beck, D. C., Veliz, P. T., McCabe, S. E., Boyd, C. J., & Evans‐Polce, R. (2021). Cigarette, e‐cigarette, and dual use during the third trimester of pregnancy in a national sample of heterosexual and sexual minority women. The American Journal on Addictions, 30(6), 593–600. https://doi.org/10.1111/ajad.13217
  • Berger, I., & Mooney-Somers, J. (2017). Smoking cessation programs for lesbian, gay, bisexual, transgender, and intersex people: A content-based systematic review. Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco, 19(12), 1408–1417.
  • Bidell, M. P. (2016). Treating transgressors: Mental health providers and LGBT issues. Journal of Psychological Therapies, 1(1), 7–10.
  • Blosnich, J. R., & Andersen, J. P. (2015). Thursday's child: The role of adverse childhood experiences in explaining mental health disparities among lesbian, gay, and bisexual U.S. adults. Social Psychiatry and Psychiatric Epidemiology, 50(2), 335–338. https://doi.org/10.1007/s00127-014-0955-4
  • Boehmer, U., Clark, M. A., Ozonoff, A., Winter, M., & Potter, J. (2020). Survivors’ perceptions of quality of colorectal cancer care by sexual orientation. American Journal of Clinical Oncology, 43(9), 660–666. https://doi.org/10.1097/COC.0000000000000732
  • Brown, G. R., & Jones, K. T. (2016). Mental health and medical health disparities in 5135 transgender veterans receiving healthcare in the Veterans Health Administration: A case-control study. LGBT Health, 3(2), 122–131. https://doi.org/10.1089/lgbt.2015.0058
  • Burgess, D., Tran, A., Lee, R., & van Ryn, M. (2007). Effects of perceived discrimination on mental health and mental health services utilization among gay, lesbian, bisexual and transgender persons. Journal of LGBT Health Research, 3(4), 1–14. https://doi.org/10.1080/15574090802226626
  • Buspavanich, P., Lech, S., Lermer, E., Fischer, M., Berger, M., Vilsmaier, T., Kaltofen, T., Keckstein, S., Mahner, S., Behr, J., Thaler, C. J., & Batz, F. (2021). Well-being during COVID-19 pandemic: A comparison of individuals with minoritized sexual and gender identities and cis-heterosexual individuals. PloS One, 16(6), e0252356. https://doi.org/10.1371/journal.pone.0252356
  • Butler, E. S., McGlinchey, E., & Juster, R. P. (2020). Sexual and gender minority sleep: A narrative review and suggestions for future research. Journal of Sleep Research, 29(1), e12928. https://doi.org/10.1111/jsr.12928
  • Caceres, B. A., Hickey, K. T., Heitkemper, E. M., & Hughes, T. L. (2019). An intersectional approach to examine sleep duration in sexual minority adults in the United States: Findings from the Behavioral Risk Factor Surveillance System. Sleep Health, 5(6), 621–629. https://doi.org/10.1016/j.sleh.2019.06.006
  • Calzo, J. P., Blashill, A. J., Brown, T. A., & Argenal, R. L. (2017). Eating disorders and disordered weight and shape control behaviors in sexual minority populations. Current Psychiatry Reports, 19(8), 1–10. https://doi.org/10.1007/s11920-017-0801-y
  • Carlson, K. J., Irwin, J. A., Dowdall, J. R., Figy, S. C., & Amoura, N. J. (2021). Integrated comprehensive care for transcare and gender diverse clinic patients: An assessment of physical, mental, and social needs. Cureus, 13(12), 12. https://doi.org/10.7759/cureus.20544
  • Carman, M., Corboz, J., & Dowsett, G. W. (2012). Falling through the cracks: The gap between evidence and policy in responding to depression in gay, lesbian and other homosexually active people in Australia. Australian and New Zealand Journal of Public Health, 36(1), 76–83. https://doi.org/10.1111/j.1753-6405.2012.00828.x
  • Chaiton, M., Musani, I., Pullman, M., Logie, C. H., Abramovich, A., Grace, D., Schwartz, R., & Baskerville, B. (2021). Access to mental health and substance use resources for 2SLGBTQ + youth during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 18(21), 11315. https://doi.org/10.3390/ijerph182111315
  • Chakraborty, A., McManus, S., Brugha, T. S., Bebbington, P., & King, M. (2011). Mental health of the non-heterosexual population of England. British Journal of Psychiatry, 198(2), 143–148. https://doi.org/10.1192/bjp.bp.110.082271
  • Chan, K. K. S., & Leung, D. C. K. (2021). The impact of mindfulness on self-stigma and affective symptoms among sexual minorities. Journal of Affective Disorders, 286, 213–219. https://doi.org/10.1016/j.jad.2021.02.057
  • Chen, D., Watson, R. J., Caputi, T. L., & Shover, C. L. (2021). Proportion of US clinics offering LGBT-tailored mental health services decreased over time: A panel study of the National Mental Health Services Survey. Annals of LGBTQ Public and Population Health, 2(3), 174–184. https://doi.org/10.1891/LGBTQ-2020-0071
  • Cicero, E. C., Reisner, S. L., Silva, S. G., Merwin, E. I., & Humphreys, J. C. (2019). Healthcare experiences of transgender adults: An integrated mixed research literature review. Advances in Nursing Science, 42(2), 123–138. https://doi.org/10.1097/ANS.0000000000000256
  • Colvin, S., Egan, J. E., & Coulter, R. W. (2019). School climate & sexual and gender minority adolescent mental health. Journal of Youth and Adolescence, 48(10), 1938–1951. https://doi.org/10.1007/s10964-019-01108-w
  • Connolly, D., & Gilchrist, G. (2020). Prevalence and correlates of substance use among transgender adults: A systematic review. Addictive Behaviors, 111, 106544. https://doi.org/10.1016/j.addbeh.2020.106544
  • Coulter, R. W. S., Egan, J. E., Kinsky, S., Friedman, M. R., Eckstrand, K. L., Frankeberger, J., Folb, B. L., Mair, C., Markovic, N., Silvestre, A., Stall, R., & Miller, E. (2019). Mental health, drug, and violence interventions for sexual/gender minorities: A systematic review. Pediatrics, 144(3), 3. https://doi.org/10.1542/peds.2018-3367
  • Cronin, T. J., Pepping, C. A., Halford, W. K., & Lyons, A. (2021). Mental health help-seeking and barriers to service access among lesbian, gay, and bisexual Australians. Australian Psychologist, 56(1), 46–60. https://doi.org/10.1080/00050067.2021.1890981
  • D’Angelo, A. B., Argenio, K., Westmoreland, D. A., Appenroth, M. N., & Grov, C. (2021). Health and access to gender-affirming care during COVID-19: Experiences of transmasculine individuals and men assigned female sex at birth. American Journal of Men’s Health, 15(6), 15579883211062681.
  • Davis, A. W., Lyons, A., & Pepping, C. A. (2021). Inclusive psychotherapy for sexual minority adults: The role of the therapeutic alliance. Sexuality Research and Social Policy, 1–13. https://doi.org/10.1007/s13178-021-00654-y
  • Donohue, G., McCann, E., & Brown, M. (2021). Views and experiences of LGBTQ + people in prison regarding their psychosocial needs: A systematic review of the qualitative research evidence. International Journal of Environmental Research and Public Health, 18(17), 9335. https://doi.org/10.3390/ijerph18179335
  • Dowshen, N., Lee, S., Franklin, J., Castillo, M., & Barg, F. (2017). Access to medical and mental health services across the HIV care continuum among young transgender women: A qualitative study. Transgender Health, 2(1), 81–90. https://doi.org/10.1089/trgh.2016.0046
  • Dunbar, M. S., Sontag-Padilla, L., Ramchand, R., Seelam, R., & Stein, B. D. (2017). Mental health service utilization among lesbian, gay, bisexual, and questioning or queer college students. Journal of Adolescent Health, 61(3), 294–301. https://doi.org/10.1016/j.jadohealth.2017.03.008
  • Evans-Polce, R. J., Kcomt, L., Veliz, P. T., Boyd, C. J., & McCabe, S. E. (2020). Alcohol, tobacco, and comorbid psychiatric disorders and associations with sexual identity and stress-related correlates. American Journal of Psychiatry, 177(11), 1073–1081. https://doi.org/10.1176/appi.ajp.2020.20010005
  • Ferlatte, O., Salway, T., Rice, S., Oliffe, J. L., Rich, A. J., Knight, R., Morgan, J., & Ogrodniczuk, J. S. (2019). Perceived barriers to mental health services among Canadian sexual and gender minorities with depression and at risk of suicide. Community Mental Health Journal, 55(8), 1313–1321. https://doi.org/10.1007/s10597-019-00445-1
  • Feldman, J., Brown, G. R., Deutsch, M. B., Hembree, W., Meyer, W., Meyer-Bahlburg, H. F. L., Tangpricha, V., TʼSjoen, G., & Safer, J. D. (2016). Priorities for transgender medical and healthcare research. Current Opinion in Endocrinology, Diabetes, and Obesity, 23(2), 180–187. https://doi.org/10.1097/MED.0000000000000231
  • Feldman, J. L., Luhur, W. E., Herman, J. L., Poteat, T., & Meyer, I. H. (2021). Health and health care access in the US transgender population health (TransPop) survey. Andrology, 9(6), 1707–1718. https://doi.org/10.1111/andr.13052
  • Fish, J. N., Hughes, T. L., & Russell, S. T. (2018). Sexual identity differences in high‐intensity binge drinking: Findings from a US national sample. Addiction (Abingdon, England), 113(4), 749–758. https://doi.org/10.1111/add.14041
  • Fish, J. N., Schulenberg, J. E., & Russell, S. T. (2019). Sexual minority youth report high-intensity binge drinking: The critical role of school victimization. The Journal of Adolescent Health, 64(2), 186–193. https://doi.org/10.1016/j.jadohealth.2018.07.005
  • Flentje, A., Livingston, N. A., Roley, J., & Sorensen, J. L. (2015). Mental and physical health needs of lesbian, gay, and bisexual clients in substance abuse treatment. Journal of Substance Abuse Treatment, 58, 78–83. https://doi.org/10.1016/j.jsat.2015.06.022
  • Fox, K. R., Choukas-Bradley, S., Salk, R. H., Marshal, M. P., & Thoma, B. C. (2020). Mental health among sexual and gender minority adolescents: Examining interactions with race and ethnicity. Journal of Consulting and Clinical Psychology, 88(5), 402–415. https://doi.org/10.1037/ccp0000486
  • Fredriksen-Goldsen, K. I., Jen, S., Bryan, A. E., & Goldsen, J. (2018). Cognitive impairment, Alzheimer’s disease, and other dementias in the lives of lesbian, gay, bisexual and transgender (LGBT) older adults and their caregivers: Needs and competencies. Journal of Applied Gerontology, 37(5), 545–569. https://doi.org/10.1177/0733464816672047
  • Gaspar, M., Marshall, Z., Rodrigues, R., Adam, B. D., Brennan, D. J., Hart, T. A., & Grace, D. (2021). Mental health and structural harm: A qualitative study of sexual minority men's experiences of mental healthcare in Toronto, Canada. Culture, Health & Sexuality, 23(1), 98–114. https://doi.org/10.1080/13691058.2019.1692074
  • Geist, C., Greenberg, K. B., Luikenaar, R. A., & Mihalopoulos, N. L. (2021). Pediatric research and health care for transgender and gender diverse adolescents and young adults: Improving (biopsychosocial) health outcomes. Academic Pediatrics, 21(1), 32–42. https://doi.org/10.1016/j.acap.2020.09.010
  • Giblon, R., & Bauer, G. R. (2017). Health care availability, quality, and unmet need: A comparison of transgender and cisgender residents of Ontario, Canada. BMC Health Services Research, 17(1), 1–10. https://doi.org/10.1186/s12913-017-2226-z
  • Gilbey, D., Morgan, H., Lin, A., & Perry, Y. (2020). Effectiveness, acceptability, and feasibility of digital health interventions for LGBTIQ + young people: Systematic review. Journal of Medical Internet Research, 22(12), e20158. https://doi.org/10.2196/20158
  • Goldsen, K. I. F., Jen, S., & Muraco, A. (2019). Iridescent life course: LGBTQ aging research and blueprint for the future - A systematic review. Gerontology, 65(3), 253–274.
  • Gonzales, G., Dedania, R., & Driscoll, R. (2019). Health insurance coverage and access to care among US-born and foreign-born sexual minorities. Journal of Immigrant and Minority Health, 21(3), 540–548. https://doi.org/10.1007/s10903-018-0774-x
  • Gordon, J. R., Baik, S. H., Schwartz, K. T., & Wells, K. J. (2019). Comparing the mental health of sexual minority and heterosexual cancer survivors: A systematic review. LGBT Health, 6(6), 271–288. https://doi.org/10.1089/lgbt.2018.0204
  • Greene, N., Johnson, R. M., German, D., Rosen, J., & Cohen, J. E. (2021). State-level alcohol environments and sexual identity disparities in binge drinking in the behavioral risk factor surveillance system. LGBT Health, 8(3), 190–200. https://doi.org/10.1089/lgbt.2020.0182
  • Gustafsson, P. E., Linander, I., & Mosquera, P. A. (2017). Embodying pervasive discrimination: A decomposition of sexual orientation inequalities in health in a population-based cross-sectional study in Northern Sweden. International Journal for Equity in Health, 16(1), 1–10. https://doi.org/10.1186/s12939-017-0522-1
  • Hahm, H. C., Lee, J., Chiao, C., Valentine, A., & Lê Cook, B. (2016). Use of mental health care and unmet needs for health care among lesbian and bisexual Chinese-, Korean-, and Vietnamese-American women. Psychiatric Services (Washington, D.C.), 67(12), 1380–1383. https://doi.org/10.1176/appi.ps.201500356
  • Hall, J. P., Batza, K., Streed, C. G., Boyd, B. A., & Kurth, N. K. (2020). Health disparities among sexual and gender minorities with autism spectrum disorder. Journal of Autism and Developmental Disorders, 50(8), 3071–3077. https://doi.org/10.1007/s10803-020-04399-2
  • Haney, J. L. (2021). Sexual orientation, social determinants of health, and unmet substance use treatment need: Findings from a national survey. Substance Use & Misuse, 56(2), 205–213. https://doi.org/10.1080/10826084.2020.1853775
  • Harper, G. W., Crawford, J., Lewis, K., Mwochi, C. R., Johnson, G., Okoth, C., Jadwin-Cakmak, L., Onyango, D. P., Kumar, M., & Wilson, B. D. (2021). Mental health challenges and needs among sexual and gender minority people in western Kenya. International Journal of Environmental Research and Public Health, 18(3), 1311. https://doi.org/10.3390/ijerph18031311
  • Hatzenbuehler, M. L., & Keyes, K. M. (2013). Inclusive anti-bullying policies and reduced risk of suicide attempts in lesbian and gay youth. Journal of Adolescent Health, 53(1), S21–S26. https://doi.org/10.1016/j.jadohealth.2012.08.010
  • Hazzard, V. M., Simone, M., Borg, S. L., Borton, K. A., Sonneville, K. R., Calzo, J. P., & Lipson, S. K. (2020). Disparities in eating disorder risk and diagnosis among sexual minority college students: Findings from the national healthy minds study. International Journal of Eating Disorders, 53(9), 1563–1568. https://doi.org/10.1002/eat.23304
  • Hickson, F., Appenroth, M., Koppe, U., Schmidt, A. J., Reid, D., & Weatherburn, P. (2020). Sexual and mental health inequalities across gender identity and sex-assigned-at-birth among men-who-have-sex-with-men in Europe: Findings from EMIS-2017. International Journal of Environmental Research and Public Health, 17(20), 7379. https://doi.org/10.3390/ijerph17207379
  • Higgins, A., Downes, C., Murphy, R., Sharek, D., Begley, T., McCann, E., Sheerin, F., Smyth, S., De Vries, J., & Doyle, L. (2021). LGBT + young people’s perceptions of barriers to accessing mental health services in Ireland. Journal of Nursing Management, 29(1), 58–67. https://doi.org/10.1111/jonm.13186
  • Hirschtritt, M. E., Dauria, E. F., Marshall, B., & Tolou-Shams, M. (2018). Sexual minority, justice-involved youth: A hidden population in need of integrated mental health, substance use, and sexual health services. Journal of Adolescent Health, 63(4), 421–428. https://doi.org/10.1016/j.jadohealth.2018.05.020
  • Huang, Y. T., Ma, Y. T., Craig, S. L., Wong, D. F. K., & Forth, M. W. (2020). How intersectional are mental health interventions for sexual minority people? A systematic review. LGBT Health, 7(5), 220–236. https://doi.org/10.1089/lgbt.2019.0328
  • Hughto, J. M., Restar, A. J., Wolfe, H. L., Gordon, L. K., Reisner, S. L., Biello, K. B., Cahill, S. R., & Mimiaga, M. J. (2021). Opioid pain medication misuse, concomitant substance misuse, and the unmet behavioral health treatment needs of transgender and gender diverse adults. Drug and Alcohol Dependence, 222, 108674. https://doi.org/10.1016/j.drugalcdep.2021.108674
  • Hutchcraft, M. L., Teferra, A. A., Montemorano, L., & Patterson, J. G. (2021). Differences in health-related quality of life and health behaviors among lesbian, bisexual, and heterosexual women surviving cancer from the 2013 to 2018 National Health Interview Survey. LGBT Health, 8(1), 68–78. https://doi.org/10.1089/lgbt.2020.0185
  • Jennings, L., Barcelos, C., McWilliams, C., & Malecki, K. (2019). Inequalities in lesbian, gay, bisexual, and transgender (LGBT) health and health care access and utilization in Wisconsin. Preventive Medicine Reports, 14, 100864. https://doi.org/10.1016/j.pmedr.2019.100864
  • Jeong, Y. M., Veldhuis, C. B., Aranda, F., & Hughes, T. L. (2016). Racial/ethnic differences in unmet needs for mental health and substance use treatment in a community‐based sample of sexual minority women. Journal of Clinical Nursing, 25(23–24), 3557–3569. https://doi.org/10.1111/jocn.13477
  • Jessup, M. A., & Dibble, S. L. (2012). Unmet mental health and substance abuse treatment needs of sexual minority elders. Journal of Homosexuality, 59(5), 656–674. https://doi.org/10.1080/00918369.2012.665674
  • Kamal, K., Li, J. J., Hahm, H. C., & Liu, C. H. (2021). Psychiatric impacts of the COVID-19 global pandemic on US sexual and gender minority young adults. Psychiatry Research, 299, 113855. https://doi.org/10.1016/j.psychres.2021.113855
  • Kamen, C., Mustian, K. M., Dozier, A., Bowen, D. J., & Li, Y. (2015). Disparities in psychological distress impacting lesbian, gay, bisexual and transgender cancer survivors. Psycho-oncology, 24(11), 1384–1391. https://doi.org/10.1002/pon.3746
  • Kidd, J. D., Paschen-Wolff, M. M., Mericle, A. A., Caceres, B. A., Drabble, L. A., & Hughes, T. L. (2021). A scoping review of alcohol, tobacco, and other drug use treatment interventions for sexual and gender minority populations. Journal of Substance Abuse Treatment, 133, 108539.
  • Kidd, S. A., Howison, M., Pilling, M., Ross, L. E., & Mckenzie, K. (2016). Severe mental illness in LGBT populations: A scoping review. Psychiatric Services (Washington, D.C.), 67(7), 779–783. https://doi.org/10.1176/appi.ps.201500209
  • King, M., Semlyen, J., Tai, S. S., Killaspy, H., Osborn, D., Popelyuk, D., & Nazareth, I. (2008). A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry, 8, 70. https://doi.org/10.1186/1471-244X-8-70
  • Klotzbaugh, R., & Glover, E. (2016). A lesbian, gay, bisexual and transgender dedicated inpatient psychiatric unit in rural New England: A descriptive analysis in demographics, service utilisation and needs. Journal of Clinical Nursing, 25(23–24), 3570–3576. https://doi.org/10.1111/jocn.13253
  • Kneale, D., Thomas, J., & French, R. (2020). Inequalities in health and care among Lesbian, gay, and bisexual people aged 50 and older in the United Kingdom: A systematic review and meta-analysis of sources of individual participant data. The Journals of Gerontology: Series B, 75(8), 1758–1771. https://doi.org/10.1093/geronb/gbaa071
  • Krasnova, A., Diaz, J. E., Philbin, M. M., & Mauro, P. M. (2021). Disparities in substance use disorder treatment use and perceived need by sexual identity and gender among adults in the United States. Drug and Alcohol Dependence, 226, 108828. https://doi.org/10.1016/j.drugalcdep.2021.108828
  • Lerner, J. E., & Robles, G. (2017). Perceived barriers and facilitators to health care utilization in the United States for transgender people: A review of recent literature. Journal of Health Care for the Poor and Underserved, 28(1), 127–152. https://doi.org/10.1353/hpu.2017.0014
  • Li, J., Berg, C. J., Weber, A. A., Vu, M., Nguyen, J., Haardörfer, R., Windle, M., Goodman, M., & Escoffery, C. (2021). Tobacco use at the intersection of sex and sexual identity in the U.S., 2007-2020: A meta-analysis. American Journal of Preventive Medicine, 60(3), 415–424. https://doi.org/10.1016/j.amepre.2020.09.006
  • Limburg, A., Everett, B. G., Mollborn, S., & Kominiarek, M. A. (2020). Sexual orientation disparities in preconception health. Journal of Women's Health (2002), 29(6), 755–762. https://doi.org/10.1089/jwh.2019.8054
  • Mark, K. M., McNamara, K. A., Gribble, R., Rhead, R., Sharp, M.-L., Stevelink, S. A. M., Schwartz, A., Castro, C., & Fear, N. T. (2019). The health and well-being of LGBTQ serving and ex-serving personnel: a narrative review. International Review of Psychiatry (Abingdon, England), 31(1), 75–94. https://doi.org/10.1080/09540261.2019.1575190
  • Marshall, A. (2016). Suicide prevention interventions for sexual & gender minority youth: An unmet need. The Yale Journal of Biology and Medicine, 89(2), 205–213.
  • McCabe, S. E., West, B. T., Hughes, T. L., & Boyd, C. J. (2013). Sexual orientation and substance abuse treatment utilization in the United States: Results from a national survey. Journal of Substance Abuse Treatment, 44(1), 4–12. https://doi.org/10.1016/j.jsat.2012.01.007
  • Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697. https://doi.org/10.1037/0033-2909.129.5.674
  • Moagi, M. M., van Der Wath, A. E., Jiyane, P. M., & Rikhotso, R. S. (2021). Mental health challenges of lesbian, gay, bisexual and transgender people: An integrated literature review. Health SA = SA Gesondheid, 26(1), 1487. https://doi.org/10.4102/hsag.v26i0.1487
  • Mongelli, F., Perrone, D., Balducci, J., Sacchetti, A., Ferrari, S., Mattei, G., & Galeazzi, G. M. (2019). Minority stress and mental health among LGBT populations: An update on the evidence. Minerva Psichiatrica, 60(1), 27–50. https://doi.org/10.23736/S0391-1772.18.01995-7
  • Mor, Z., Eick, U., Kolasko, G. W., Zviely-Efrat, I., Makadon, H., & Davidovitch, N. (2015). Health status, behavior, and care of lesbian and bisexual women in Israel. The Journal of Sexual Medicine, 12(5), 1249–1256. https://doi.org/10.1111/jsm.12850
  • Nagata, J. M., Ganson, K. T., & Austin, S. B. (2020). Emerging trends in eating disorders among sexual and gender minorities. Current Opinion in Psychiatry, 33(6), 562–567. https://doi.org/10.1097/YCO.0000000000000645
  • Naimi, T. S., Blanchette, J., Nelson, T. F., Nguyen, T., Oussayef, N., Heeren, T. C., Gruenewald, P., Mosher, J., & Xuan, Z. (2014). A new scale of the U.S. alcohol policy environment and its relationship to binge drinking. American Journal of Preventive Medicine, 46(1), 10–16. https://doi.org/10.1016/j.amepre.2013.07.015
  • Parmar, D. D., Alabaster, A., Vance, S., Jr, Weintraub, M. L. R., & Lau, J. S. (2021). Disordered eating, body image dissatisfaction, and associated healthcare utilization patterns for sexual minority youth. The Journal of Adolescent Health, 69(3), 470–476. https://doi.org/10.1016/j.jadohealth.2021.02.002
  • Pattison, R., Puyat, J. H., Giesbrecht, A., Zenone, M., Mathias, S., & Barbic, S. (2021). Examining mental health differences between transgender, gender nonconforming, and cisgender young people in British Columbia. Frontiers in Psychiatry, 12, 1660.
  • Philbin, M. M., Mauro, P. M., Greene, E. R., & Martins, S. S. (2019). State-level marijuana policies and marijuana use and marijuana use disorder among a nationally representative sample of adults in the United States, 2015-2017: Sexual identity and gender matter. Drug and Alcohol Dependence, 204, 107506. https://doi.org/10.1016/j.drugalcdep.2019.06.009
  • Philbin, M. M., Mauro, P. M., Greene, E. R., LaBossier, N. J., Giovenco, D. P., & Martins, S. S. (2020). Medical cannabis laws and medical and non-medical prescription stimulant use among a nationally representative sample of US Adults: Examining the role of sexual identity and gender. The International Journal on Drug Policy, 84, 102861. https://doi.org/10.1016/j.drugpo.2020.102861
  • Rimes, K. A., Ion, D., Wingrove, J., & Carter, B. (2019). Sexual orientation differences in psychological treatment outcomes for depression and anxiety: National cohort study. Journal of Consulting and Clinical Psychology, 87(7), 577–589. https://doi.org/10.1037/ccp0000416
  • Rosner, B., Neicun, J., Yang, J. C., & Roman-Urrestarazu, A. (2021). Substance use among sexual minorities in the US - Linked to inequalities and unmet need for mental health treatment? Results from the National Survey on Drug Use and Health (NSDUH). Journal of Psychiatric Research, 135, 107–118. https://doi.org/10.1016/j.jpsychires.2020.12.023
  • Ross, L. E., Gibson, M. F., Daley, A., Steele, L. S., & Williams, C. C. (2018). In spite of the system: A qualitatively-driven mixed methods analysis of the mental health services experiences of LGBTQ people living in poverty in Ontario, Canada. PloS One, 13(8), e0201437. https://doi.org/10.1371/journal.pone.0201437
  • Rutherford, L., Stark, A., Ablona, A., Klassen, B. J., Higgins, R., Jacobsen, H., Draenos, C. J., Card, K. G., & Lachowsky, N. J. (2021). Health and well-being of trans and non-binary participants in a community-based survey of gay, bisexual, and queer men, and non-binary and Two-Spirit people across Canada. PloS One, 16(2), e0246525. https://doi.org/10.1371/journal.pone.0246525
  • Rutter, T. M., Flentje, A., Dilley, J. W., Barakat, S., Liu, N. H., Gross, M. S., Muñoz, R. F., & Leykin, Y. (2016). Sexual orientation and treatment-seeking for depression in a multilingual worldwide sample. Journal of Affective Disorders, 206, 87–93. https://doi.org/10.1016/j.jad.2016.07.003
  • Schuler, M. S., Rice, C. E., Evans-Polce, R. J., & Collins, R. L. (2018). Disparities in substance use behaviors and disorders among adult sexual minorities by age, gender, and sexual identity. Drug and Alcohol Dependence, 189, 139–146. https://doi.org/10.1016/j.drugalcdep.2018.05.008
  • Schuler, M. S., Dick, A. W., & Stein, B. D. (2019a). Sexual minority disparities in opioid misuse, perceived heroin risk and heroin access among a national sample of US adults. Drug and Alcohol Dependence, 201, 78–84. https://doi.org/10.1016/j.drugalcdep.2019.04.014
  • Schuler, M. S., Stein, B. D., & Collins, R. L. (2019b). Differences in substance use disparities across age groups in a national cross-sectional survey of lesbian, gay, and bisexual adults. LGBT Health, 6(2), 68–76. https://doi.org/10.1089/lgbt.2018.0125
  • Schuler, M. S., & Collins, R. L. (2020). Sexual minority substance use disparities: Bisexual women at elevated risk relative to other sexual minority groups. Drug and Alcohol Dependence, 206, 107755. https://doi.org/10.1016/j.drugalcdep.2019.107755
  • Shokoohi, M., Salway, T., Ahn, B., & Ross, L. E. (2021). Disparities in the prevalence of cigarette smoking among bisexual people: A systematic review, meta-analysis and meta-regression. Tobacco Control, 30(e2), e78–e86. https://doi.org/10.1136/tobaccocontrol-2020-055747
  • Silveri, M. M., Schuttenberg, E. M., Schmandt, K., Stein, E. R., Rieselbach, M. M., Sternberg, A., Cohen-Gilbert, J. E., Katz-Wise, S. L., Blackford, J. U., Potter, A. S., Potter, M. P., Sarvey, D. B., McWhinnie, C. M., Feinberg, J. E., & Boger, K. D. (2021). Clinical outcomes following acute residential psychiatric treatment in transgender and gender diverse adolescents. JAMA Network Open, 4(6), e2113637–e2113637. https://doi.org/10.1001/jamanetworkopen.2021.13637
  • Simeonov, D., Steele, L. S., Anderson, S., & Ross, L. E. (2015). Perceived satisfaction with mental health services in the lesbian, gay, bisexual, transgender, and transsexual communities in Ontario, Canada: An Internet-based survey. Canadian Journal of Community Mental Health, 34(1), 31–44. https://doi.org/10.7870/cjcmh-2014-037
  • Simone, M., Pisetsky, E. M., & Lust, K. (2021). Weight discrimination inflates psychological health risk and academic impairment in sexual minority cisgender college students relative to their heterosexual peers. Eating Disorders, 29(6), 685–695. https://doi.org/10.1080/10640266.2020.1763111
  • Slemon, A., Richardson, C., Goodyear, T., Salway, T., Gadermann, A., Oliffe, J. L., Knight, R., Dhari, S., & Jenkins, E. K. (2022). Widening mental health and substance use inequities among sexual and gender minority populations: Findings from a repeated cross-sectional monitoring survey during the COVID-19 pandemic in Canada. Psychiatry Research, 307, 114327. https://doi.org/10.1016/j.psychres.2021.114327
  • Smalley, K. B., Warren, J. C., & Barefoot, K. N. (2016). Variations in psychological distress between gender and sexual minority groups. Journal of Gay & Lesbian Mental Health, 20(2), 99–115. https://doi.org/10.1080/19359705.2015.1135843
  • Smith, R. W., Altman, J. K., Meeks, S., & Hinrichs, K. L. (2019). Mental health care for LGBT older adults in long-term care settings: Competency, training, and barriers for mental health providers. Clinical Gerontologist, 42(2), 198–203. https://doi.org/10.1080/07317115.2018.1485197
  • Stanton, A. M., Batchelder, A. W., Kirakosian, N., Scholl, J., King, D., Grasso, C., Potter, J., Mayer, K. H., & O’Cleirigh, C. (2021). Differences in mental health symptom severity and care engagement among transgender and gender diverse individuals: Findings from a large community health center. Plos One, 16(1), e0245872. https://doi.org/10.1371/journal.pone.0245872
  • Steele, L. S., Daley, A., Curling, D., Gibson, M. F., Green, D. C., Williams, C. C., & Ross, L. E. (2017). LGBT identity, untreated depression, and unmet need for mental health services by sexual minority women and trans-identified people. Journal of Women's Health (2002), 26(2), 116–127. https://doi.org/10.1089/jwh.2015.5677
  • Taliaferro, L. A., Harder, B. M., Lampe, N. M., Carter, S. K., Rider, G. N., & Eisenberg, M. E. (2019). Social connectedness factors that facilitate use of healthcare services: Comparison of transgender and gender nonconforming and cisgender adolescents. The Journal of Pediatrics, 211, 172–178. https://doi.org/10.1016/j.jpeds.2019.04.024
  • Tardelli, V. S., Martins, S. S., & Fidalgo, T. M. (2021). Differences in use of inhalants among sexual minorities in the USA in 2015-2018. Addictive Behaviors, 115, 106789. https://doi.org/10.1016/j.addbeh.2020.106789
  • Thoma, B. C., Rezeppa, T. L., Choukas-Bradley, S., Salk, R. H., & Marshal, M. P. (2021). Disparities in childhood abuse between transgender and cisgender adolescents. Pediatrics, 148(2), 2. https://doi.org/10.1542/peds.2020-016907
  • Travers, Á., Armour, C., Hansen, M., Cunningham, T., Lagdon, S., Hyland, P., Vallières, F., McCarthy, A., & Walshe, C. (2020). Lesbian, gay or bisexual identity as a risk factor for trauma and mental health problems in Northern Irish students and the protective role of social support. European Journal of Psychotraumatology, 11(1), 1708144. https://doi.org/10.1080/20008198.2019.1708144
  • Valentine, S. E., & Shipherd, J. C. (2018). A systematic review of social stress and mental health among transgender and gender non-conforming people in the United States. Clinical Psychology Review, 66, 24–38. https://doi.org/10.1016/j.cpr.2018.03.003
  • White, B. P., & Fontenot, H. B. (2019). Transgender and non-conforming persons' mental healthcare experiences: An integrative review. Archives of Psychiatric Nursing, 33(2), 203–210. https://doi.org/10.1016/j.apnu.2019.01.005
  • Williams, C. C., Curling, D., Steele, L. S., Gibson, M. F., Daley, A., Green, D. C., & Ross, L. E. (2017). Depression and discrimination in the lives of women, transgender and gender liminal people in Ontario, Canada. Health & Social Care in the Community, 25(3), 1139–1150. https://doi.org/10.1111/hsc.12414
  • Williams, K. A., & Chapman, M. V. (2011). Comparing health and mental health needs, service use, and barriers to services among sexual minority youths and their peers. Health & Social Work, 36(3), 197–206. https://doi.org/10.1093/hsw/36.3.197
  • Williams, K. A., & Chapman, M. V. (2012). Unmet health and mental health need among adolescents: The roles of sexual minority status and child-parent connectedness. American Journal of Orthopsychiatry, 82(4), 473–481. https://doi.org/10.1111/j.1939-0025.2012.01182.x
  • Yarns, B. C., Abrams, J. M., Meeks, T. W., & Sewell, D. D. (2016). The mental health of older LGBT adults. Current Psychiatry Reports, 18(6), 1–11. https://doi.org/10.1007/s11920-016-0697-y
  • Zeeman, L., Sherriff, N., Browne, K., McGlynn, N., Mirandola, M., Gios, L., Davis, R., Sanchez-Lambert, J., Aujean, S., Pinto, N., Farinella, F., Donisi, V., Niedźwiedzka-Stadnik, M., Rosińska, M., Pierson, A., Amaddeo, F., & Health4LGBTI Network (2019). A review of lesbian, gay, bisexual, trans and intersex (LGBTI) health and healthcare inequalities. European Journal of Public Health, 29(5), 974–980. https://doi.org/10.1093/eurpub/cky226

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