LGB Utilization of LGBT-Specific Clinics and Providers

By Alexander J. Martos, Adam Fingerhut, Patrick A. Wilson, and Ilan H. Meyer

Lesbian, gay, and bisexual (LGB) people navigate issues of stigma, discrimination, structural barriers, and a history of medical mistrust when seeking healthcare services. In this study, researchers examined a representative sample of LGB people in the United States from three age groups—young (18-25), middle (34-41) and older (52-59)—to understand the factors that influenced past utilization of LGBT-specific clinics and providers and interest in using them in the future.


  • Only 13% of LGB people have utilized LGBT-specific clinics in the past, but a majority (52%) expressed an interest in utilizing them in the future.
  • Men have over twice the odds of utilization as women.
  • Bisexuals have about one-third the odds of utilization as their lesbian and gay peers.
  • Living more than 60 miles from an LGBT clinic reduces the odds of past utilization by two-thirds.
  • Black LGB people were nearly three times more likely to express interest in future utilization as White LGB people.
  • Greater LGBT community connectedness, a stronger LGB identity, and the threat of stereotype in general healthcare were all associated with greater interest in utilizing LGBT-specific clinics and providers.
  • Younger LGB people were 1.4 times more likely to express interest in utilization compared to older LGB people.

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