Lesbian, Gay, Bisexual, and Transgender (LGBT) Health Services in the United States: Origins, Evolution, and Contemporary Landscape

by Alexander J. Martos, Patrick A. Wilson, Ilan H. Meyer
July 2017

LGBT community health centers have been a major provider of health services to LGBT people in the U.S., but there are significant gaps in the types of services offered by centers across the country.

This study identified 213 LGBT community health centers operating in 37 states. No LGBT community health centers were operating in eleven states primarily clustered in the central U.S. (Arkansas, Iowa, Kansas, Louisiana, Maine, Nebraska, New Hampshire, North Dakota, South Dakota, West Virginia, Wyoming), Alaska, or Hawaii.

Most LGBT community health centers provide wellness programs and services (72%), HIV/STI services (65%), and counseling services (52%). Among the services least available across health centers are transgender care services (10%), pharmacy services (8%), and psychiatric services (3%).

U.S. LGBT Community Health Centers Operating a Health Clinic
Red circles show 60-mile radius around LGBT health centers
Darker shades represent areas with higher density of same-sex couples

The research was conducted as part of the Generations study, supported by the National Institute of Child Health and Human Development (NICHD) of the National Institutes of Health (R01HD078526).

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