Anti-lesbian, gay, bisexual, transgender, and queer (LGBTQ) + discrimination is widespread, harming the health of LGBTQ + people and constituting a barrier to care. This contributes to higher rates of poverty among LGBTQ + people, especially among people of color, and lower insurance coverage rates. The Affordable Care Act's expansion of insurance access has reduced uninsurance rates among LGBT people and people living with human immunodeficienc virus (HIV). Systemic improvements in culturally responsive health care have occurred over the past decade, including increased collection and use of sexual orientation and gender identity data to improve quality of care. As older LGBTQ + people enter elder service systems, reforms are needed to ensure equitable access.
Keyphrases
- affordable care act
- hiv testing
- men who have sex with men
- healthcare
- hiv positive
- mental health
- health insurance
- public health
- physical activity
- endothelial cells
- antiretroviral therapy
- health information
- human immunodeficiency virus
- palliative care
- hiv infected
- electronic health record
- big data
- machine learning
- quality improvement
- human health
- hiv aids
- cancer therapy
- artificial intelligence
- middle aged
- community dwelling
- data analysis
- disease virus