The DOI matches its Crossref record; 36 of the 38 references it cites were found in a registry or an index.
Discrimination in the United States: experiences of lesbian, gay, bisexual, transgender, and queer Americans.
Open accessAbstract
OBJECTIVE: To examine reported experiences of discrimination against lesbian, gay, bisexual, transgender, and queer (LGBTQ) adults in the United States, which broadly contribute to poor health outcomes. DATA SOURCE AND STUDY DESIGN: Data came from a national, probability-based telephone survey of US adults, including 489 LGBTQ adults (282 non-Hispanic whites and 201 racial/ethnic minorities), conducted January-April 2017. METHODS: We calculated the percentages of LGBTQ adults reporting experiences of discrimination in health care and several other domains related to their sexual orientation and, for transgender adults, gender identity. We report these results overall, by race/ethnicity, and among transgender adults only. We used multivariable models to estimate adjusted odds of discrimination between racial/ethnic minority and white LGBTQ respondents. PRINCIPAL FINDINGS: Experiences of interpersonal discrimination were common for LGBTQ adults, including slurs (57 percent), microaggressions (53 percent), sexual harassment (51 percent), violence (51 percent), and harassment regarding bathroom use (34 percent). More than one in six LGBTQ adults also reported avoiding health care due to anticipated discrimination (18 percent), including 22 percent of transgender adults, while 16 percent of LGBTQ adults reported discrimination in health care encounters. LGBTQ racial/ethnic minorities had statistically significantly higher odds than whites in reporting discrimination based on their LGBTQ identity when applying for jobs, when trying to vote or participate in politics, and interacting with the legal system CONCLUSIONS: Discrimination is widely experienced by LGBTQ adults across health care and other domains, especially among racial/ethnic minorities. Policy and programmatic efforts are needed to reduce these negative experiences and their health impact on sexual and/or gender minority adults, particularly those who experience compounded forms of discrimination.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Gender-inclusive and trauma-guided health care might increase the number of transgender patients who seek sexual health services, including STI testing (341), because transgender persons are at high risk for sexual violence (342).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [342]
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Meyer, I. H. (2003) · Psychological Bulletin · doi:10.1037/0033-2909.129.5.674 · Cited by 14,736
Discrimination and racial disparities in health: evidence and needed research
Williams, D. R., & Mohammed, S. A. (2009) · Journal of Behavioral Medicine · doi:10.1007/s10865-008-9185-0 · Cited by 3,371
Sensitive questions in surveys.
Tourangeau, R., & Yan, T. (2007) · Psychological Bulletin · doi:10.1037/0033-2909.133.5.859 · Cited by 3,057
Bowleg, L. (2012) · American Journal of Public Health · doi:10.2105/ajph.2012.300750 · Cited by 2,996
How does sexual minority stigma “get under the skin”? A psychological mediation framework
Hatzenbuehler, M. L. (2009) · Psychological Bulletin · doi:10.1037/a0016441 · Cited by 2,695
(2012) · Choice Reviews Online · doi:10.5860/choice.49-2699 · Cited by 2,591
Kessler, R. C., Mickelson, K. D., & Williams, D. R. (1999) · Journal of Health and Social Behavior · doi:10.2307/2676349 · Cited by 2,233
Krieger, N., Smith, K., Naishadham, D., Hartman, C., & Barbeau, E. M. (2005) · Social Science & Medicine · doi:10.1016/j.socscimed.2005.03.006 · Cited by 1,704
A systematic review of empirical research on self-reported racism and health
Paradies, Y. (2006) · International Journal of Epidemiology · doi:10.1093/ije/dyl056 · Cited by 1,681
White Hughto, J. M., Reisner, S. L., & Pachankis, J. E. (2015) · Social Science & Medicine · doi:10.1016/j.socscimed.2015.11.010 · Cited by 1,680
Self-citationMays, V. M., & Cochran, S. D. (2001) · American Journal of Public Health · doi:10.2105/ajph.91.11.1869 · Cited by 1,452
Measuring multiple minority stress: The LGBT People of Color Microaggressions Scale.
Balsam, K. F., Molina, Y., Beadnell, B. A., Simoni, J. M., & Walters, K. L. (2011) · Cultural Diversity & Ethnic Minority Psychology · doi:10.1037/a0023244 · Cited by 1,038
Gauging the Impact of Growing Nonresponse on Estimates from a National RDD Telephone Survey
Keeter, S., Kennedy, C., Dimock, M. A., Best, J., & Craighill, P. (2006) · Public Opinion Quarterly · doi:10.1093/poq/nfl035 · Cited by 902
Bradford, J., Reisner, S. L., Honnold, J. A., & Xavier, J. M. (2012) · American Journal of Public Health · doi:10.2105/ajph.2012.300796 · Cited by 891
Self-citationStrategies for Measuring Stress in Studies of Psychiatric and Physical Disorders
Cohen, S., Kessler, R. C., & Gordon, L. U. (1995) · doi:10.1093/oso/9780195086416.003.0001 · Cited by 782
Discrimination and mental health among lesbian, gay, and bisexual adults in the United States.
Bostwick, W. B., Boyd, C. J., Hughes, T. L., West, B. T., & McCabe, S. E. (2014) · American Journal of Orthopsychiatry · doi:10.1037/h0098851 · Cited by 493
Yeager, D., Krosnick, J., Chang, L., Javitz, H., Levendusky, M., Simpser, A., & Wang, R. (2011) · Public Opinion Quarterly · doi:10.1093/poq/nfr020 · Cited by 434
Seelman, K. L., Colón-Diaz, M. J. P., LeCroix, R. H., Xavier-Brier, M., & Kattari, L. (2017) · Transgender Health · doi:10.1089/trgh.2016.0024 · Cited by 391
Pavalko, E. K., Mossakowski, K. N., & Hamilton, V. J. (2003) · Journal of Health and Social Behavior · doi:10.2307/1519813 · Cited by 365
Multiple Disadvantaged Statuses and Health
Denise, E. J. (2014) · Journal of Health and Social Behavior · doi:10.1177/0022146514521215 · Cited by 357
Hicken, M. T., Lee, H., Ailshire, J., Burgard, S. A., & Williams, D. R. (2013) · Race and Social Problems · doi:10.1007/s12552-013-9095-9 · Cited by 355
Barriers to Care Among Transgender and Gender Nonconforming Adults
Gonzales, G., & Henning‐Smith, C. (2017) · Milbank Quarterly · doi:10.1111/1468-0009.12297 · Cited by 290
Discrimination, Mental Health, and Substance Use Disorders Among Sexual Minority Populations
Lee, J. H., Gamarel, K. E., BRYANT, K. J., Zaller, N. D., & Operario, D. (2016) · LGBT Health · doi:10.1089/lgbt.2015.0135 · Cited by 242
Discrimination Comes in Many Forms
Pincus, F. L. (1996) · American Behavioral Scientist · doi:10.1177/0002764296040002009 · Cited by 239
That's so gay! Microaggressions and the lesbian, gay, bisexual, and transgender community.
Nadal, K. L. Y. (2013) · American Psychological Association eBooks · doi:10.1037/14093-000 · Cited by 223
Reisner, S. L., Hughto, J. M. W., Dunham, E., Heflin, K. J., BEGENYI, J. B. G., COFFEY‐ESQUIVEL, J., & Cahill, S. (2015) · Milbank Quarterly · doi:10.1111/1468-0009.12127 · Cited by 193
Self-citationSexual Orientation Discrimination and Tobacco Use Disparities in the United States
McCabe, S. E., Hughes, T. L., Matthews, A. K., Lee, J. G. L., West, B. T., Boyd, C. J., & Arslanian‐Engoren, C. (2017) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntx283 · Cited by 182
Advancing methods for US transgender health research
Reisner, S. L., Deutsch, M. B., Bhasin, S., Bockting, W. O., Brown, G. R., Feldman, J., Garofalo, R., Kreukels, B. P. C., Radix, A. E., Safer, J. D., et al. (2016) · Current Opinion in Endocrinology Diabetes and Obesity · doi:10.1097/med.0000000000000229 · Cited by 180
Self-citationKrieger, N., Waterman, P. D., Hartman, C., Bates, L. M., Stoddard, A. M., Quinn, M., Sorensen, G., & Barbeau, E. M. (2006) · International Journal of Health Services · doi:10.2190/3emb-ykrh-edj2-0h19 · Cited by 162
Sexual Minority Health and Health Risk Factors
Hsieh, N., & Ruther, M. (2016) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2015.11.016 · Cited by 152
Slater, M. E., Godette, D. C., Huang, B., Ruan, W. J., & Kerridge, B. T. (2017) · LGBT Health · doi:10.1089/lgbt.2016.0117 · Cited by 149
Internalized stigma among sexual minority adults: Insights from a social psychological perspective
Herek, G. M., Gillis, J. R., & Cogan, J. C. (2015) · Stigma and Health · doi:10.1037/2376-6972.1.s.18 · Cited by 110
LGBT Identity: A Demographer's Perspective
Gates, G. J. (2012) · bepress Legal Repository · Cited by 53
Considerations on Sampling in Transgender Health Disparities Research
Henderson, E. R., Blosnich, J. R., Herman, J. L., & Meyer, I. H. (2019) · LGBT Health · doi:10.1089/lgbt.2019.0069 · Cited by 47
Sexual and behavioral health disparities among African American sexual minority men and women
Pérez, A. E., Gamarel, K. E., van den Berg, J. J., & Operario, D. (2018) · Ethnicity and Health · doi:10.1080/13557858.2018.1444149 · Cited by 34
Methodology of the Discrimination in the United States survey
Benson, J. M., Ben‐Porath, E. N., & Casey, L. S. (2019) · Health Services Research · doi:10.1111/1475-6773.13226 · Cited by 14
Self-citation
Research works printed but not linked: 4
- James SE, 2016, The Report of the 2015 U.S. Transgender Survey
- National Academies of Sciences, Engineering, and Medicine, 2018, Improving Health Research on Small Populations: Proceedings of a Workshop
- The Leadership Conference on Civil and Human Rights The Leadership Conference Education Fund The Lawyers' Committee for Civil Rights Under Law the National Association for the Advancement of Colored People.Falling further behind: combating racial discrimination in America;2014.https://tbinternet.ohchr.org/Treaties/CERD/Shared%20Documents/USA/INT_CERD_NGO_USA_17654_E.pdf. Accessed June 20 2019.
- KohutA KeeterS DohertyC DimockM ChristianL.Assessing the representativeness of public opinion surveys.Pew Research Center;2012.http://www.people-press.org/2012/05/15/assessing-the-representativeness-of-public-opinion-surveys/. Accessed November 1 2018.
Cited by
Sorted by citations
Sexually Transmitted Infections Treatment Guidelines, 2021
Workowski, K. A., Bachmann, L. H., Chan, P. A., Johnston, C. M., Muzny, C. A., Park, I., Reno, H., Zenilman, J. M., & Bolan, G. A. (2021) · MMWR. Recommendations and Reports · doi:10.15585/mmwr.rr7004a1 · Cited by 3,018
Amaro, H. D. L. A., Sánchez, M., Bautista, T. G., & Cox, R. J. A. (2021) · Neuropharmacology · doi:10.1016/j.neuropharm.2021.108518 · Cited by 364
LGBTQ + cultural competency training for health professionals: a systematic review
Yu, H., Flores, D. D., Bonett, S., & Bauermeister, J. A. (2023) · BMC Medical Education · doi:10.1186/s12909-023-04373-3 · Cited by 205
Jarrett, B. A., Peitzmeier, S. M., Restar, A., Adamson, T., Howell, S., Baral, S., & Beckham, S. W. (2021) · PLoS ONE · doi:10.1371/journal.pone.0254215 · Cited by 173
Brown, M. J., McCann, E., Donohue, G., Martin, C. J. H., & McCormick, F. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182111366 · Cited by 172
Metadata
- Authors
- Casey, L. S., Reisner, S. L., Findling, M. G., Blendon, R. J., Benson, J. M., Sayde, J. M., & Miller, C.
- Affiliations
- Harvard University (US)
- Robert Wood Johnson Foundation (US)
- Corresponding author
- Benson, John M.
- ORCID
- Venue
- Health Services Research
- Publisher
- Wiley
- Published
- 2019-10-28
- Volume
- 54
- Issue
- S2
- Pages
- 1454-1466
- ISSN
- 0017-9124 (ISSN-L)
- 1475-6773
- PMC
- PMC6864400
- OpenAlex
- W2982295101
- Cited by
- 467
- References
- 38
- Citations by year
- 2026: 68 · 2025: 95 · 2024: 90 · 2023: 79 · 2022: 63 · 2021: 58 · 2020: 12 · 2019: 1
- FWCI
- 42.07
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Health Services Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Robert Wood Johnson Foundation (73713)
- Topics
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Keywords
- sexual orientation discrimination, transgender adults, gender identity discrimination, health care discrimination, microaggressions, sexual harassment, violence, healthcare avoidance, racial and ethnic minorities, employment discrimination, voting discrimination, sexual and gender minorities
- MeSH terms
- Sexual and Gender Minorities, Adolescent, Adult, Female, Housing, Humans, Male, Surveys and Questionnaires, Telephone, United States, Sexual Harassment, Healthcare Disparities, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review