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Introduction <p>Sexual orientation minorities continue to experience significant health disparities compared to heterosexual counterparts, posited to be due to excessive stigma experienced by these groups, necessitating focus in healthcare delivery. A commonly used framework to describe experiences of stigma is minority stress. This study explores the associations between minority stress factors and primary care outcomes among LGBT2Q + individuals in Canada, from data collected in mid-2020.</p> Methods <p>Using modified Poisson regression and logistic regression, the study examines four key outcomes: attachment to primary care, comfort discussing sexual orientation with a primary care provider (PCP), disclosure of sexual orientation to a PCP, and discussing health concerns related to sexual orientation with a PCP.</p> Results <p>The results reveal significant associations between higher levels of identity concealment, internalized stigma, and discomfort in disclosing sexual orientation or discussing relevant health issues with a PCP. Higher levels of victimization and discrimination were associated with a lesser likelihood of discomfort and disclosure of sexual orientation. Greater community connectedness was linked to primary care attachment and greater comfort in healthcare settings.</p> Conclusions <p>Future research should also examine how minority strengths, such as identity pride, can mitigate stress impacts on healthcare access.</p> Policy Implications <p>The findings underscore the need for inclusive policies in healthcare settings, increased medical education, and community-based supports to address the unique health needs of LGBT2Q + individuals.</p>

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Investigating the Associations Between Minority Stressors and Sexual Orientation Disclosure in Primary Care in a Sample of Sexual Orientation Minorities in Canada

  • 期刊论文

  • 发表日期：

    2025年10月17日

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  • Todd A. Coleman,
  • Samson Tse,
  • Arooran Ananthavel Murugan,
  • Solomon Joseph,
  • Emma Charney,
  • Japneet Grewal,
  • Tommasi Ghazarian,
  • Mary Morgan,
  • Noah Ziskind,
  • Ramez Salama,
  • Simon Coulombe,
  • Robb Travers

摘要

Introduction

Sexual orientation minorities continue to experience significant health disparities compared to heterosexual counterparts, posited to be due to excessive stigma experienced by these groups, necessitating focus in healthcare delivery. A commonly used framework to describe experiences of stigma is minority stress. This study explores the associations between minority stress factors and primary care outcomes among LGBT2Q + individuals in Canada, from data collected in mid-2020.

Methods

Using modified Poisson regression and logistic regression, the study examines four key outcomes: attachment to primary care, comfort discussing sexual orientation with a primary care provider (PCP), disclosure of sexual orientation to a PCP, and discussing health concerns related to sexual orientation with a PCP.

Results

The results reveal significant associations between higher levels of identity concealment, internalized stigma, and discomfort in disclosing sexual orientation or discussing relevant health issues with a PCP. Higher levels of victimization and discrimination were associated with a lesser likelihood of discomfort and disclosure of sexual orientation. Greater community connectedness was linked to primary care attachment and greater comfort in healthcare settings.

Conclusions

Future research should also examine how minority strengths, such as identity pride, can mitigate stress impacts on healthcare access.

Policy Implications

The findings underscore the need for inclusive policies in healthcare settings, increased medical education, and community-based supports to address the unique health needs of LGBT2Q + individuals.