Earlier this month, we touched on the importance of Pride Month as a source of support for those in the LGBTQ+ community. (Local celebrations are held in July, though the actual observance falls in June.) As a follow-up to this conversation, largely focused on mental health, we connected with Jessica Tullis, NP, PPG – Family Medicine, about the importance of understanding disparities regarding the physical well-being of LGBTQ+ individuals.
Why is it important to acknowledge diversity and inclusion in healthcare?
Pride Month honors and remembers the origins of the LGBTQ+ rights movement that began with the Stonewall Uprising in 1969. It’s a chance for the community to celebrate their diversity, accomplishments and history.
While much progress has been made regarding LGBTQ+ rights, acceptance, and visibility, it is imperative to recognize there is still much opportunity for growth and change. A critical area for continued progress is meeting the specific health needs of this community. Diversity and inclusion in healthcare are necessary to strengthen the provider-patient relationship and increase the wellness of this vulnerable population. Acknowledging sexual orientation and gender identity creates a foundation of trust for the patient and the provider.
What are some of the health disparities that LGBTQ+ individuals face, and how do you address these issues?
Unfortunately, this community has historically experienced health disparities. Some members may face decreased access to care. Statistically, they are more likely to experience issues with mental health, substance abuse, eating disorders and communicable diseases. They are also less likely to be screened for physical and mental health conditions.
A large part of the disparity is caused by mistrust with providers or poor provider-patient relationships. If the rapport between the medical provider and patient doesn’t make the individual feel safe, they are less likely to voice their opinion, report concerns and return for future care.
Awareness of the disparities may be difficult, but addressing the disparities is not. Routine health screenings can identify physical and mental health concerns. “Screen what you have” is a common rule to help guide exams and screenings for transgender individuals.
Are there any primary care services that are particularly important for LGBTQ+ individuals?
Mental health screening is extremely relevant to this population. Being a part of a minority population can cause individuals to feel isolated, rejected, and more likely to “suffer in silence,” and intentionally or unintentionally traumatized by the people around them.
If there is a mental health concern, it’s important to refer the patient to LGBTQ+-friendly therapists when appropriate. It is also imperative to remember and acknowledge that they may have had bad experiences in the past within the medical community. While we cannot change what has happened, we can work with intent to foster positive relationships to prevent further harm.
How do you address the unique health needs of LGBTQ+ patients?
I feel it’s crucial to establish trust with my LGBTQ+ patients to appropriately address their unique healthcare needs. Acknowledging and using the patient’s preferred name and/or pronouns is a great way to cement this trust early on. This creates a safe and open environment to discuss specifics, such as sex practices, which helps determine what screenings, medications and education are appropriate for them, in addition to the standard screening guidelines for cancer, heart disease, diabetes, hypertension, etc.
What measures do you take to ensure LGBTQ+ patients feel comfortable and respected during their visits?
We try to make our LGBTQ+ patients feel comfortable before a conversation happens. My exam rooms have stickers and signage that identify me as an ally and the area as a safe space. Our office has gender-neutral bathrooms. We use inclusive language and don’t make assumptions. We discuss exam options, appropriate screenings, and the “why” behind the screenings to respect the individual’s unique needs. We provide information regarding LGBTQ+ community-specific resources. We hug, we laugh, we cry.
Is there anything not discussed that you think is important for readers to know?
Allyship is integral for the LGBTQ+ community. There are many ways to show support, connect with the community and foster positive change.
If you are looking for a healthcare provider, and inclusion is important to you, check for “LGBTQ+ Health” under “Areas of Interest” on our physician profiles. If you need help scheduling an appointment, our Access Center can help. Call (877) PPG-TODAY or (877) 774-8632 for assistance.
