Document Type
Capstone Experience
Graduation Date
5-2024
Degree Name
Master of Public Health
Department
Health Promotion
First Committee Member
Michelle Strong, PhD, MPH
Second Committee Member
Athena Ramos, PhD, MS, MBA, CPM
Third Committee Member
Dejun Su, PhD
Fourth Committee Member
Jim Medder MD, MPH
Abstract
The purpose of this literature review is to comprehensively examine and synthesize existing research on present barriers to health access and utilization that contribute to the disparities in chronic disease prevalence within the adult LGBTQ+ population. In the context of this review, the social-ecological model (SEM) was used to describe the nuanced and multifaceted nature of healthcare access and utilization. This literature review was based upon the following question: ‘Using the social-ecological model, what are the barriers to health access and utilization that contribute to high rates of chronic disease in LGBTQ+ adults?’ Outcome measures of interest included the following chronic diseases: cardiovascular disease, cancer, diabetes, and respiratory diseases. The selected literature was analyzed for themes surrounding healthcare access and utilization, which were then categorized by applicable levels of influence within the SEM. While all identified literature addressed the intrapersonal level, with factors such as socioeconomic status, insurance status, and utilization of preventative care services, only three articles discussed community-level factors such as provider competency and social stigma. Future work is needed to utilize existing data to guide policy and programming and promote additional research on areas of deficit that could ultimately improve healthcare access and health service utilization.
Recommended Citation
Mottier, Devin, "Identifying Barriers to Healthcare Access and Utilization Experienced by LGBTQ+ Adults with Chronic Diseases Through the Lens of the Social Ecological Model" (2024). Capstone Experience. 319.
https://digitalcommons.unmc.edu/coph_slce/319
Included in
Cardiovascular Diseases Commons, Community Health and Preventive Medicine Commons, Respiratory Tract Diseases Commons