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Overcoming Health Care Barriers



Haley Basurto

University of Phoenix

NRP 563

Professor Beard

November 10th, 2025

, 2

Overcoming Health Care Barriers

Sexual and reproductive health disparities affecting the LGBTQ population are well-

documented and can significantly impact their ability to receive appropriate care. One example is

the higher rates of sexually transmitted infections (STIs) among men who have sex with men

(MSM), including HIV, due to gaps in targeted prevention and screening efforts. (Medina-

Martínez et al., 2021). Lesbian and bisexual women may experience less frequent cervical cancer

screening compared to heterosexual women, in part because of misunderstandings about their

risk factors and discomfort in disclosing their sexual orientation to providers. (Bass & Nagy,

2023). Transgender individuals often encounter barriers to accessing hormone therapy, fertility

preservation, and routine gynecological or urological care, resulting in unmet health needs.

(Medina-Martínez et al., 2021). Additionally, LGBTQ individuals may face discrimination or

lack of provider knowledge, which can discourage them from seeking care for issues such as

contraception, pregnancy, or family planning. These disparities highlight the importance of

culturally competent, inclusive, and affirming health services for LGBTQ patients. (Medina-

Martínez et al., 2021).

Barriers in Quality Health Care

The LGBTQ population faces multiple barriers when accessing quality health care. One

significant barrier is discrimination. Experiences of stigma, bias, and lack of cultural competency

among health professionals may lead LGBTQ patients to feel unwelcome or unsafe,

discouraging them from seeking necessary care. (Yu et al, 2024). Inadequate provider knowledge

about LGBTQ health issues such as unique sexual and reproductive health needs, hormone

therapies, or gender-affirming procedures often results in inappropriate medical guidance leaving

the patient feeling dissatisfied. (Yu et al, 2024).

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