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The U. Transgender Survey found that nearly 1 in 4 transgender people 23 percent had avoided seeking needed health care in the past year due to fear of discrimination or mistreatment due to their gender identity. The expansion of legislation, lawsuits, and administrative rule-making allowing for broad religious exemptions from providing services puts another impediment in the way of LGBTQ people receiving medical care.

For those patients that do seek medical care and are turned away by providers, alternatives may not be easily accessible. This concern is exacerbated by a shortage of medical providers in key areas of treatment such as mental health care and geographic areas such as rural communities. CAP survey data show that many LGBTQ people would face significant difficulty finding an alternative provider if they were turned away by a health care provider, such as a hospital, clinic, or pharmacy. LGBTQ people living outside of a metropolitan area report a high rate of difficulty accessing alternative services, which may be because such services could be further away and transportation costs have the potential to be higher.

Why aren't gay teens taking a daily PrEP pill to prevent HIV? - STAT

Some people may go to LGBTQ community health centers to avoid such discrimination, but they are not widely available across the United States, and many do not provide comprehensive services. On the U. Transgender Survey, 29 percent of respondents seeking transition-related care reported having to travel 25 miles or more to access such care.

Despite the importance of protecting people from discrimination in health care settings, current regulations are under attack. On August 23, , a group of conservative religious organizations and eight states filed a lawsuit against the U. They made dubious claims that the nondiscrimination protections would require doctors to provide treatment that violated their religious beliefs, such as transition-related surgeries for transgender patients. On May 2, , the Trump-Pence administration filed a motion indicating that the rule was under review, and in August, it announced that HHS had already written a draft proposal to roll back the rule.

While the administration cannot change the protections for LGBTQ people that exist under the law, a regulatory rollback would cause fear and confusion for patients and promote discrimination by providers and insurers. To conduct this study, CAP commissioned and designed a survey, fielded by GfK SE, which surveyed 1, individuals about their experiences with health insurance and health care.

Respondents came from all income ranges and are diverse across factors such as race, ethnicity, education, geography, disability status, and age. The survey was fielded online in English in January to coincide with the fourth open enrollment period through the health insurance marketplaces and the beginning of the first full year of federal rules that specifically protect LGBTQ people from discrimination in health insurance coverage and health care.

The data are nationally representative and weighted according to U.

Apple approves 'only gay social app for ages 12 and up'

Metro is defined as a metropolitan core-based statistical area and nonmetro is defined as anything else, including micropolitan core-based statistical areas and locations outside of a core-based statistical area. Additional information about study methods and materials are available in prior analyses and from the authors. Although there are no widespread campaigns to promote PrEP for at-risk adolescents right now, getting parents on board by focusing on its long-term benefits rather than its short-term risks for gay and bisexual teen boys can prevent PrEP from encountering a fate similar to the HPV vaccine.

We talk about one day achieving an HIV-free generation. Until then, one of the most potent tools in the fight against HIV in one of our most vulnerable populations will remain tragically underused. Kathryn Macapagal, Ph. By Michael L. Millenson and Adrian Gropper.

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Under 18 gays
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