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Review

Best practices in LGBT care: A guide for primary care physicians

Megan C. McNamara, MD, MSc and Henry Ng, MD, MPH
Cleveland Clinic Journal of Medicine July 2016, 83 (7) 531-541; DOI: https://doi.org/10.3949/ccjm.83a.15148
Megan C. McNamara
Department of Medicine, Case Western Reserve University School of Medicine and Louis Stokes Cleveland VA Medical Center, Cleveland, OH
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  • For correspondence: [email protected]
Henry Ng
Center for Internal Medicine and Pediatrics, Case Western Reserve University School of Medicine, and MetroHealth Medical Center, Cleveland, OH
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ABSTRACT

Lesbian, gay, bisexual, and transgender (LGBT) people have unique healthcare needs. While all LGBT people are at an increased risk for mental health and substance abuse disorders, certain health conditions vary by group. Overweight and obesity are more common in lesbian and bisexual women, whereas sexual minority men are at increased risk for infections such as human immunodeficiency virus (HIV) and syphilis. Breast, cervical, and prostate cancer screening should be offered to all LGBT individuals according to national guidelines and with consideration of a transgender person’s natal and surgical anatomy.

  • Copyright © 2016 The Cleveland Clinic Foundation. All Rights Reserved.
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  1. Megan C. McNamara, MD, MSc⇑
  1. Department of Medicine, Case Western Reserve University School of Medicine and Louis Stokes Cleveland VA Medical Center, Cleveland, OH
  1. ADDRESS:
    Megan C. McNamara, MD, MSc, Louis Stokes Cleveland VA Medical Center, 10701 East Boulevard, Cleveland, OH 44106; megan.mcnamara{at}va.gov
  1. Henry Ng, MD, MPH
  1. Center for Internal Medicine and Pediatrics, Case Western Reserve University School of Medicine, and MetroHealth Medical Center, Cleveland, OH

ABSTRACT

Lesbian, gay, bisexual, and transgender (LGBT) people have unique healthcare needs. While all LGBT people are at an increased risk for mental health and substance abuse disorders, certain health conditions vary by group. Overweight and obesity are more common in lesbian and bisexual women, whereas sexual minority men are at increased risk for infections such as human immunodeficiency virus (HIV) and syphilis. Breast, cervical, and prostate cancer screening should be offered to all LGBT individuals according to national guidelines and with consideration of a transgender person’s natal and surgical anatomy.

  • Copyright © 2016 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 83 (7)
Cleveland Clinic Journal of Medicine
Vol. 83, Issue 7
1 Jul 2016
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Best practices in LGBT care: A guide for primary care physicians
Megan C. McNamara, Henry Ng
Cleveland Clinic Journal of Medicine Jul 2016, 83 (7) 531-541; DOI: 10.3949/ccjm.83a.15148

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Best practices in LGBT care: A guide for primary care physicians
Megan C. McNamara, Henry Ng
Cleveland Clinic Journal of Medicine Jul 2016, 83 (7) 531-541; DOI: 10.3949/ccjm.83a.15148
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Jump to section

  • Article
    • ABSTRACT
    • MYTHS ABOUT LBGT CARE
    • ADDRESSING THE NEEDS OF LGBT PATIENTS
    • Screening in men who have sex with men
    • ‘Screen what you have’
    • Step #4: Immunize, and promote healthy behaviors
    • Step #5: Initiate or continue hormone therapy for transgender individuals
    • Step #6: Screen for intimate partner violence
    • IN A NUTSHELL
    • REFERENCES
  • Figures & Data
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  • PDF

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