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About the seminar

Dr Nathaniel Tran (visiting scholar from Vanderbilt University) presents findings of LGBTQ+ patient experiences in the US and the incentives and barriers to LGBTQ+ affirming care.

Understanding the incentives and barriers to scale up LGBTQ+ affirming care may improve wellbeing and aging experiences of LGBTQ+ older adults in the United States. The following research included analysis of data on 954 LGBTQ+ adults ages 50-76 from the Vanderbilt University Social Networks, Aging, and Policy Study (VUSNAPS). Respondents reported on seven indicators of their clinician’s LGBTQ+ clinical and cultural competency. We then used latent class analysis to identify sub-groups of LGBTQ+ patient experiences. We identified 3 latent classes: 34% of the sample was assigned to the “Affirming” class, 60% assigned to the “Neutral” class, and 6% assigned to the “Discriminatory” class. Compared to individuals in the Affirming class, those in the Neutral class were less likely to have tested for HIV; those in the Discriminatory class were less likely to have recently received an influenza vaccination and a colorectal cancer screening. Research findings support the hypothesis that there is wide variation in LGBTQ+ patient experiences, and that this variation in provider-level cultural and clinical competencies may help explain large differences in receipt of high-value preventive services recommended by the US Preventive Task Force.