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BMC International Health and Human Rights

, 16:2

First Online: 14 January 2016Received: 18 September 2014Accepted: 15 December 2015DOI: 10.1186-s12914-015-0072-9

Cite this article as: Alencar Albuquerque, G., de Lima Garcia, C., da Silva Quirino, G. et al. BMC Int Health Hum Rights 2016 16: 2. doi:10.1186-s12914-015-0072-9


BackgroundThe relationship between users and health services is considered essential to strengthen the quality of care. However, the Lesbian, Gay, Bisexual, and Transgender population suffer from prejudice and discrimination in access and use of these services. This study aimed to identify the difficulties associated with homosexuality in access and utilization of health services.

MethodA systematic review conducted using PubMed, Cochrane, SciELO, and LILACS, considering the period from 2004 to 2014. The studies were evaluated according to predefined inclusion and exclusion criterias. Were included manuscripts written in English or Portuguese, articles examining the Lesbian, Gay, Bisexual, and Transgender population’s access to health services and original articles with full text available online.

ResultsThe electronic databases search resulted in 667 studies, of which 14 met all inclusion criteria. Quantitative articles were predominant, showing the country of United States of America to be the largest producer of research on the topic. The studies reveal that the homosexual population have difficulties of access to health services as a result of heteronormative attitudes imposed by health professionals. The discriminatory attendance implies in human rights violations in access to health services.

ConclusionsThe non-heterosexual orientation was a determinant factor in the difficulties of accessing health care. A lot must still be achieved to ensure access to health services for sexual minorities, through the adoption of holistic and welcoming attitudes. The results of this study highlight the need for larger discussions about the theme, through new research and debates, with the aim of enhancing professionals and services for the health care of Lesbian, Gay, Bisexual, and Transgender Persons.

KeywordsHomosexuality Comprehensive health care Health services Health services accessibility AbbreviationsCochraneThe Cochrane library

HIVHuman immunodeficiency virus

STDSexually transmitted diseases

LGBTLesbian, gay, bisexual and transgender

LILACSLatin American and Caribbean Literature on Health Sciences

MeSHMedical Subject Headings

PubMedUS National Library of Medicine, National Institutes of Health

SciELOScientific Electronic Library Online

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