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CMS has increased enforcement of hospital visitation rights, and HHS has updated guidelines about medical decision-making. Information for Health and Education Professionals. Inequities in health care — LGBT people face barriers to equitable health care that profoundly affect their overall well-being. Interventions focused on subgroups are especially needed. However, the use of established statistical techniques makes it possible to improve the precision of estimates for small populations by combining two or more data sets. NIH should support the development and standardization of sexual orientation and gender identity measures NIH should support the rigorous development of valid, reliable measures focused on sexual orientation and gender identity. Similar to race and ethnicity data, data on sexual and gender minorities should be included in the battery of demographic information that is collected in federally funded surveys. The homeless youth population comprises a disproportionate number of LGB youth. For instance, laws prohibiting marriage between same-sex individuals often affect the access of lesbians, gay men, and bisexual people to employer-sponsored health insurance. At present, possible discomfort on the part of health care workers with asking questions about sexual orientation and gender identity, a lack of knowledge by providers of how to elicit this information, and some hesitancy on the part of patients to disclose this information may be barriers to the collection of meaningful data on sexual orientation and gender identity. In addition to providing general descriptive data for LGBT populations and their subgroups, nonprobability samples have served to reveal the existence of certain phenomena, to suggest relationships among variables, to identify possible differences among groups, and to generate hypotheses and formulate ideas that can be advanced for systematic study in the future. Rates of smoking, alcohol consumption, and substance use may be higher among LGB than heterosexual youth.
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