Health conditions, health literacy, access to care, and health care experiences among lesbian, gay, bisexual, transgender and queer adults in Lebanon
Background This study aims to assess the physical health of individuals belonging to the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community, considering health system challenges like access to care and patient experiences and community-specific attributes like health literacy and self-...
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| مؤلفون آخرون: | , , , , , , , |
| التنسيق: | article |
| منشور في: |
2025
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| الوصول للمادة أونلاين: | http://hdl.handle.net/10725/17344 https://doi.org/10.1186/s12939-025-02417-2 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://link.springer.com/article/10.1186/s12939-025-02417-2 |
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| _version_ | 1864513474386722816 |
|---|---|
| author | Khatoun, Wassim Daoud |
| author2 | Slim, Ali Makhlouf, Jana Lau, Sam S. S. Cheng, Marco C. H. Chebat, Alissa Boustany, Michel Tahan, Elio Bouclaous, Carmel |
| author2_role | author author author author author author author author |
| author_facet | Khatoun, Wassim Daoud Slim, Ali Makhlouf, Jana Lau, Sam S. S. Cheng, Marco C. H. Chebat, Alissa Boustany, Michel Tahan, Elio Bouclaous, Carmel |
| author_role | author |
| dc.creator.none.fl_str_mv | Khatoun, Wassim Daoud Slim, Ali Makhlouf, Jana Lau, Sam S. S. Cheng, Marco C. H. Chebat, Alissa Boustany, Michel Tahan, Elio Bouclaous, Carmel |
| dc.date.none.fl_str_mv | 2025-10-08T10:31:08Z 2025-10-08T10:31:08Z 2025 2025-04 |
| dc.identifier.none.fl_str_mv | 1475-9276 http://hdl.handle.net/10725/17344 https://doi.org/10.1186/s12939-025-02417-2 Daoud Khatoun, W., Slim, A., Makhlouf, J., Lau, S. S., Cheng, M. C., Chebat, A., ... & Bouclaous, C. (2025). Health conditions, health literacy, access to care, and health care experiences among lesbian, gay, bisexual, transgender and queer adults in Lebanon. International Journal for Equity in Health, 24(1), 95. http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://link.springer.com/article/10.1186/s12939-025-02417-2 |
| dc.language.none.fl_str_mv | en |
| dc.relation.none.fl_str_mv | International Journal for Equity in Health |
| dc.rights.*.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.title.none.fl_str_mv | Health conditions, health literacy, access to care, and health care experiences among lesbian, gay, bisexual, transgender and queer adults in Lebanon |
| dc.type.none.fl_str_mv | Article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/article |
| description | Background This study aims to assess the physical health of individuals belonging to the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community, considering health system challenges like access to care and patient experiences and community-specific attributes like health literacy and self-acceptance. Methods This cross-sectional study was conducted in January-June 2022 using non-probabilistic sampling. The survey collected sociodemographic characteristics, information on access to care and patient experiences, prevalence of chronic conditions, sexually transmitted infections (STIs), and health literacy levels. The inclusion criteria required participants to be of Lebanese nationality, at least 18 years old, and to identify as part of the LGBTQ community. Descriptive statistics summarized the data. Two sample t-tests and chi-square tests were used to examine associations between variables. Results A total of 496 participants took the survey, with a majority identifying as bisexual (38.5%) or gay (35.1%). Around 41.1% reported at least one chronic condition. Difficulty accessing healthcare was experienced by 37.7%, with 11.1% reporting a negative patient experience. Participants who reported experiencing discrimination were significantly more likely to delay seeking health services (p < 0.001), with transgender-identifying participants experiencing significantly more discrimination that non-transgender-identifying participants. Regarding sexual health, 15.7%, of those who tested, reported at least one STI. Their preferred testing sites were Non-Governmental Organizations (59.3%). Adequate health literacy level was significantly associated with STI testing (t = 3.34, p < 0.01) and chronic disease (t = 3.76, p < 0.01). Conclusion Our findings underscore the importance of inclusive healthcare policies that address discriminatory experiences in healthcare settings and the need for targeted evidence-based interventions to improve health outcomes among LGBTQ individuals. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | LAURepo_0256044dcc3bb83bcd653aa7da544833 |
| identifier_str_mv | 1475-9276 Daoud Khatoun, W., Slim, A., Makhlouf, J., Lau, S. S., Cheng, M. C., Chebat, A., ... & Bouclaous, C. (2025). Health conditions, health literacy, access to care, and health care experiences among lesbian, gay, bisexual, transgender and queer adults in Lebanon. International Journal for Equity in Health, 24(1), 95. |
| language_invalid_str_mv | en |
| network_acronym_str | LAURepo |
| network_name_str | Lebanese American University repository |
| oai_identifier_str | oai:laur.lau.edu.lb:10725/17344 |
| publishDate | 2025 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| spelling | Health conditions, health literacy, access to care, and health care experiences among lesbian, gay, bisexual, transgender and queer adults in LebanonKhatoun, Wassim DaoudSlim, AliMakhlouf, JanaLau, Sam S. S.Cheng, Marco C. H.Chebat, AlissaBoustany, MichelTahan, ElioBouclaous, CarmelBackground This study aims to assess the physical health of individuals belonging to the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community, considering health system challenges like access to care and patient experiences and community-specific attributes like health literacy and self-acceptance. Methods This cross-sectional study was conducted in January-June 2022 using non-probabilistic sampling. The survey collected sociodemographic characteristics, information on access to care and patient experiences, prevalence of chronic conditions, sexually transmitted infections (STIs), and health literacy levels. The inclusion criteria required participants to be of Lebanese nationality, at least 18 years old, and to identify as part of the LGBTQ community. Descriptive statistics summarized the data. Two sample t-tests and chi-square tests were used to examine associations between variables. Results A total of 496 participants took the survey, with a majority identifying as bisexual (38.5%) or gay (35.1%). Around 41.1% reported at least one chronic condition. Difficulty accessing healthcare was experienced by 37.7%, with 11.1% reporting a negative patient experience. Participants who reported experiencing discrimination were significantly more likely to delay seeking health services (p < 0.001), with transgender-identifying participants experiencing significantly more discrimination that non-transgender-identifying participants. Regarding sexual health, 15.7%, of those who tested, reported at least one STI. Their preferred testing sites were Non-Governmental Organizations (59.3%). Adequate health literacy level was significantly associated with STI testing (t = 3.34, p < 0.01) and chronic disease (t = 3.76, p < 0.01). Conclusion Our findings underscore the importance of inclusive healthcare policies that address discriminatory experiences in healthcare settings and the need for targeted evidence-based interventions to improve health outcomes among LGBTQ individuals.Published2025-10-08T10:31:08Z2025-10-08T10:31:08Z20252025-04Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1475-9276http://hdl.handle.net/10725/17344https://doi.org/10.1186/s12939-025-02417-2Daoud Khatoun, W., Slim, A., Makhlouf, J., Lau, S. S., Cheng, M. C., Chebat, A., ... & Bouclaous, C. (2025). Health conditions, health literacy, access to care, and health care experiences among lesbian, gay, bisexual, transgender and queer adults in Lebanon. International Journal for Equity in Health, 24(1), 95.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttps://link.springer.com/article/10.1186/s12939-025-02417-2enInternational Journal for Equity in Healthinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/173442025-10-08T10:31:08Z |
| spellingShingle | Health conditions, health literacy, access to care, and health care experiences among lesbian, gay, bisexual, transgender and queer adults in Lebanon Khatoun, Wassim Daoud |
| status_str | publishedVersion |
| title | Health conditions, health literacy, access to care, and health care experiences among lesbian, gay, bisexual, transgender and queer adults in Lebanon |
| title_full | Health conditions, health literacy, access to care, and health care experiences among lesbian, gay, bisexual, transgender and queer adults in Lebanon |
| title_fullStr | Health conditions, health literacy, access to care, and health care experiences among lesbian, gay, bisexual, transgender and queer adults in Lebanon |
| title_full_unstemmed | Health conditions, health literacy, access to care, and health care experiences among lesbian, gay, bisexual, transgender and queer adults in Lebanon |
| title_short | Health conditions, health literacy, access to care, and health care experiences among lesbian, gay, bisexual, transgender and queer adults in Lebanon |
| title_sort | Health conditions, health literacy, access to care, and health care experiences among lesbian, gay, bisexual, transgender and queer adults in Lebanon |
| url | http://hdl.handle.net/10725/17344 https://doi.org/10.1186/s12939-025-02417-2 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://link.springer.com/article/10.1186/s12939-025-02417-2 |