Publication type: Conference other
Type of review: Peer review (abstract)
Title: Health inequalities of LGBT persons in Switzerland : results from the first national LGBT health study
Authors: Pfister, Andreas
Krüger, Paula
Eder, Manuela
et. al: No
DOI: 10.1093/eurpub/ckad160.754
Published in: European Journal of Public Health
Volume(Issue): 33
Issue: Supplement_2
Page(s): ii299
Pages to: ii300
Conference details: 16th European Public Health Conference, Dublin, Ireland, 8-11 November 2023
Issue Date: 24-Oct-2023
Publisher / Ed. Institution: Oxford University Press
Language: English
Subjects: LGBT; Health; Switzerland; Gender minorities; Sexual minorities
Subject (DDC): 305: Groups (age, origine, gender, income)
614: Public health and prevention of disease
Abstract: Background: Internationally, there is evidence that lesbian, gay, bisexual and transgender persons (LGBT persons) have poorer health outcomes than the heterosexual or cisgender population. In addition, LGBT populations face more frequent and unique healthcare access barriers. Barriers to healthcare among LGBT persons in Switzerland remained undocumented until recently, when the Swiss Federal Council mandated a report describing the health and healthcare access of LGBT persons, and related health inequalities. Methods: Two data sets were included in analyses: (1) two waves of the representative Swiss Health Survey (SHS 2012, 2017) n = 29,793, ages 16 to 74, including 858 LGB persons, and (2) data from a non-representative national online survey (May to July 2021), including 1,542 LGB cisgender and 522 transgender persons, ages 15 to 81. Data were analyzed using descriptive and inferential statistics (e.g. binary logistic regression), controlling for potential confounding factors (e.g. year of study, age), using the Health Equity Promotion Model as a conceptual framework. Results: The most significant areas of health inequalities across the groups of interest were mental health, experienced discrimination and violence, healthcare access barriers, substance use, and sexual health. For example, LGB persons experienced significantly higher rates of depression (16.0% vs. 7.4%; p<.001) and suicide attempts (11.0% vs. 3.3%; p<.001) compared to the heterosexual population. Additionally, LGB persons abstained from seeking medical care significantly more often than heterosexual persons (16.2% vs. 6.9%, respectively) due to a lack of trust in the healthcare system. Conclusions: Besides targeted action in the identified (health) areas, a Health in All Policies Approach is needed to improve the lives and health of LGBT people in Switzerland by diminishing stigmatization and discrimination, and by implementing LGBT inclusive and specific protocols in healthcare and other settings.
URI: https://digitalcollection.zhaw.ch/handle/11475/29285
Fulltext version: Published version
License (according to publishing contract): CC BY-NC 4.0: Attribution - Non commercial 4.0 International
Departement: School of Health Sciences
Organisational Unit: Institute of Public Health (IPH)
Appears in collections:Publikationen Gesundheit

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Pfister, A., Krüger, P., & Eder, M. (2023). Health inequalities of LGBT persons in Switzerland : results from the first national LGBT health study [Conference presentation]. European Journal of Public Health, 33(Supplement_2), ii299–ii300. https://doi.org/10.1093/eurpub/ckad160.754
Pfister, A., Krüger, P. and Eder, M. (2023) ‘Health inequalities of LGBT persons in Switzerland : results from the first national LGBT health study’, in European Journal of Public Health. Oxford University Press, pp. ii299–ii300. Available at: https://doi.org/10.1093/eurpub/ckad160.754.
A. Pfister, P. Krüger, and M. Eder, “Health inequalities of LGBT persons in Switzerland : results from the first national LGBT health study,” in European Journal of Public Health, Oct. 2023, vol. 33, no. Supplement_2, pp. ii299–ii300. doi: 10.1093/eurpub/ckad160.754.
PFISTER, Andreas, Paula KRÜGER und Manuela EDER, 2023. Health inequalities of LGBT persons in Switzerland : results from the first national LGBT health study. In: European Journal of Public Health. Conference presentation. Oxford University Press. 24 Oktober 2023. S. ii299–ii300
Pfister, Andreas, Paula Krüger, and Manuela Eder. 2023. “Health Inequalities of LGBT Persons in Switzerland : Results from the First National LGBT Health Study.” Conference presentation. In European Journal of Public Health, 33:ii299–ii300. Oxford University Press. https://doi.org/10.1093/eurpub/ckad160.754.
Pfister, Andreas, et al. “Health Inequalities of LGBT Persons in Switzerland : Results from the First National LGBT Health Study.” European Journal of Public Health, vol. 33, no. Supplement_2, Oxford University Press, 2023, pp. ii299–300, https://doi.org/10.1093/eurpub/ckad160.754.


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