Comprehensive Health for the LGBTQ+ Community

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Community Care".

Deadline for manuscript submissions: 30 April 2025 | Viewed by 871

Special Issue Editors


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Guest Editor
Faculty of Finance and Management, WSB MERITO University in Wroclaw, 29–31 Fabryczna str., PL53-609 Wroclaw, Poland
Interests: healthcare; health organisations; HIV; STI; public health; HIV advocacy; epidemiology nursing
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Guest Editor
1. Division of Scientific Research and Innovation in Emergency Medical Service, Department of Emergency Medical Service, Faculty of Nursing and Midwifery, Wroclaw Medical University, 51-618 Wroclaw, Poland
2. Group of Research in Care (GRUPAC), Faculty of Health Science, University of La Rioja, Logroño, Spain
3. Institute of Heart Diseases, University Hospital, Wroclaw, Poland
Interests: LGBT health; dietetics; paramedics; heart failure; cardiology
Special Issues, Collections and Topics in MDPI journals

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Guest Editor Assistant
Department of Cardiac Rehabilitation and Health Promotion, Faculty of Health Sciences Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, 9 Curie Skłodowska str., PL85-094 Bydgoszcz, Poland
Interests: cardiology nursing; LGBTQ health; health promotion; rehabilitation

Special Issue Information

Dear Colleagues,

Health and well-being are critical issues for the global and diverse LGBTQ+ community. Individuals within this community face a spectrum of health disparities; stigma, discrimination, and limited access to healthcare services contribute to adverse physical and mental health outcomes. Moreover, human rights violations, including violence and discriminatory practices, persist. As we strive for inclusive health systems, it is essential to address the health needs of LGBTQ+ individuals.

Our Special Issue, “Comprehensive Health for the LGBTQ+ Community”, provides a platform for researchers to publish original work on various health-related aspects. We welcome research articles, meta-analyses, and reviews covering mental health, somatic health, and health inequalities within the LGBTQ+ population. Additionally, we encourage submissions related to individuals living with HIV and those at risk of exclusion due to sexual orientation or gender identity.

We encourage you to submit work proposals to our Special Issue.

Dr. Piotr Karniej
Dr. Michał Czapla
Guest Editors

Dr. Łukasz Pietrzykowski
Guest Editor Assistant

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Keywords

  • LGBTQ+
  • health disparities
  • mental health of the LGBTQ+ community
  • somatic health of the LGBTQ+ community
  • health inequalities
  • HIV/AIDS
  • sexual orientation
  • gender identity
  • stigma
  • access to healthcare

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Published Papers (1 paper)

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Research

13 pages, 650 KiB  
Article
Cultural Adaptation and Psychometric Properties of the Spanish Version of the Gay Affirmative Practice Scale (GAP-ES)
by Piotr Karniej, Anthony Dissen, Raúl Juárez-Vela, Antonio Martinez Sabater, Pablo del Pozo-Herce, Vicente Gea-Caballero, Emmanuel Echaniz-Serrano and Michał Czapla
Healthcare 2024, 12(22), 2258; https://doi.org/10.3390/healthcare12222258 - 13 Nov 2024
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Abstract
Background/Objectives: Lesbian, gay, bisexual, and transgender (LGBT) individuals often face discrimination in healthcare settings, resulting in health disparities. Evaluating healthcare professionals’ affirmative practices is essential for promoting inclusive care and addressing these disparities. The aim of this study was to assess the psychometric [...] Read more.
Background/Objectives: Lesbian, gay, bisexual, and transgender (LGBT) individuals often face discrimination in healthcare settings, resulting in health disparities. Evaluating healthcare professionals’ affirmative practices is essential for promoting inclusive care and addressing these disparities. The aim of this study was to assess the psychometric properties of the Spanish version of the Gay Affirmative Practice Scale (GAP-ES), which measures healthcare professionals’ affirmative practices towards gay individuals. Methods: Before assessing its psychometric properties, the original Gay Affirmative Practice Scale (GAP) was translated and culturally adapted from English to Spanish. Following the translation, the psychometric properties were tested on a sample of 236 healthcare professionals. The internal consistency of the questionnaire was measured using Cronbach’s alpha and the discriminatory power index. Factor structure was evaluated with Confirmatory Factor Analysis (CFA) using the Diagonally Weighted Least Squares method. Results: The sample consisted of 152 female (64.41%) and 84 male (35.59%) participants, with 58.05% identifying as heterosexual, 28.81% as homosexual, and 13.14% as bisexual. The internal consistency of the GAP-ES was strong, with Cronbach’s alpha values of 0.915 for the Beliefs subscale and 0.902 for the Behaviors subscale. The McDonald’s Omega coefficient was 0.942, indicating high reliability. CFA confirmed a two-factor structure with satisfactory fit indices (CFI = 0.999, RMSEA = 0.071). Conclusions: The GAP-ES demonstrates strong internal consistency and a stable factor structure. It is a reliable tool for evaluating affirmative practices toward LGBT patients in Spanish-speaking healthcare contexts, supporting improved care for this population. The integration of the GAP-ES into clinical practice and training programs may support the enhancement of cultural competence among healthcare professionals, contributing to the reduction of health disparities for LGBT patients in Spanish-speaking settings. Full article
(This article belongs to the Special Issue Comprehensive Health for the LGBTQ+ Community)
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