LGBT healthcare in the United States Veterans Health Administration information
The United States Veterans Health Administration (VHA) has an LGBTQ+ Program through the Office of Patient Care Services.[1] The “+” sign captures identities beyond LGBTQ, including but not limited to questioning, pansexual, asexual, agender, gender diverse, nonbinary, gender-neutral, and other identities. VHA began collecting data on veteran’s sexual orientation and gender identity in 2022 to inform policy and improve clinical care. There are estimated to be more than one million LGBTQ+ Americans who are military veterans.[2][3][4] If LGBTQ+ veterans use VHA at the same rate as non-LGBTQ+ veterans, there could be more than 250,000 LGBTQ+ veterans served by VHA.[5] Using diagnostic codes in medical record data, Blosnich and colleagues found that the prevalence of transgender veterans in VHA (22.9/100,000) is five times higher than reported prevalence of transgender-related diagnoses in the general population (4.3/100,000).[6] Brown and Jones identified 5,135 transgender veterans receiving care in VHA using a broader set of diagnostic codes.[7] Brown also notes that this methodology fails to identify transgender veterans who have not disclosed their gender identity to providers, those who don’t meet criteria for a diagnosis, or veterans who get their transition-related care outside of the VHA.
^ Lesbian, Gay, Bisexual and Transgender (LGBT) Veteran Care. Retrieved May 13, 2016, from http://www.patientcare.va.gov/Lesbian_Gay_Bisexual_and_Transgender_LGBT_Veteran_Care.asp
^Gates, G. (2010). Lesbian, gay, and bisexual men and women in the US military: Updated estimates. Other Recent Work. The Williams Institute, UCLA School of Law, UC Los Angeles.
^Gates, G. J., & Herman, J. (2014). Transgender Military Service in the United States. Policy, 3.
^Elders, J., & Steinman, A. M. (2014). Report of the transgender military service commission: Palm Center.
^ Kauth, M. R., & Shipherd, J. C. (2016). Transforming a System: Improving Patient-Centered Care for Sexual and Gender Minority Veterans. LGBT Health.
^Blosnich, J. R.; Brown, G. R.; Shipherd, J. C.; Kauth, M.; Piegari, R. I.; Bossarte, R. M. (2013). "Prevalence of gender identity disorder and suicide risk among transgender veterans utilizing Veterans Health Administration care". American Journal of Public Health. 103 (10): e27–e32. doi:10.2105/ajph.2013.301507. PMC 3780758. PMID 23947310.
^Brown, G. R.; Jones, K. T. (2014). "Racial Health Disparities in a Cohort of 5,135 Transgender Veterans". Journal of Racial and Ethnic Health Disparities. 1 (4): 257–266. doi:10.1007/s40615-014-0032-4.
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