The health and well-being of LGBTQ serving and ex-serving personnel: a narrative review
- 2 January 2019
- journal article
- review article
- Published by Taylor & Francis in International Review of Psychiatry
- Vol. 31 (1) , 75-94
Abstract
The relaxation of discriminatory policies against lesbian, gay, bisexual, transgender, and queer (LGBTQ) service personnel has led to increased diversity among military populations. Given this increase, it is important to assess sexual and gender minority groups’ health and well-being in the context of military service. This narrative review assessed these outcomes in LGBTQ military personnel. The electronic databases OVID Medline, PsycInfo, and Embase were searched for papers published between January 2000 and July 2018. Thirty papers were included. In line with life course model, studies aligned with four themes: (1) mental health and well-being; (2) stigma and healthcare utilization; (3) sexual trauma; and (4) physical health. These themes highlighted that LGBTQ military personnel and veterans have poorer mental health and well-being; report more stigma and barriers to mental healthcare, which reduces uptake of accessed healthcare services; experience more sexual trauma; and have poorer physical health than heterosexual military personnel and veterans. However, there are substantial gaps in the current evidence for this population. Future research should aim to address limitations of the literature, and to ensure that data on LGBTQ personnel and veterans is collected as standard.Keywords
Funding Information
- National Institute for Health Research (NIHR) Biomedical Research Centre
This publication has 59 references indexed in Scilit:
- Minority Stress and Physical Health Among Sexual MinoritiesPerspectives on Psychological Science, 2013
- Sexual Victimization, Health Status, and VA Healthcare Utilization Among Lesbian and Bisexual OEF/OIF VeteransJournal of General Internal Medicine, 2013
- Incorporating Lesbian and Bisexual Women into Women Veterans’ Health PrioritiesJournal of General Internal Medicine, 2013
- Suicidal Ideation Among Sexual Minority Veterans: Results From the 2005–2010 Massachusetts Behavioral Risk Factor Surveillance SurveyAmerican Journal of Public Health, 2012
- Pervasive Trauma Exposure Among US Sexual Orientation Minority Adults and Risk of Posttraumatic Stress DisorderAmerican Journal of Public Health, 2010
- Rape, War, and the Socialization of MasculinityPsychology of Women Quarterly, 2010
- Discharged for Homosexuality from the Canadian Military: Health Implications for LesbiansFeminism & Psychology, 2009
- Sexual Orientation Disclosure, Concealment, Harassment, and Military Cohesion: Perceptions of LGBT Military VeteransMilitary Psychology, 2009
- How does sexual minority stigma “get under the skin”? A psychological mediation framework.Psychological Bulletin, 2009
- A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual peopleBMC Psychiatry, 2008