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Health service experiences of LGBTQA+ adults in Australia with psychotic disorders, common mental disorders and physical health conditions: Findings from the Private Lives 3 national survey.

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Title: Health service experiences of LGBTQA+ adults in Australia with psychotic disorders, common mental disorders and physical health conditions: Findings from the Private Lives 3 national survey.
Authors: Gonçalves, Cláudia C (AUTHOR), Lin, Ashleigh (AUTHOR), Hill, Adam O (AUTHOR), Bourne, Adam (AUTHOR), McNair, Ruth (AUTHOR), Amos, Natalie (AUTHOR), Lekamlage, Dulari Hakamuwa (AUTHOR), Haddad, Peter M (AUTHOR), Williams, Lana J (AUTHOR), Yung, Alison R (AUTHOR)
Source: Australian & New Zealand Journal of Psychiatry. Feb2026, Vol. 60 Issue 2, p148-159. 12p.
Subjects: Health services accessibility, Heart diseases, Cross-sectional method, Gender-nonconforming people, Secondary analysis, Research funding, Gay people, Respect, Psychology of LGBTQ+ people, Mental illness, Rheumatoid arthritis, Pulmonary emphysema, Schizoaffective disorders, Multiple regression analysis, Logistic regression analysis, Schizophrenia, Descriptive statistics, Chi-squared test, Odds ratio, Osteoarthritis, Arthritis, Cisgender people, Psychoses, Stroke, Tumors, Data analysis software, Confidence intervals, Patient satisfaction, Patients' attitudes, Diabetes, Asthma, Mental depression, Generalized anxiety disorder, Lesbians
Geographic Terms: Australia
Abstract: Background: Lesbian, gay, bisexual, transgender, queer or questioning, asexual or aromantic and more (LGBTQA+) populations face disparities in health outcomes, which are particularly pronounced in relation to mental health. While psychotic disorders are associated with added barriers to treatment, they are rarely included in conversations around improving healthcare for LGBTQA+ individuals. The present study compared the healthcare experiences reported by LGBTQA+ individuals with psychotic disorders, common mental disorders (anxiety and depressive disorders) and physical health conditions. Methods: A large online cross-sectional survey of LGBTQA+ adults in Australia was completed by 6835 individuals: 84 diagnosed with psychotic disorders, 521 diagnosed only with common mental disorders and 318 diagnosed only with common physical health conditions. Logistic regression analyses were used to investigate the association between diagnostic groups and health service access, service satisfaction and perceived respect for identity, and the importance of service LGBTQA+ inclusivity. Results: Compared to those with psychotic disorders and common mental disorders, participants with physical health conditions were more likely to access mainstream clinics that are not explicitly LGBTQA+ inclusive and demonstrated a trend towards lower importance of service LGBTQA+ inclusivity. Participants with psychosis reported lower levels of respect for gender identity in LGBTQA+ inclusive services than those with common mental disorders. Discussion: Differences in healthcare experiences between LGBTQA+ participants with physical health conditions, common mental disorders and psychotic disorders are present but not marked. Findings highlight a need for improved LGBTQA+ competencies in mainstream services and resource allocation to community-led services. Further research is needed to explore the factors contributing to worsened healthcare experiences for individuals with psychosis. [ABSTRACT FROM AUTHOR]
Copyright of Australian & New Zealand Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Health service experiences of LGBTQA+ adults in Australia with psychotic disorders, common mental disorders and physical health conditions: Findings from the Private Lives 3 national survey.
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  Data: <searchLink fieldCode="JN" term="%22Australian+%26+New+Zealand+Journal+of+Psychiatry%22">Australian & New Zealand Journal of Psychiatry</searchLink>. Feb2026, Vol. 60 Issue 2, p148-159. 12p.
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  Data: Background: Lesbian, gay, bisexual, transgender, queer or questioning, asexual or aromantic and more (LGBTQA+) populations face disparities in health outcomes, which are particularly pronounced in relation to mental health. While psychotic disorders are associated with added barriers to treatment, they are rarely included in conversations around improving healthcare for LGBTQA+ individuals. The present study compared the healthcare experiences reported by LGBTQA+ individuals with psychotic disorders, common mental disorders (anxiety and depressive disorders) and physical health conditions. Methods: A large online cross-sectional survey of LGBTQA+ adults in Australia was completed by 6835 individuals: 84 diagnosed with psychotic disorders, 521 diagnosed only with common mental disorders and 318 diagnosed only with common physical health conditions. Logistic regression analyses were used to investigate the association between diagnostic groups and health service access, service satisfaction and perceived respect for identity, and the importance of service LGBTQA+ inclusivity. Results: Compared to those with psychotic disorders and common mental disorders, participants with physical health conditions were more likely to access mainstream clinics that are not explicitly LGBTQA+ inclusive and demonstrated a trend towards lower importance of service LGBTQA+ inclusivity. Participants with psychosis reported lower levels of respect for gender identity in LGBTQA+ inclusive services than those with common mental disorders. Discussion: Differences in healthcare experiences between LGBTQA+ participants with physical health conditions, common mental disorders and psychotic disorders are present but not marked. Findings highlight a need for improved LGBTQA+ competencies in mainstream services and resource allocation to community-led services. Further research is needed to explore the factors contributing to worsened healthcare experiences for individuals with psychosis. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Australian & New Zealand Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=191101779
RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1177/00048674251387877
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      – Code: eng
        Text: English
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        PageCount: 12
        StartPage: 148
    Subjects:
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Heart diseases
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Gender-nonconforming people
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      – SubjectFull: Secondary analysis
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      – SubjectFull: Research funding
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      – SubjectFull: Gay people
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      – SubjectFull: Psychology of LGBTQ+ people
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      – SubjectFull: Rheumatoid arthritis
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      – SubjectFull: Pulmonary emphysema
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      – SubjectFull: Schizoaffective disorders
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      – SubjectFull: Multiple regression analysis
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      – SubjectFull: Logistic regression analysis
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Odds ratio
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      – SubjectFull: Tumors
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      – SubjectFull: Data analysis software
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Diabetes
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      – SubjectFull: Lesbians
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      – SubjectFull: Australia
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      – TitleFull: Health service experiences of LGBTQA+ adults in Australia with psychotic disorders, common mental disorders and physical health conditions: Findings from the Private Lives 3 national survey.
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              Text: Feb2026
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