American College of Physicians (ACP), 2015. Editors: Harvey Makadon, MD, Jennifer Potter, MD, Kenneth Mayer, MD and Hilary Goldhammer, MS of the Fenway Institute, Fenway Health
This new 2nd edition of The Fenway Guide to Lesbian, Gay, Bisexual, and Transgender Health reflects clinical and social changes since the publication of the first edition. Written by leading experts in the field of LGBT health in conjunction with The Fenway Institute at Fenway Health, this edition continues to present the important issues facing patients and practitioners, including:
For more information and to order copies: ACP Online
In this guide, we provide a framework for building a health program for transgender and gender diverse patients at your health center. There is no “one size fits all” approach to this work, but there are certain building blocks from which to create your own program that supports the gender diverse people in your community.
The National LGBT Health Education Center started conducting direct training and technical assistance with Federally Qualified Health Centers in 2014. This service was made possible by the expansion of our National Cooperative Agreement with the Health Resources and Services Administration to include technical assistance work. Since 2014, seventeen health centers in six states (Connecticut, Louisiana, Massachusetts, Mississippi, New York, and Texas) have participated in the assessment process.
Development of the questions used in our technical assistance assessment process was an iterative progression, refined over time by both The National LGBT Health Education Center and our partnering organizations. Portions of the assessment are based on the Human Rights Campaign’s Healthcare Equality Index and the Joint Commission’s Field Guide on Advancing LGBT Health.
This guide is designed to help your health center successfully collect SO/GI data, no matter where you are in the process. For those just beginning, the guide can be used from start to finish. If you have already created a system, but have encountered challenges and questions, this guide can help you address them. Even if your system is working smoothly, you will find resources and recommendations here that will help you move to the next level of data collection and analysis.
Language is powerful and influences many of our interactions. As a health care provider, becoming familiar with terms used by lesbian, gay, bisexual, transgender (LGBT) communities can help you provide these patients with the highest quality care. In this glossary, you will find some of the terms most relevant to the health care of LGBT people translated into Spanish. This glossary does not have every term used by the community, but you will find terms most commonly used when patients are accessing health care. It is important to keep in mind that language can change over time, and so this glossary will be update periodically to reflect those changes.
This brief offers health centers an introduction to providing trauma-informed care for HIV-positive men who have sex with men (MSM). The overall aims are to help health center staff understand the disproportionate prevalence of trauma and stress-related disorders among HIV-positive MSM, recognize the relationship of trauma to overall health and decreased engagement in primary care among HIV-positive MSM. This brief will also outline the promising practices in trauma-informed care to improve engagement of HIV-positive MSM in behavioral health and primary care.
Sexual and gender minority (SGM) people experience higher rates of eating disorders, body dissatisfaction, and obesity compared to the general population. In this clinical brief, primary care and behavioral health providers will discover how these issues manifest in different subgroups of SGM adolescents and young adults, and will learn ways to address these conditions using affirming and effective treatments.
Transgender people, like the general population, can suffer from a variety of common and rare severe mental health illnesses (SMI). This brief will cover recommendations on caring for this high-risk population.
This brief discusses the impact that opioid use disorder has on the lesbian, gay, bisexual, transgender and queer (LGBTQ) community. It will highlight best practices, trauma-informed care and behavioral health integration into primary care.
This fact sheet describes common social and legal needs that affect the health of transgender individuals, and ways integrated legal services can help meet those needs. It examines medical-legal partnership programs at three health care organizations and how they operate, and it shares stories of people benefiting from medical-legal partnership services.
A primary objective for health care professionals is to establish solid, trusting relationships with patients in order to promote healthier behaviors. As with other minority groups, when working with lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients, it is especially important to build rapport as a way to counteract the exclusion, discrimination, and stigma that many have experienced previously in health care. Despite our best intentions, however, internal –or implicit–biases may affect the way we talk to and behave with patients. For health care professionals, biases can lead to inequitable care, either through biased clinical decisions, or through communicating bias in conversation with patients.
This publication offers a brief summary of what is known about suicidal behavior and risk among LGBTQ people, followed by information and resources for health centers to help both young and old LGBTQ people get support and tap into internal and community resilience.
Lesbian, gay, bisexual, and transgender (LGBT) people come from all walks of life and experience many of the same health problems as non-LGBT people. This means that every organizational policy and procedure may impact the experience of LGBT people. To create an LGBT-affirming and inclusive environment, it is important to examine policies and procedures. This publication reviews some common updates to organizational forms and polices to create an affirming and inclusive environment for LGBT patients, and reviews strategies to modify procedures, behavior, and language to be inclusive of all patients.
This PrEP Action Kit includes clinical resources to help providers incorporate PrEP into their practices. Including helpful resources such as tips on taking a comprehensive sexual history, frequently asked questions about PrEP and a pocket card about PrEP prescribing and monitoring, this action kit is an essential resource for all providers treating LGBT patients or patients at risk of HIV infection.
This publication is also available as a Virtual Kit that can be browsed online.
Actualizado en el otoño del 2016
Front-line staff play a key role in creating a health care environment that responds to the needs of transgender and gender non-conforming (TGNC) people. Everyone, no matter their gender identity or expression, appreciates friendly and courteous service. In addition, TGNC people have unique needs when interacting with the health care system. Many TGNC people experience stigma and discrimination in their daily lives, including when seeking health care.
Issues and concerns from TGNC patients often arise at the front desk and in waiting areas because those are the first points of contact for most patients. These issues, however, are almost always unintentional and can be prevented by training all staff in some basic principles and strategies.
This document, updated in Fall 2016, was developed as a starting point to help train front-line health care employees to provide affirming services to TGNC patients (and all patients) at their organization. Part 1 of this document provides background information on TGNC people and their health needs. Part 2 provides tips and strategies to improve communication and create a more affirming environment.
Fall 2016 Update
This tool provides recommended questions for asking patients their sexual orientation and gender identity in electronic health records as well as some key terms and their definitions, all translated into Spanish.
All members of a health care organization—front-line staff members, clinicians, and administrators—play a crucial role in offering an inclusive, affirming experience for all people, including those with non-binary gender identities. Everyone, no matter their gender identity or expression, appreciates friendly, courteous, and effective care. In addition, non-binary people, who have gender identities other than male or female, have unique needs when interacting with the health care system. Non-binary people face numerous health disparities as well as stigma, discrimination, and a lack of access to quality care. However, you do not need to specialize in non-binary health care to give your non-binary patients an affirming experience.
This document includes important terms and definitions, data, three case scenarios, and expert-informed practices, all of which offer suggestions for how any staff member within any health care organization can implement simple changes to improve the experiences of patients with non-binary gender identities.
Collecting data on sexual orientation and gender identity in electronic health records is essential to providing high-quality, patient-centered care to LGBT individuals. This brief discusses the importance of gathering this data to help identify and address LGBT health disparities in health centers and other health care organizations. It provides recommended questions for asking patients their sexual orientation and gender identity in electronic health records, as well as information about training staff to collect data systematically. Providers who are informed of their patients’ sexual orientation and gender identity, and are trained to care for LGBT patients, are better able to provide care that is relevant, specific, and compassionate.
This brief has been updated to reflect the latest HRSA UDS requirements.
Because sexual orientation and gender identity (SO/GI) are new Uniform Data System (UDS) elements, health centers will have questions about what to do with missing data, among other issues. The following FAQ provides current guidance in addressing questions that have arisen so far. Last updated October 11, 2016.
While expanding access to health insurance coverage through the Affordable Care Act has been vital to millions of previously uninsured Americans, moving U.S. health care away from fee-for-service, volume-driven payments to payments based on value and outcomes will be a much more challenging transformation. For health centers and other health care providers, one commonly used model for practice transformation is the patient-centered medical home (PCMH). The PCMH model transforms how primary care is coordinated and delivered by emphasizing comprehensive, team-based care that places the patient at the center. When implemented successfully, the PCMH model leads to higher quality care at a lower cost, improving both the patients’ and providers’ experience of care.
This issue brief uses the framework of a patient-centered medical home to improve health care and health outcomes specifically for lesbian, gay, bisexual, and transgender (LGBT) patients and families. As an underserved and vulnerable population, LGBT people experience disparities in both health care and health status. The brief provides practice improvement actions for improving care for LGBT patients and families that are also linked to PCMH standards. The practice improvement actions help ensure that health care organizations are welcoming, inclusive, and competent in providing health care to LGBT patients and families.
A growing number of LGBT people are starting families. The 2010 US Census reported that approximately 19% of same-sex couples are currently raising children, and a 2013 Pew Research national survey found that 51% of LGBT adults of any age have children or would like to have children in the future. As an increasing number LGBT individuals and couples seek to have children, many will turn to their health care providers for resources and guidance. This brief walks through the various pathways to parenthood for LGBT people, as well as unique issues these couples and individuals may face as they consider their options. The pathways explored in the brief include adoption and foster parenting, donor insemination and in vitro fertilization (IVF), and surrogacy. Also discussed are ways in which health care organizations can support LGBT parents. The brief can be used as a guide to tailor conversations about parenting desires with lesbian, gay, bisexual, and transgender patients.
Providing Inclusive Services and Care for LGBT People has been developed to help all members of the health care team provide an inclusive and affirmative environment for all clients, with a focus on lesbian, gay, bisexual, and transgender (LGBT) people.
Creating an inclusive environment in which health care conversations are more comfortable for the patient is an important goal for all health care staff. All patients deserve access to high quality health care; in health care organizations, both front-line staff and clinicians must be prepared to serve people of all races, ethnicities, religions, ages, and backgrounds.
Here’s What You’ll Find Inside:
Last Update: March 2018
Language is powerful and influences many of our interactions. As a health care provider, becoming familiar with terms used by lesbian, gay, bisexual, transgender (LGBT) communities can help you provide these patients with the highest quality care. In this glossary, you will find some of the terms most relevant to the health care of LGBT people. This glossary does not have every term used by the community, but you will find terms most commonly used when patients are accessing health care. It is important to keep in mind that language can change over time, and so this glossary will be update periodically to reflect those changes.
Nicholas Van Wagoner, MD, The National LGBT Health Education Center, February 2016
The HIV epidemic disproportionately affects the Southern U.S., where 51% of new HIV diagnoses occurred in 2013. Despite substantial progress along the continuum of care, HIV remains a major health concern in the South, particularly for young, Black gay and bisexual men, other men who have sex men (MSM), and transgender women. Our new publication “HIV Prevention in the South: Reducing Stigma, Increasing Access” presents four strategic elements for preventing the further spread of HIV among vulnerable populations in the South, and suggests a more hopeful future for reducing the HIV epidemic.
Lesbian, gay, bisexual, and transgender individuals continue to face stigma and discrimination even though social acceptance is improving. This stigma and discrimination can result in negative experiences that combine with lack of access to culturally-affirming and informed health professionals to result in multiple health disparities for LGBT populations. Therefore, there is an urgent need to provide inclusive, high-quality health services to LGBT people so they can achieve the highest possible level of health. This document reviews LGBT concepts and demographics, discusses health disparities affecting LGBT groups, and outlines steps that clinicians, health centers, and other health care organizations can take to provide patient-centered care for LGBT people.
Lesbian, gay, bisexual, and transgender (LGBT) people face several barriers to accessing inclusive and affirming care. It is essential that health centers and other health care organizations create environments that are affirming and welcoming for all. Ten Things is written for those who are leading these efforts at their health center or other health care organization and outlines are ten best practices every health care organization can do to achieve a more inclusive and affirming health care environment. These practical strategies are meant to be broad enough to be adaptable, yet specific enough to allow for measuring progress. In taking these steps, you will make significant strides in providing equitable health care for all.
Fenway Health, Fall 2015
The Fenway Health Transgender Health Program (THP) produced these protocols for clinicians in primary care settings to best serve their transgender patients. The mission of Fenway Health is to enhance the wellbeing of the lesbian, gay, bisexual, and transgender communities and all people in our neighborhood and beyond. As part of that larger mission, the THP seeks to promote and support knowledgeable and comprehensive care to transgender and gender-nonconforming (TGNC) persons in an environment that is comfortable, safe, and affirming.
Samantha Marquez and Sean Cahill, PhD, The National Center for Innovation in HIV Care, 2015
Transgender women are at elevated risk of becoming infected with HIV. Pre-exposure prophylaxis for HIV prevention (PrEP) is effective in reducing the risk of HIV infection among men who have sex with men (MSM), heterosexual men and women, and people who inject drugs (PWID). While transgender women have been included in some clinical trials of PrEP, no study has shown PrEP to be effective in reducing transgender women’s HIV risk. Low adherence is likely a major factor in this lack of demonstrated efficacy. Questions have also been raised about the interaction between feminizing hormones and the medication currently approved for use as PrEP for HIV prevention—emtricitabine and tenofovir disoproxil fumarate (FTC-TDF). More research is needed to demonstrate that PrEP is effective for preventing HIV infection among transgender women engaging in anal intercourse with men. Research is also needed to better understand the interaction of PrEP and feminizing hormones, and any potential impact on the ability of PrEP to build up in sufficient concentrations in rectal tissue. In the meantime, PrEP is a prevention option that transgender women should consider with their medical providers. PrEP could prevent HIV infection in transgender women as it has been shown to do in other populations.
Farmworker Justice and the National LGBT Health Education Center, July 2015
There is a common misconception that few or no LGBT people exist within the farmworker community. As a result, the health care needs of LGBT farmworkers are often overlooked. There is no data regarding the number of LGBT individuals within the farmworker community. However, those who provide health care and public health interventions to farmworkers know from experience that LGBT people do exist in this community. These individuals face enormous challenges in accessing care, finding support, and feeling safe. This brief aids health care centers in recognizing and addressing the unique challenges faced by LGBT farmworkers in order to provide quality care to this highly vulnerable population. The brief outlines the greatest health care challenges facing LGBT farmworkers, discusses best practices for building trust with this community, and provides available support systems and resources.
The National LGBT Health Education Center, The Fenway Institute, Fenway Health, 2012
By Kevin L Ard, MD, MPH, Brigham and Women’s Hospital, and Harvey J Makadon, MD, Director of the National LGBT Health Education Center, The Fenway Institute.
This document offers a brief but comprehensive overview of the major issues relevant to the health and health care of lesbian, gay, bisexual and transgender people. The authors discuss LGBT demographics, terminology, and concepts; they also review LGBT health disparities across the life span. Clinicians and health care organizations will learn steps they can take to improve access to patient-centered care for their LGBT patients, including collecting data on sexual orientation and gender identity, creating a welcoming environment and providing interventions that respond to LGBT disparities.
On September 27, 2013, the National LGBT Health Education Center hosted a summit of 15 experts to discuss the most innovative and evidence-based HIV prevention strategies and how to implement these strategies into clinical practice. The summit brought together leaders in HIV prevention research, education, policy, and community engagement to share interventions, professional experiences, and research findings, and to debate next best steps to ending the epidemic among the vulnerable populations of gay and bisexual men and transgender women.
Based on the findings from this summit, we have developed a multi-media educational course that includes the White Paper: Best Practices in HIV Prevention: Translating Innovation into Action, with accompanying videos and slides from the summit. All materials can be viewed for free and can be viewed separately or together.
Approximately 3.2 million individuals in the United States are infected with chronic hepatitis C (HCV) infection. While injection drug use is the most common mode of transmission, growing evidence indicates that the virus is also being spread through sexual contact, particularly among HIV-infected men who have sex with men (MSM). In this clinical brief, we review what is known about the epidemiology of HCV among HIV-infected MSM, as well as current screening, treatment, and prevention recommendations for HCV.
The Fenway Institute, Fenway Health, 2013
By Sarah Peitzmeier, MSPH
This Fenway Institute analysis examines the heightened risk profile of lesbians and bisexual women, such as lower rates of health insurance coverage and less access to preventive health care, including routine pelvic exams. It also describes efforts in the UK and Australia to promote Pap tests among lesbians, and why it is important to offer Pap tests to some transgender men, many of whom retain a cervix and may be at risk for cervical cancer. Providers should also be trained in broader LGBT health issues, so that they are equipped to provide clinically competent care to lesbian and bisexual women and transgender men in ways that are sensitive and culturally competent.
The National Association of Community Health Centers and the National LGBT Health Education Center, The Fenway Institute, Fenway Health, New Edition: August 2014
For patients and the health centers that serve them, sexual health care and prevention interventions mean routine screening of physical, behavioral, and social health factors and subsequent care management and coordination with public health through strong partnerships. Skilled at patient engagement and proactive planned care, health centers can integrate a routine sexual health history as part of the overall health assessment, as well as routine screenings for HIV and hepatitis C based on the most current CDC recommendations. To support health centers as they endeavor to better integrate sexual health into patient-centered care, we collaborated with the National Association of Community Health Centers (NACHC) to create Taking Routine Histories of Sexual Health: A System-Wide Approach for Health Centers (Toolkit).
In addition to the toolkit, NACHC developed a companion video series entitled, HIV and Related Issues: Engaging Patients and Communities. This series of 4 short videos highlights health centers as an integral part of our nation’s response to the critical issues of HIV, hepatitis C, and sexual health. Addressing these issues, often through active partnerships, is essential in a true Patient Centered Medical Home and in fully engaging our patients, families, and communities.
Education Center Director Harvey Makadon’s video Importance of Sexual Health in Primary Care can be seen below. Click here to view the rest of the video series from NACHC.
The National Association of Community Health Centers and the National LGBT Health Education Center, The Fenway Institute, Fenway Health, 2012
This two-page brochure offers a brief overview of LGBT people and their health needs written specifically for governing board members of community health centers. Action steps for change are also included.
The National Association of Community Health Centers and the National LGBT Health Education Center, The Fenway Institute, Fenway Health, 2014
This two-page brochure offers a brief overview of LGBT people and their health needs written specifically for governing board members of community health centers in Spanish. Action steps for change are also included.
Center for American Progress and the National LGBT Health Education Center, The Fenway Institute, Fenway Health, 2013
LGBT people are among those most in need of access to affordable health insurance and high-quality health services. The launch of the Affordable Care Act is providing an unprecedented opportunity to improve the health of many LGBT Americans. This brief explains how the Affordable Care Act will benefit LGBT Americans, particularly through better data collection, stronger nondiscrimination policies, a new essential health benefits standard and other insurance reforms, and coverage expansions. Part 1 provides an overview of the issues, while Part 2 discusses how America’s health centers, which are integral to efforts to enroll uninsured people, can deploy effective strategies for reaching LGBT people.
Click here to download the companion infographic- great to post in your office or as a reference!
Health centers often serve as a key resource during a natural disaster or other public health emergency. Before an emergency strikes, it is important for health centers to consider the unique needs and circumstances of vulnerable populations, including LGBT individuals and families in the community.
The Fenway Institute, 2012
By John Trinidad, MPH
Human papilloma virus (HPV), one of the most common sexually transmitted infections, is preventable through a vaccine now recommended for all females and males age 11 to 26. However, vaccination rates remain low in the U.S., in part because only one-third of doctors prescribe the vaccine to eligible patients. HPV infection can lead to genital warts and certain types of cancer. This brief provides an analysis of the current state of HPV vaccination rates in the U.S., finding them lagging well behind other countries, where vaccination campaigns have been more successful. The brief also describes barriers to vaccine uptake, and examines insurance coverage of HPV vaccine, including what vaccine guidelines mean for insurance coverage under the Affordable Care Act. The brief concludes with policy recommendations, including encouraging or mandating HPV vaccination through social institutions such as the military and publicly-funded universities; increasing vaccine delivery by providers and at STI clinics; reducing vaccine costs; and researching why there are gaps in HPV vaccine awareness and rates.
AIDS Action Committee developed three central themes for the campaign:
AIDS Action Committee developed three central themes for the campaign:
AIDS Action Committee developed three central themes for the campaign:
Lesbian, Gay, Bisexual and Transgender (LGBT) people routinely face stigma and barriers to health care. Do Ask, Do Tell: Talking to your health care provider about being LGBT was developed to empower LGBT patients to “come out” to health care providers. Being open and honest about sexuality and gender identity is important for improving individual health and allowing providers to deliver culturally responsive, cost-effective, patient-centered care. There is space on the brochure to add your organization’s logo. For information about obtaining copies for your organization, email firstname.lastname@example.org.
This poster was developed as a companion to the Do Ask, Do Tell: Talking to your health care provider about being LGBT brochure. The poster can be displayed in exam rooms, waiting areas, and other areas of health centers and healthcare organizations to let patients know that the organization provides a welcoming, inclusive environment of care. There is space on the poaster to add your organization’s logo. For information about obtaining copies for your organization, email email@example.com
Lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth must navigate the typical challenges of adolescence while also managing the social stigma associated with their emerging sexual and gender minority identities. As a result, many LGBTQ youth are at higher risk for many health issues, and experience barriers to accessing health care. Do Ask, Do Tell: Talking to your health care provider about being LGBTQ was adapted for a youth audience in order to empower them to “come out” to their health care provider. Inside is information about health issues, as well as support and resources for LGBTQ youth. There is space on the brochure to add your organization’s logo. For information about obtaining copies for your organization, email us. Thank you to Jeffrey Poirier, PhD for helping adapt the language for the youth update.
This poster was developed as a companion to the Do Ask, Do Tell: Talking to your health care provider about being LGBTQ brochure for youth and adolescents. The poster can be displayed in exam rooms, waiting areas, and other areas of health centers and healthcare organizations to let patients know that the organization provides a welcoming, inclusive environment of care. There is space on the poaster to add your organization’s logo. For information about obtaining copies for your organization, email firstname.lastname@example.org.
Lesbian, Gay, Bisexual and Transgender (LGBT) people routinely face stigma and barriers to health care. Pregunte y dígalo: Hable con su proveedor deatención médica sobre ser LGBT was translated into Spanish from our original Do Ask, Do Tell series to empower Latino/a LGBT patients to “come out” to health care providers. Being open and honest about sexuality and gender identity is important for improving individual health and allowing providers to deliver culturally responsive, cost-effective, patient-centered care.
This poster was developed as a companion to the Pregunte y dígalo: Hable con su proveedor deatención médica sobre ser LGBT Spanish language patient brochure. The poster can be displayed in exam rooms, waiting areas, and other areas of health centers and healthcare organizations to let patients know that the organization provides a welcoming, inclusive environment of care. There is space on the poaster to add your organization’s logo. For information about obtaining copies for your organization, email email@example.com
Lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth must navigate the typical challenges of adolescence while also managing the social stigma associated with their emerging sexual and gender minority identities. As a result, many LGBTQ youth are at higher risk for many health issues, and experience barriers to accessing health care. Pregunte y dígalo: Hable con su proveedor de atención médica sobre ser LGBTQ was adapted for a youth Latino/a audience in order to empower them to “come out” to their health care provider. Inside is information about health issues, as well as support and resources for LGBTQ youth. There is space on the brochure to add your organization’s logo. For information about obtaining copies for your organization, email us.
This poster was developed as a companion to the Pregunte y dígalo: Hable con su proveedor de atención médica sobre ser LGBTQ brochure for Latino/a LGBTQ youth and adolescents. The poster can be displayed in exam rooms, waiting areas, and other areas of health centers and healthcare organizations to let patients know that the organization provides a welcoming, inclusive environment of care. There is space on the poaster to add your organization’s logo. For information about obtaining copies for your organization, email firstname.lastname@example.org.
The Food & Drug Administration (FDA) recently approved the use of an HIV treatment medication for HIV-negative people at high risk of getting HIV through sexual exposure. Known as “pre-exposure prophylaxis”—or PrEP—this medication is a once-a-day pill to be used in combination with condoms and other safer sex behavioral strategies to reduce risk. Protecting Yourself from HIV through PrEP informs consumers about PrEP and how it works, as well as other ways they can work with their health care providers to protect themselves against HIV.
Ard, KL and Makadon HJ. Addressing intimate partner violence in lesbian, gay, bisexual and transgender patients. J Gen Intern Med. 2011 Aug;26(8):930-3. Epub 2011 Mar 30.
Bedoya CA, Mimiaga MJ, Beauchamp G, Donnell D, Mayer KH, Safren, SA. Predictors of HIV Transmission Risk Behavior and Seroconversion Among Latino Men Who have Sex with Men in Project EXPLORE. AIDS Behav. 2012 Apr;16(3):608-17.
Bharucha, F, Makadon, HJ, Sale, S, Wheeler, C, Yoest, A. Navigating the Care Continuum: The Next Frontier for Providers. Becker’s Hospital Review, 5 Apr 2012.
Bradford J. The Promise of Outreach for Engaging and Retaining Out-of-Care Persons in HIV Medical Care. AIDS Patient Care and STDs. 2007;21(S1): s85-s91.
Cahill, S and Makadon, HJ. Sexual Orientation and Gender Identity Data Collection in Clinical Settings and in Electronic Health Records: A Key to Ending LGBT Health Disparities. LGBT Health 1:1-8. 2013.
Cahill S, and Valadéz R. Growing older with HIV/AIDS: new public health challenges. Am J Public Health. 2013 Mar;103(3):e7-e15. Epub 2013 Jan 17.
Cahill S, Valadéz R, and Ibarrola S. Community-based HIV prevention interventions that combat anti-gay stigma for men who have sex with men and for transgender women. J Public Health Policy. 2013 Jan;34(1):69-81. Epub 2012 Nov 15.
Coleman S, Boehmer U, Kanaya F, Grasso C, Tan J, Bradford J. Retention Challenges for a Community-Based HIV Primary Care Clinic and Implications for Intervention. AIDS Patient Care and STDs. 2007 Sep;21(9):691-701.
Donnell D, Mimiaga MJ, Mayer K, Chesney M, Koblin B, Coates T. Use of non-occupational post-exposure prophylaxis does not lead to an increase in high risk sex behaviors in men who have sex with men participating in the EXPLORE trial. AIDS Behav 2010 Oct;14(5):1182-9.
Fessler, D, Makadon HJ, Mitty, J, Mayer, K. The 2010 Health Care Act and barriers to effective health promotion among men who have sex with men. Sexually Transmitted Diseases. 2012 Jun; 39(6):449-52.
Gamarel K, Reisner SL, Parsons J, Golub S. Perceived discrimination due to socioeconomic status is associated with psychological distress among a community-based sample of urban men who have sex with men (MSM) in New York City: Implications for mental health. APHA. 2011.
Hatzenbuehler ML, O’Cleirigh C, Grasso C, Mayer K, Safren S, Bradford J. Effect of Same-Sex Marriage Laws on Health Care Use and Expenditures in Sexual Minority Men: A Quasi-Natural Experiment. Am.J Public Health. 2012 Feb;102(2):285-91.
Hatzenbuehler ML, O’Cleirigh C, Mayer KH, Mimiaga MJ, Safren SA. Prospective associations between HIV-related stigma, transmission risk behaviors, and adverse mental health outcomes in men who have sex with men. Ann Behav Med. 2011 Oct;42(2):227-34.
Herrick AL, Stall R, Goldhammer H, Egan JE, and Mayer KH. Resilience as a Research Framework and as a Cornerstone of Prevention Research for Gay and Bisexual Men: Theory and Evidence. AIDS Behav. 2013 Jan 16. [Epub ahead of print]
Johnson CV, Mimiaga MJ, Bradford J. Health care issues among lesbian, gay, bisexual, transgender and intersex (LGBTI) populations in the United States: Introduction. 2008. J Homosex. 54(3):213-24.
Johnson CV, Mimiaga MJ, Reisner SL, VanDerwarker R, Mayer KH. Barriers and facilitators to routine HIV testing: perceptions from Massachusetts Community Health Center personnel. AIDS Patient Care STDS. 2011 Nov;25(11):647-55.
Kenneth H. Mayer, Robert Garofalo, and Harvey J. Makadon. Promoting the Successful Development of Sexual and Gender Minority Youths. American Journal of Public Health: June 2014, Vol. 104, No. 6, pp. 976-981.
Kumta, S, Lurie M, Weitzen S, Jerajani H, Gogate, A, Row-kavi A, Anand, V, Makadon H, Mayer K. Bisexuality, sexual risk taking and HIV prevalence among men who have sex with men accessing voluntary counseling and testing services in Mumbai, India. J Acquir Immune Defic Syndr. 2010 Feb;53(2):227-33.
Makadon H. Primary care of gay men. Up to Date 2009, Version 14.2.
Makadon HJ, Bharucha F, Gavin M, Oliveira J, Wietecha. Value management: optimizing quality, service and cost. JHCQ. 2010;32:29-34.
Makadon HJ, Mayer KH, Garofalo R. Optimizing primary care for men who have sex with men. JAMA. 2006;296:2362-2365.
Makadon HJ. Ending LGBT invisibility in health care: the first step in ensuring equitable care. Cleve Clin J Med. 2011 Apr;78(4):220-4. Review.
Makadon HJ. Improving health care for the lesbian and gay communities. N Engl J Med. 2006;354:895-897.
Mayer KH, Goldhammer H, eds. Focusing on Sexual Health Promotion to Enhance Preventive Behaviors among Gay Men and other Men Who Have Sex with Men. AIDS Behav. 2011 Apr;15:S1-S8.
Mayer KH, Mimiaga M, VanDerwarker R, Goldhammer H, Bradford J. Fenway Community Health’s model of integrated community based LGBT care, education and research in Meyer I and Northridge M, eds. The Health Of Sexual Minorities – Public Health Perspectives On Lesbian, Gay, Bisexual And Transgender Populations. 2007. Springer. 693-715.
Mayer KH, Mimiaga MJ, Gelman M, Grasso C. Raltegravir, Tenofovir DF, and Emtricitabine for Postexposure Prophylaxis to Prevent the Sexual Transmission of HIV: Safety, Tolerability, and Adherence. J Acquir Immune Defic Syndr. 2012 Apr;59(4):354-9.
Mayer KH, Mimiaga MJ, Safren SA. Out of the Closet and Into Public Health Focus: HIV and STDs in Men Who Have Sex With Men in Middle Income and Resource-Limited Countries. Sex Transm Dis. 2010 Feb;37(4):205-7.
Mayer KH, Mimiaga MJ. Resurgent syphilis in the United States: urgent need to address an evolving epidemic. Ann Intern Med. 2011. Aug;155(3):192-3.
Mayer KH. Sexually transmitted diseases in men who have sex with men. Clin Infect Dis. 2011 Dec;53 Suppl 3:S79-83.
Mayer KM, Bradford JB, Makadon HJ, Stall R, Goldhammer H, Landers S. Sexual and gender minority health: what do we know and what needs to be done? AJPH. 2008;98:989-995.
McCauley H, Reisner SL,Falb K. Developmental differences in depression by sexual orientation in a sample of 2,555 high school students: Results from the 2007 Massachusetts Youth Risk Behavior Survey (MYRBS). APHA. 2011.
Mimiaga MJ, Goldhammer H, Belanoff C, Tetu AM, Mayer KH. Men who have sex with men: perceptions about sexual risk, HIV and sexually transmitted disease testing, and provider communication. Sex Transm Dis. 2007 Feb;34(2):113-9.
Mimiaga MJ, Johnson CV, Reisner SL, VanDerwarker R, Mayer KH. Barriers to routine HIV testing among Massachusetts community health center personnel. Public Health Rep. 2011 Sep-Oct;126(5):643-52.
Mimiaga MJ, Reisner SL, Goldhammer H, Tetu AM, Belanoff C, Mayer KH. Sources of human immunodeficiency virus and sexually transmitted disease information and responses to prevention messages among Massachusetts men who have sex with men. Am J Health Promot. 2010 Jan-Feb;24(3):170-7.
Patel, V, Mayer, K, Makadon, H. Men who have sex with men in India: A diverse population in need of medical attention. Indian Journal of Medical Research 2012 Oct; 136: 563-570.
Reisner S, Mimiaga M, Bland SE, Driscoll MA, Cranston K, Mayer KH. Pathways to Embodiment of HIV Risk: Black Men Who Have Sex with Transgender Partners, Boston, Massachusetts. AIDS Educ Prev 2012 Feb;24(1):15-26.
Reisner SL, Mimiaga MJ, Bland S, Skeer M, Cranston K, Isenberg D, Driscoll M, Mayer KH. Problematic alcohol use and HIV risk among Black men who have sex with men in Massachusetts. AIDS Care. 2010 May;22(5):577-87.
Reisner SL, Mimiaga MJ, Case P, Grasso C, O’Brien CT, Harigopal P, Skeer M, Mayer KH. Sexually transmitted disease (STD) diagnoses and mental health disparities among women who have sex with women screened at an urban community health center. 2007. Sex Transm Dis. 2010 Jan;37(1):5-12.
Reisner SL, Perkovich B, Mimiaga MJ. A mixed methods study of the sexual health needs of New England transmen who have sex with nontransgender men. AIDS Patient Care STDS. 2010 Aug;24(8):501-13.
Rosario M, Reisner SL, Carliss H, Wypij D, Frazier A, Austin S. Explaining disparities in depressive distress by sexual orientation among a cohort study of US emerging adults. 2011.
Rumptz M, Tobias C, Rajabiun S, Bradford J, Cabral H, Young R, Cunningham W. Factors Associated with Engaging Socially Marginalized HIV- Positive Persons in Primary Care. AIDS Patient Care and STDs. 2007;21 Suppl 1:s30-s39.
Safren SA, O’Cleirigh C, Skeer MR, Driskell J, Goshe BM, Covahey C, Mayer KH. Demonstration and evaluation of a peer-delivered, individually-tailored, HIV prevention intervention for HIV-infected MSM in the primary care setting. AIDS Behav. 2010 Jul;15(5):949-58.