Which of the following statements regarding the Minority Stress Model and healthcare access for LGBTQ+ individuals is most accurate?

Question

BlackTom AI · Accepted Answer

Let's break down each statement to see how well it aligns with the Minority Stress Model and what is known about healthcare access for LGBTQ+ individuals.
Option A: 'The Minority Stress Model primarily attributes health disparities in minority groups to genetic predispositions rather than environmental factors like stigma or discrimination.' This is incorrect because the Minority Stress Model emphasizes environmental and social stressors—such as stigma, discrimination, concealment, and internalized stigma—as key contributors to health disparities, not genetic predispositions alone. It focuses on psychosocial stressors arising from minority status.
Option B: 'Transgender adults generally report better physical health but higher rates of mental health issues compared to their non-transgender LGB peers.' This mixes terminology and evidence in a way that can be misleading. The Minority Stress framework would analyze elevated minority stress associated with gender identity and possible barriers to care, which can impact both physical and mental health. However, stating that transgender adults have better physical health than non-transgender LGB peers contradicts broader findings that transgender individuals often experience higher rates of certain health concerns and barriers to care, including physical health risks due to barriers to healthcare, discrimination, and avoidance of services. Therefore, this claim is not supported as stated.
Option C: 'While misgendering can be uncomfortable, it generally does not significantly affect a transgender person's future engagement with the healthcare system.' This is a classical underestimation of the impact of misgendering. Repeated misgendering or door of disrespect in clinical settings can deter ongoing engagement with healthcare and delay care, which runs counter to what minority stress research and LGBTQ+ health literature document about the importance of affirming care environments in promoting access and utilization. Hence this is likely inaccurate.
Option D: 'Lesbian and bisexual women experience higher rates of diabetes, while gay and bisexual men show higher rates of cardiovascular disease compared to heterosexual counterparts.' This statement reflects observed patterns in some epidemiological data where certain LGBTQ+ subgroups show different prevalence rates for specific conditions, possibly linked to minority stress, discrimination, lifestyle factors, and healthcare access barriers. While nuanced and dependent on population, geography, and study design, this option aligns with research noting disparities in chronic disease prevalence across sexual minority groups and the relevance of access to preventive care. It captures the idea that disparities exist in health outcomes along sexual orientation lines, which is consistent with Minority Stress Model implications for healthcare disparities.
Option E: 'None of the above statements are accurate.' Given the evaluative points above, at least some of the prior options are not fully accurate or are oversimplified. However, because option D reflects an aspect of disparities that is supported in literature and aligns with the model’s implications about differential health outcomes due to minority stress and access barriers, option E is not the correct choice if we accept that option D has validity in at least some contexts.
In summary, the statements vary in alignment with the Minority Stress Model. A misrepresents the model by foregrounding genetics; B conflates health patterns with problematic phrasing; C underestimates the impact of misgendering on healthcare engagement; D mirrors observed disparities discussed in LGBTQ+ health literature, though interpretation should consider context; E is a blanket negation that ignores the partial accuracy found in D. The overall reasoning supports that option D reflects an accurate and nuanced point about disparities in health outcomes among lesbian and bisexual women and among gay and bisexual men, consistent with the Minority Stress framework and concerns about healthcare access.

Which of the following statements regarding the Minority Stress Model and healthcare access for LGBTQ+ individuals is most accurate?

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