A framework for addressing health inequities in sexual and gender diverse populations by nurses


      • Our framework includes stigma, intersectionality, identify affirmation and life course trajectory.
      • Social determinants of health contribute to SGD health disparities.
      • Nurse scientists can eradicate health disparities and improve health equity among SGD populations.
      • Nurses can infuse curricula and clinical training with SGD-related health information.


      There is a need to increase health equity in sexual and gender diverse (SGD) populations, a medically underserved group with widening health disparities. To better understand and address SGD health disparities, we have developed a multi-level conceptual framework for nurse scientists that incorporates the concepts of stigma, intersectionality, identify affirmation, and life course trajectory. Social determinants of health formed the background of our conceptual framework. Using this framework, we proposed recommendations to promote SGD health equity through nursing research, health care practice, health care education, and public health care policy. These recommendations align with the National Institute of Nursing Research's goals of dismantling structures that perpetuate racism and impede health inequity and the need to implement interventions that address social determinants of health. As a result, nurse scientists are poised to influence health care policy by translating effective interventions to reduce health disparities for the SGD population into practice.


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