Delivering patient-centered care requires an understanding of the psychosocial and behavioral determinants of health. The article by Gonzales et al1 in this issue of JAMA Internal Medicine demonstrates that one such determinant, sexual orientation, has an influential effect on several aspects of health. Psychological distress was more common among gay men, bisexual men, and bisexual women than heterosexuals. There was more cigarette smoking and greater alcohol use among lesbians, gay men, and bisexuals than heterosexuals. Although this study is not the first to note these differences among lesbians, gay men, and bisexuals, it is the first to capture the disparity in a population-based sample rather than a convenience or clinic-based sample.
Katz MH. Health Care for Lesbian, Gay, and Bisexual People Comes Out of the Closet. JAMA Intern Med. 2016;176(9):1352. doi:10.1001/jamainternmed.2016.3828