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Sexual and gender minority (SGM) individuals generally experience health disparities. Frequent nondisclosure of SGM status to healthcare providers contributes to these disparities. We collaborated with an LGBTQIA+ student organization to conduct a virtual focus group exploring facilitators and barriers to SGM disclosure to healthcare providers. Five thematic clusters emerged from our group concept mapping procedure: (1) provider approach to SGM-specific care; (2) indicators of inclusive clinic culture; (3) interpersonal disclosure concerns; (4) harmful provider communication; and (5) persistent behavioral factors in patient-provider relationships. More broadly, participants indicated healthcare providers’ inclusive/exclusive behaviors and communication were generally important to SGM disclosure.

Examining facilitators and barriers to sexual orientation and gender identity disclosure to healthcare providers among US college students